Tell us about yourself:
Karen M. Fernandes, R.N., CPHQ Karen Fernandes has been a nurse for over forty years and is principal and president of AYR Consulting Group that supports hospitals across the United States in their quest for quality and patient safety along with compliance to Joint Commission Standards and Medicare Regulations. Advocacy for Medical Transitions was just established to serve patients and their families and guide them through the confusing maze of healthcare. She began her nursing career in New England and has held many positions in nursing from Medical/Surgical, Emergency, OB, Nursing Supervisor, Chief Nursing Officer and Director of Quality Management. Prior to establishing a consulting firm, Karen was with Tenet Health System and the Daughters of Charity National Health System now called Ascension. Karen served as chairman of Joint Commission’s Professional Technical Advisory Committee for Hospitals 2001-2003 and served as a member of that committee for six years. She has also been a member of Joint Commission's Hospital Advisory Committee and Nursing Advisory Council. She is currently now on the TJC Consultant’s Forum. Additionally, Karen was a member of the Federation of American Hospitals Quality Committee and served as Chairman of the Quality Committee 2000 - 2003. Karen was also a member of the National Quality Forum on the Consumer Council, Provider Council and Quality Council. Karen presents seminars on Joint Commission survey preparation, readiness/compliance to Joint Commission standards and CMS Conditions of Participation compliance. AYR Consulting Group conducts mock surveys and provides for continued survey readiness for hospitals. Karen speaks at hospital conferences, Medical Staff and Governing Board meetings on attaining Joint Commission standard requirements and maintaining compliance to CMS Conditions of Participation. Advocacy for Medical Transitions was just established as a subsidiary of AYR Consulting Group. Karen is a patient advocate and nurse who is uniquely qualified to provide professional services tailored to specific healthcare concerns. This service will help guide patients and/or their families through the various transitions they may face during a hospitalization, planning for care, discharge to other levels of care or concerns in care. As a volunteer, is an advocate for the DES exposed for over 30 years. Karen served as President of DES Action/USA and as a board member for many years. This was a non-profit organization whose goal is education, advocacy and support of the millions of Americans exposed to the drug Diethylstilbestrol in utero. Currently, Karen is the lead administrator for DES Info. This group provides ongoing information on DES exposure and other health related information for the DES Exposed. Karen has participated in NIH research studies on DES. She also authored a DES Exposure Nursing Curriculum which is available in the United States, Canada and Europe.
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All Activity

My desire for a family was strong and difficult. Between my 1st and 2nd child, I had at least 3 miscarriages. We thought we would never be able to have another child and were considering adoption when out of the blue (during a bout of the common cold...
KarenF115422 03-01-2019 08:09 AM
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 Halfway through the night, I was awakened by my dream.  “At my door stood Pat Cody, arguably the driving force that gave birth to DES activism. She taught me how to be a DES activist.  She told me she was dying. Heart problem. She said she was tired...
KarenF115422 02-21-2019 11:59 AM
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1134
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DES Info: February 14th is a day for love. It is for me but also a day great sorrow. On this day, many years ago I lost my last baby. Today is a very very sad day for me. It was on this day, many years ago, that I lost my last baby due to an ectopic ...
KarenF115422 02-16-2019 10:47 AM
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1686
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In the first study of the third generation, 793 granddaughters were enrolled. Some of their mothers were prenatally exposed to DES and some were not. In that study, a higher percentage of DES exposed granddaughters reported having irregular periods, ...
KarenF115422 01-23-2019 08:58 AM
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1172
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I remember watching this episode years ago. And I am a DES daughter.A lucky DES daughter. I remember sympathizing with Billie and her mother.My folks had been married for nearly five years. Mom had to spend the last couple of months with her feet up ...
KarenF115422 01-22-2019 08:31 AM
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0
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1176
Views
My desire for a family was strong and difficult. Between my 1st and 2nd child, I had at least 3 miscarriages. We thought we would never be able to have another child and were considering adoption when out of the blue (during a bout of the common cold...
KarenF115422 03-01-2019 08:09 AM
0
Replies
0
Kudos
1180
Views
 Halfway through the night, I was awakened by my dream.  “At my door stood Pat Cody, arguably the driving force that gave birth to DES activism. She taught me how to be a DES activist.  She told me she was dying. Heart problem. She said she was tired...
KarenF115422 02-21-2019 11:59 AM
0
Replies
0
Kudos
1134
Views
DES Info: February 14th is a day for love. It is for me but also a day great sorrow. On this day, many years ago I lost my last baby. Today is a very very sad day for me. It was on this day, many years ago, that I lost my last baby due to an ectopic ...
KarenF115422 02-16-2019 10:47 AM
3
Replies
1
Kudo
1686
Views
In the first study of the third generation, 793 granddaughters were enrolled. Some of their mothers were prenatally exposed to DES and some were not. In that study, a higher percentage of DES exposed granddaughters reported having irregular periods, ...
KarenF115422 01-23-2019 08:58 AM
0
Replies
0
Kudos
1172
Views
I remember watching this episode years ago. And I am a DES daughter.A lucky DES daughter. I remember sympathizing with Billie and her mother.My folks had been married for nearly five years. Mom had to spend the last couple of months with her feet up ...
KarenF115422 01-22-2019 08:31 AM
0
Replies
0
Kudos
1176
Views
My desire for a family was strong and difficult. Between my 1st and 2nd child, I had at least 3 miscarriages. We thought we would never be able to have another child and were considering adoption when out of the blue (during a bout of the common cold...
KarenF115422 03-01-2019 08:09 AM
0
Replies
0
Kudos
1180
Views
 Halfway through the night, I was awakened by my dream.  “At my door stood Pat Cody, arguably the driving force that gave birth to DES activism. She taught me how to be a DES activist.  She told me she was dying. Heart problem. She said she was tired...
KarenF115422 02-21-2019 11:59 AM
0
Replies
0
Kudos
1134
Views
DES Info: February 14th is a day for love. It is for me but also a day great sorrow. On this day, many years ago I lost my last baby. Today is a very very sad day for me. It was on this day, many years ago, that I lost my last baby due to an ectopic ...
KarenF115422 02-16-2019 10:47 AM
3
Replies
1
Kudo
1686
Views
In the first study of the third generation, 793 granddaughters were enrolled. Some of their mothers were prenatally exposed to DES and some were not. In that study, a higher percentage of DES exposed granddaughters reported having irregular periods, ...
KarenF115422 01-23-2019 08:58 AM
0
Replies
0
Kudos
1172
Views
I remember watching this episode years ago. And I am a DES daughter.A lucky DES daughter. I remember sympathizing with Billie and her mother.My folks had been married for nearly five years. Mom had to spend the last couple of months with her feet up ...
KarenF115422 01-22-2019 08:31 AM
0
Replies
0
Kudos
1176
Views
Public Statistics
Date Registered ‎05-22-2018 04:28 PM
Last Visited ‎03-01-2019 02:29 PM
Total Messages Posted 49
Total Kudos Received 1
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