How a Nurse Became the Voice for Vulnerable Patients

litigate that don't always know how to interpret the medical records and so.

Miranda Kyrs is a dedicated purpose-driven legal nurse consultant and the founder of a quite as consulting LLC. Through her work, she helps legal professionals navigate complex medical cases while advocating for accountability, justice, and patient care. I've been a nurse since 2004, and I've spent the majority of my career in long-term care, so I've seen it. So I've made me understand what these people need and made me appreciate

the care that I was giving. So if I expected a certain amount of care for my own grandmother,

I shouldn't give any less to somebody else's grandmother. What would you say to yourself or someone

“like you a few years earlier, what advice would you give backwards? I think.”

The living your legacy podcast for those who live to leave a legacy. That is sensational to open. She covered with the way you say. Hello and welcome back to another episode of Legacy Makers. Joining me today is Miranda, and she's trying to really revolutionize and disrupt the elderly health care system. Something that needs a lot of attention in today's world and something she's very passionate about,

so I'm excited to dive into her journey, her legacy in this episode. Welcome to the show. Thank you. So tell us, let's kick off. What are you trying to change that? What's the problem? You know, obviously most people probably do know if they've ever had, you know, a grandma or

“grandfather and parent go through it, but what's the problem and what are you trying to fix?”

The problem is that a lot of injustices happen in the health care system and attorneys

that are trying to litigate that don't always know how to interpret the medical records or know exactly what happened or that more happened than they believe. And so legal nurse consultant step in to help them review the medical records and let them know exactly what happened so when they litigated everything is caught. So you're, you know, you're the kind of middle ground expert, right? It says, you know, this is the actual problem. What's happening? What are some of the

problems that you're helping battle or face? A lot of things that happen in long-term care specifically since that's my specialty is wounds, falls, infections, those are the highlights of

“the problems in health care. And is that what causes that? Is it negligence, often or is it just?”

Sometimes it's negligence, sometimes it's staffing, sometimes it has to do with the facility doesn't have the supplies or the education on how to care for those people, the specific needs. And how did you get, why did you get into it this? I've been a nurse since 2004 and I've spent the majority of my career in long-term care so I've seen it and there was an allegation of abuse and a facility I worked in in 2014

that was not reported the way it was supposed to so I reported it and I ended up testifying for the state against the nurses and it was founded and we won. And I hear that a lot, there's it's, you know, almost just like a business model now in some places, right? Obviously there's some great care homes and nursing homes, just like any industries is great. People but then sadly there's people that just see it as a profit centre and you know they really don't care about the patient.

So why do you think that? I think that's in Korea, I hear more stories about that now from people that put their parents or grandparents in a home, why do you think that's happening? I think a lot of it has to do with the level of compassion that people have when they go into the field. They see it more as a paycheck. There's two routes, right? There's one where they do it because they care like at dog centuries and dog places too one way they do it because they care

and then one because it's just a business model. Right and when the compassion's missing it's the elderly population that suffers. Yeah and I fit so I think there's a big need for stuff like what you're doing to educate and put almost protects from that happening because I do you know I've had a couple of friends where they've had to go to court and stuff and it seems very hard to

and often it could be the grandparent has dementia and it's like so what are some of the ways

“that you support in that with the company? Usually it's all medical record it, all should be documented”

and when it's not I can find those areas and find the regulations that were breached. It's how I go about it because a lot of the elderly population does have dementia that is victimized by a reason. Yeah yeah yeah yeah yeah. What's the rest of your story behind all this? Get an into this you know you told a little about you know your career based story but what else is the story behind you and your journey? So early on in my career I took care of my own grandmother and I moved her

from Indiana to Iowa where I was working so that I could take care of her but also watch over her

care and it changed my mindset because I wasn't only the caregiver I was also the family on this side of the fence so it made me understand what these people need and it made me appreciate the care that I was giving so if I expected a certain amount of care for my own grandmother I shouldn't

“give any less to somebody else's grandmother. Yeah yeah and I think it is you know it's hard on”

both sides right? Right because we took care of our grandparents and paid privately at some points for care to come into the home and you know a lot of the nurses like in most areas of nursing are overworked and tired so that makes it hard because they burn out and they get often I imagine especially in private more private centers there's way too many patients for what there should be to maximize profits. Do you see that those sort of issues a lot? Yes there's a really heavy

patient load it can burn the nurses out or they can't get everything done in a certain amount of time so there is a lot of that especially now more than there was 20 years ago. Well and especially if the patient you know the the patients in care have dementia and stuff they take even more you know want to my grandma had dementia and they take hours to look after them right? I have 10, 20 patients to look after I can imagine it's challenging for the nurses too and then if they don't get the

support they burn out and lose the passion that maybe they had when they first got into it. Right

do you see that those sort of problems a lot? I do I think it was emphasized during Covid because the shortage was so much more sudden when Covid hit so many nurses left the field. We've had a lot that you know we've met and even done you know series and documentaries on where they grow business out of Covid because of them right they would be in hit with them. Yeah so what what would some advice you'd give right if someone's listening and that listening and maybe they have a you

know an elderly relative in care or they're thinking about it to find the best care? I think you can

“find good care anywhere but you have to be on top of their care you have to know what's going on”

and you have to be involved because a lot of times when the families aren't involved that's when things start slipping through the cracks because then nobody knows and if you have a patient with dementia they're not going to be able to tell you. They can't tell you so the family has to stay on top of their care and at least know what's happening. Yeah and if someone's looking for like you know they have an elderly relative ground pan or whatever that needs to maybe go into care

and that because I feel a lot of people get stuck in that decision right it's a big decision. It is right. How do you what advice would you give on guiding that decision? I think it's important to try to pick someplace where you are close because so many times I've seen the family is in Texas and their loved ones in a home in Oklahoma and they can't get there and typically they only visit so often or know what's going on if something bad happens

like a fall or something like that. So it would really need to be as close to as possible so you can see what's happening. Yeah I love that. Let's switch calls because I do want to just talk about a little you know you came from this background in care and nothing but now you're doing business. Right. So what are some of the business side of lessons and things you've gone through and what's the story that? It's a learning curve. I've spent my whole career doing documentation on a

certain software you know so changing software and you know working a normal computer is you know

education up no what's happening currently so I can use it in my business. Yeah I love that. I'm

“want to some of the challenge it you know I was going to say you think a patient with dementia's”

hard wait you start a business and new challenge right. So what are some of the challenges you've

faced during the business side and the business career? Just things I've never had to do before

invoicing you know and marketing all those things that I never had to market besides my resume and you know over 20 years. Yeah but I love this story though because you know we interview all kinds of people pro athletes billionaires but a lot of people listening and we interview are an artist that starts a business and that starts a business right a personal trainer or fitness person that

“starts a business and I think those begin a story is right and those lessons because I mean that's”

the hardest part it's easy when you've been doing it 20 or 30 years you have a big team and lots

of money but most people are stuck in those early phases so what would you say to yourself or someone like you a few years earlier what advice would you give backwards? I think I would know better what challenges are going to come like the marketing and working a computer outside of a healthcare software yeah yeah and let's talk last couple of minutes about the future right what's the legacy side to you what impact do you want to have? I want to be able to leave an impact that I

advocated for the elderly that I had a voice for them when they couldn't. I love that and what does legacy mean to you? Legacy to me is leaving an impact no matter how small or big that is important and for the better can. Great and last couple of questions someone's watching this before they've checked out your full episode can you tell them a bit about what they'll learn take away and you'll you'll talk about in your episode. Yeah so in my episode I talk about

“what a legal nurse can solve is kind of what I do a normal day for me why I do it and why I think”

it's so important. I love that and last question someone wants to find you right ask you questions maybe learn more about you in the company where do they go online or social media or what do they Google to find you? So I'm on LinkedIn under my name Miranda Kiers I also have a website it's www.aquitusconsolting.net and a quietest I didn't realize when I started the business that I would have to spell it out for everybody but it is Latin and it stands for upright just and fairer.

Look at that look at that and your nationwide you can help people so anyone nationwide love that. Good well go check out the full episode everyone you know like I say you know this is all about spotlighting people doing impact for work across all kinds of industries and this is definitely one that is overlooked often and has a big need so love this check out the full episode check out

the brand the business and of course as always keep working hard have an impact and build a legacy

I'll see you guys soon take care.