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.
Area of knowledge and what I know well:
Diethylstilbestrol Exposure; Joint Commission Standards, Patient Safety and quality, Medicare regulations
Certificates/Awards
CPHQ
BSN
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The Smith and Smith Regimen for DES1953 Physician’s Desk Reference (PDR) Doctors George and Olive Smith:The Smith and Smith Regime (Physicians from Harvard) advised the following regime for oral administration of DES:Weeks of Pregnancy from first day...
KMFDallas 12-30-2022 07:25 AM
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1
Kudo
266
Views
Thank you.  The DES Tragedy continues for me still to this day
KMFDallas 12-30-2022 07:20 AM
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1
Kudo
220
Views
Unfortunately, our risk for cancer remains and the DES Exposed must have annual screenings.  Initially it was thought that our risk would end but that is not the case.   I understand it is uncomfortable  
KMFDallas 03-04-2022 07:13 AM
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0
Kudos
818
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DES Info: I am a DES daughter. My mother took DES (Diethylstilbestrol) throughout her pregnancy. I remember very clearly when she told me about my DES exposure in utero in the mid-1970s after it became public that there were health issues related to ...
KMFDallas 03-03-2022 02:30 PM
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0
Kudos
871
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Here is video on the history of DES - the emergence of the Tall Girls. https://youtu.be/mpnqS95qyJk#Diethylstilbestrol#TheDESTragedyDESInfo411@gmail.com 
KMFDallas 10-12-2021 09:09 AM
0
Replies
0
Kudos
843
Views
The Smith and Smith Regimen for DES1953 Physician’s Desk Reference (PDR) Doctors George and Olive Smith:The Smith and Smith Regime (Physicians from Harvard) advised the following regime for oral administration of DES:Weeks of Pregnancy from first day...
KMFDallas 12-30-2022 07:25 AM
0
Replies
1
Kudo
266
Views
Thank you.  The DES Tragedy continues for me still to this day
KMFDallas 12-30-2022 07:20 AM
0
Replies
1
Kudo
220
Views
Unfortunately, our risk for cancer remains and the DES Exposed must have annual screenings.  Initially it was thought that our risk would end but that is not the case.   I understand it is uncomfortable  
KMFDallas 03-04-2022 07:13 AM
0
Replies
0
Kudos
818
Views
DES Info: I am a DES daughter. My mother took DES (Diethylstilbestrol) throughout her pregnancy. I remember very clearly when she told me about my DES exposure in utero in the mid-1970s after it became public that there were health issues related to ...
KMFDallas 03-03-2022 02:30 PM
1
Reply
0
Kudos
871
Views
Here is video on the history of DES - the emergence of the Tall Girls. https://youtu.be/mpnqS95qyJk#Diethylstilbestrol#TheDESTragedyDESInfo411@gmail.com 
KMFDallas 10-12-2021 09:09 AM
0
Replies
0
Kudos
843
Views
The Smith and Smith Regimen for DES1953 Physician’s Desk Reference (PDR) Doctors George and Olive Smith:The Smith and Smith Regime (Physicians from Harvard) advised the following regime for oral administration of DES:Weeks of Pregnancy from first day...
KMFDallas 12-30-2022 07:25 AM
0
Replies
1
Kudo
266
Views
Thank you.  The DES Tragedy continues for me still to this day
KMFDallas 12-30-2022 07:20 AM
0
Replies
1
Kudo
220
Views
Unfortunately, our risk for cancer remains and the DES Exposed must have annual screenings.  Initially it was thought that our risk would end but that is not the case.   I understand it is uncomfortable  
KMFDallas 03-04-2022 07:13 AM
0
Replies
0
Kudos
818
Views
DES Info: I am a DES daughter. My mother took DES (Diethylstilbestrol) throughout her pregnancy. I remember very clearly when she told me about my DES exposure in utero in the mid-1970s after it became public that there were health issues related to ...
KMFDallas 03-03-2022 02:30 PM
1
Reply
0
Kudos
871
Views
Here is video on the history of DES - the emergence of the Tall Girls. https://youtu.be/mpnqS95qyJk#Diethylstilbestrol#TheDESTragedyDESInfo411@gmail.com 
KMFDallas 10-12-2021 09:09 AM
0
Replies
0
Kudos
843
Views
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Date Registered ‎01-09-2019 08:51 AM
Last Visited ‎02-04-2023 07:08 PM
Total Messages Posted 65
Total Kudos Received 6
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