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Hemodialysis Fistula Nurse Expert Witness

Is prepared to opine and give testimony in the following topics

Nurse, Hemodialysis Nurse, Dialysis, Fistula Graft Hemodialysis Catheter Expert, Nursing Standard of Care, Acute Hemodialysis, Chronic Hemodialysis, Outpatient, Inpatient, Hospital Based Employed

South Carolina

Expert No. 2297


Enrolled Masters of Science/ FNP
Start August 2013            
University of South Alabama
(Expected completion 2015)

Bachelors of Science in Nursing

Daemen College, Amherst, NY
August 2010

Legal Nurse Consulting  
November 2006    Kaplan University, Boca Rotan, Florida

With a strong educational and experiential background, I am qualified to assess adherence to standards of healthcare practice as it applies to the nursing and healthcare professions.

AAS in Nursing
May 1998
State University of New York, Alfred, NY     
NYCLEX July 1998
NY RN License           
AAS in Veterinary Technology/Technician
Certificate in Business Management
May 1991
State University of New York, Delhi, NY 
NY Veterinary Technician License

Skills and Abilities
  • Strong analytical ability.
  • Keen understanding of medical treatment protocols, hospital policies, and procedures.
  • Provides initial assessment and develops care plans.
  • Act as a liaison and promotes communication between patients, staff, and doctors.
  • Staff and patient education.
  • Clinic mentor and preceptor for new RN's.
  • Persistently stays current on standards and guidelines.
  • Performs research utilizing the Internet.
  • Knowledge of Microsoft Office Programs.


Available upon request

Continuing  Education                     


Yellow Belt/System Redesign
CNVAMC; Augusta, GA


Wound Care; Buffalo, NY


ANNA Spring Teaching Day; “Calciphlyaxis”, by Paul Bernstein, MD; “Pre-Kidney Transplant Management”, by Sue Copek, BSN, RN; “Interventional Radiologic Approach to Vascular Access Complications”, by Talia Sasson, MD; Rochester, NY


Access Adequacy & Cannulation Techniques by ANNA Big Apple Chapter #102; Rochester, NY


ANNA Spring Teaching Day; “Renal
Emergencies”, by Ajay Srivastava, MD; “Issues in Peritoneal Dialysis”, by Scott Liebman, MD; “Am I Really End Stage Renal?” by Sree Chennupati, MD; Rochester, NY


Assessment of the Renal Failure Patient with Acute Care Needs, ANNA Fall Audio Conference, Rochester, NY


Critical/Coronary Care nursing class lecture            

June 15, 2006  

Advanced Wound Care Issues and Trends

April 30, 2006 

ANNA great Lakes Chapter Spring Teaching Day, “Demystifying the Live Kidney Donor and Recipient Process” and “New Technology in Home Hemodialysis” by Mary Kremer, MS, RN, ANP, Barbara Byer, MS,RN,CS and Theressa Sitgreaves, BNSc, CNN, RN respectively, Batavia, NY

March 23, 2006 

Critical Care Symposium, Olean, NY, By             

October 4, 2005 Fistula First Initiative, WCA     Hospital, Jamestown, NY

September 9, 2005 

ESRD Network Annual Fall Meeting, Rochester, NY          

Nephrology in the 21st Century:  Patients, Staffing, Treatment Options   

Work Experience               

Hemodialysis Nurse Manager of Acute Patients

July 2011-May 29, 2015        Augusta, GA              

  • Full Time
  • Manage an inpatient hemodialysis unit.
  • Manage and direct 6-8 employees.
  • Write policy and procedures.
  • Manage budgeted supplies.
  • 90% direct patient care.

Cuba Memorial Hospital

April 2011-July 2011 Cuba, NY                   

  • Full Time
  • Medical Surgical patients
  • Physical Rehabilitation
  • Assessments of acute and short term rehab residents.
  • IV starts, Foley catheter placement.
  • Wound care, dressings per MD order.
  • Charge nurse duties that include attending rounds with MD.
  • 100% direct patient care.

RN Resident Care Coordinator/Unit Manager

July 2010-April 2011 Absolut Care @ Houghton    

  • Full Time
  • Foley catheters, IV placement, and feeding pumps.
  • Develop care plans.
  • Supervise the daily care of LTC and STR residents approximately 100% of my position.
  • Supervision of LPN’s and CNA’s approximately 100% of my position.
  • Implement interventions to provide safety to the residents, approximately 100% of my position.
  • Wound care/assessment/Braden scale.
  • Charge/supervisor approximately 50% of my position.
  • Receiving MD orders, notifying MD, taking off orders.
  • Ensure smooth running of the 100 bed facility.

RN Hemodialysis Acute & Chronic

Dec. 2009-July 2010  DaVita, Bradford, PA            

  • Full Time
  • Assess dialysis patients including dialysis access.
  • Charge nurse.
  • Cannulate grafts and fistulas.
  • Notify MD of patient status and changes in condition.
  • Receive orders from MD.
  • Initiate dialysis per MD orders
  • Plan treatment, and implement interventions as necessary.
  • 100% direct patient care.

 RN Hemodialysis Acute & Chr                                    
Memorial Hospital,    June 2008-Dec 2009               Dansville, NY

  • Full Time
  • Participated in establishing a new dialysis unit by assisting with implementing policies and procedures.
  • Charge nurse.
  • Supervise staff, implement MD orders, and ensure the unit ran smoothly.
  • Assess dialysis patients.
  • Initiate fistula needle placement.
  • Receive orders from MD.
  • Initiate dialysis treatments per MD orders
  • Plan treatment, and implement interventions as necessary.
  • 100% direct patient care.

Remote Analyst                    

Litigation Management, Inc., Mayfield    

August 2006-June 2008            Heights, OH

  • Part Time progressed to Full Time
  • Review and analyze plaintiff related records and prepare client specific analysis and work products.
  • Worked from home.
  • Research Evidence Based Practice.

RN Hemodialysis Acute & Chronic

April 2000-Nov 2008             Olean General Hospital, Olean, NY

  • Part Time progressed to Full Time
  • Assess dialysis patients including dialysis access, initiate dialysis per MD orders, plan treatment, and implement interventions as necessary.
  • Charge nurse.
  • Acute and Chronic Hemodialysis.
  • Provide patient and family education.
  • Documentation of patient care.
  • Supervise LPN’s and Patient Care Technicians.
  • Charge nurse duties to include managing Dialysis staff, initiating MD’s orders and assisting MD with rounds.
  • Coordinating placement of dialysis access.
  • Preceptor and mentor for new RN’s.
  • 100% direct patient care.

 RN Float Doctors Offices               

Nov 1999-Mar 2000   Olean Medical Group, Olean, NY

  • Full Time
  • Floated to Family practice and OB/GYN as needed.
  • History and physical from patient.
  • Vital signs.
  • Documentation.
  • Scheduled tests, labs, etc.
  • Diagnostic codes.
  • 100% direct patient care.

RN Staff Medical-Surgical

June 1998-Dec 2001   Jones Memorial Hospital, Wellsville, NY

  • Full Time to Part Time
  • Assessment and care of adult, pediatric and newborns.
  • Admissions of new patients that included history and physicals, surgical history, patient complaints.
  • Discharge of inpatient from hospital.
  • Notifying MD of patient status changes.
  • Transcribing of MD orders, assuring orders are followed.
  • 100% direct patient care.


BLS (Basic Life Support)



Phi Theta Kappa National Honors Society

Sigma Theta Tau Honor Society

CNVAMC Ethics Committee

Performance Improvement Committee

CNVAMC Infection Control Committee

CNVAMC Yellow Belt/System Redesign Committee/Chair Project   Patient Transport



Clinical Ladder Level 2 January 2005

Graduated Summa Cum Laude @ Daemen College

ANNA Career Mobility Scholarship 2008

CNVAMC Superior Performance Award 2012

VHA Nurse Professional Standards Board 2015

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