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Camp Counseling Expert Witness


Expert Witness No.2253

EXPERT 2253

 

 

SUMMARY OF QUALIFICATIONS

 

Strong and diverse experience as a REGISTERED NURSE, including:

 

INTENSIVE CARE / CORONARY CARE

EMERGENCY DEPARTMENTS

SUPERVISOR

EDUCATOR

RADIO INTERFACE WITH FIELD PARAMEDICS

TRIAGE

CORRECTIONAL FACILITIES

STAFF NURSE / SUPERVISOR

MANAGER

EDUCATOR

POLICIES AND PROCEDURES DEVELOPMENT

MEDICAL PROGRAM MANAGEMENT / BUDGET 

ADMINISTRATION

UTILIZATION MANAGEMENT

MANAGER

APPEALS / DENIALS

PRE AND POST ANESTHESIA CARE

MEDICAL RECORDS REVIEW FOR:

QUALITY ASSURANCE

RISK MANAGEMENT

APPROPRIATENESS OF CARE ISSUES

PRE AND POST ANESTHESIA CARE

LITIGATION EXPERIENCE

DEPOSITIONS

COURT TESTIMONY/ EXPERT WITNESS

 

 

EDUCATION AND TRAINING / CERTIFICATIONS

 

Associate of Arts Degree in Nursing

Lower Columbia College, Longview, Washington – 1974

Certified Emergency Nurse – 1981 – 1990 

Advanced Cardiac Life Support Instructor 1985 – 2016

Certified Legal Nurse Consultant - 

Medical-Legal Consulting Institute, Inc. Houston, Texas – Since 2000

Pediatric Advanced Life Support Provider (PALS) 2007-2015

Emergency Nurse Pediatric Course (ENPC) 2010-2015

Trauma Nurse Core Course (TNCC) 2011-2015

Certified Auditor – American Correctional Assoc. – Since 2013

PROFESSIONAL LICENSURE

 

Registered Nurse in the State of California

 

PROFESSIONAL AFFILIATIONS

 

National Alliance of Certified Legal Nurse Consultants (NACLNC)

American Correctional Association (ACA) 

 

CIVIC ASSOCIATIONS

Chamber of Commerce Board of Directors  (2001-2005)

Boys and Girls Club of Camarillo Executive Board  (2002-2006)

Boys and Girls Club of Camarillo Advisory Board (2011 – 2013)

Camarillo Hospice Board of Directors  (2006-2007)

Reagan Library, Chairman’s Circle Member (2009-2013)

AWARDS

2004 Rotary International Paul Harris Fellow

2004 Nurse Professional of the Year – Camarillo Healthcare District Apple of Excellence Awards

2006 CHW Mercy Witness Award – St. John’s Pleasant Valley Hospital

 

VOLUNTEER EXPERIENCE

 

2002

Humanitarian Aid /Disaster Response 

Volunteer nurse with International Disaster Response Program.  Through partnerships with in-country health organizations we provide Emergency healthcare to vulnerable populations, disaster relief, life-saving care, 

Improving quality of care, and building local healthcare personnel through training and support to community based health and development programs to those in need throughout the world.  

 

 

PROFESSIONAL EXPERIENCE

 

4/16 – Present – Institute for Medical Quality – San Francisco, CA

Accreditation Surveys – Provide independent review by conducting on-site surveys to measure compliance with IMQ health care standards for local adult and juvenile detention facilities. 

Title 15 Inspections – Provide on-site annual inspections of adult and juvenile detention facilities to assess all areas of medical and mental health care for compliance with Title 15, California Code of Regulations, “Minimum Standards for Local Detention Facilities”

 

4/13 – 1/15 – SANFORD USD MEDICAL CENTER – Sioux Falls, SD

Work per diem hours floating among 3 Acute Care facilities providing care for patients in all phases of urgent care including nursing diagnosis, treatment and follow up/referral to the next level of care.  

Post Anesthesia Recovery Unit at the medical center.

 

 

 

4/13 - Present  AMERICAN CORRECTIONAL ASSOCIATION COMMISSION ON ACCREDITATION FOR CORRECTIONS, Lanham, MD

Certified Auditor

Serve as an independent contractor to perform fieldwork for the American Correctional Association, which includes providing assistance to agencies working toward accreditation, conducting on-site audits of agencies to assess compliance with standards and confirm that requirements are met and monitoring to ensure maintenance of the conditions required for accreditation.  Audits include county, state, federal and military institutions.

 

1/11 / 4-14 HOLLAND AMERICA CRUISE LINES – Seattle, WA

Work on a part time basis as a medical officer conducting clinic hours for passengers and on-going crew care.  Duties include triage, assessment and treatment, 911 response, patient care for both ER and ICU-type settings when necessary, rotating call, pre-employment physicals, x-ray / lab testing, chart audits, QA

 

10/10 – 2/13 THOUSAND OAKS SURGICAL HOSPITAL – Thousand Oaks, CA

Work part time in this private hospital’s Post Anesthesia Recovery Unit.

 

12/09 – 10/11 COMMUNITY MEMORIAL HOSPITAL, VENTURA, CA.

Returned after a 5-year absence to again be part of this 22-bed Emergency Department staff that sees more than 150 patients per day.  

 

11/07 – 11-09   CALIFORNIA DEPARTMENT OF CORRECTIONS AND

REHABILITATION

Supervising Registered Nurse III – Special Projects

Serve as a consultant to CDCR Southern Region to evaluate programs, provide training and direction as needed.  Manage special projects at the request of the regional director.  Manage projects sponsored by the Receivership to include Statewide Emergency Response development and implementation and the Medical Oversight Program in tangent with the Office of Internal Affairs as a member of a leadership team investigating unexpected inmate deaths and employee misconduct.

1/09

Assigned to Lancaster State Prison as manager over the Triage and Treatment Area (TTA) supervising three first level supervisors and staff of 11 RN’s that include RN emergency ambulance response within the institution and RN staff handling non-urgent to emergent medical complaints.  Duties include responsibility for overall operation of the TTA, initial training and rollout of the institution’s emergency response system, ongoing training of medical staff, and sustainability of the institution’s emergency response system. 

 

8/07 – 11/07 SURGICAL CARE AFFILIATES, Oxnard, CA.

Work full time in this one-day surgery center in both pre and post anesthesia care units.  

 

6/06 – 8/07     BLUE SHIELD OF CALIFORNIA, Woodland Hills, CA.

Supervisor, Appeals and Grievances.

Oversee the day-to-day operations of the clinical appeals and grievance team.  Support the delivery of high-quality resolution of appeals and grievances by managing a team responsible for researching and summarizing various types of member grievances for medical care.  Interpret and apply policies and procedures and make decisions concerning the objectives of the unit.  Provide leadership, coaching and feedback to staff to develop their performance related to quality and productivity.  Provide clinical expertise to non-clinical team members.  Handle escalated and complex customer inquiries.  Analyze quality. 

 

2004 / 2006     

ST. JOHN’S PLEASANT VALLEY HOSPITAL, Camarillo, CA.

Manager, Utilization Management Services 

Work as part of the multidisciplinary team to effectively manage utilization of services and assist with appropriate discharge planning services.  Supervise daily CM operations and assist where needed. Write commercial insurance / Medi-Cal TAR appeals.  Act as a resource for CM, families, staff and physicians to problem-solve difficult cases.  Enter into, and monitor, the avoidable day program.  Track and report all statistics relative to case management

Weekly Relief House Supervisor that included assist in ER when

necessary and presence at all ER codes. 

 

June 2003-05

AMERICAN CORRECTIONAL ASSOCIATION COMMISSION ON   ACCREDITATION FOR CORRECTIONS, Lanham, MD

Certified Auditor

Serve as an independent contractor to perform fieldwork for the American Correctional Association, which includes providing assistance to agencies working toward accreditation, conducting on-site audits of agencies to assess compliance with standards and confirm that requirements are met, and monitoring to ensure maintenance of the conditions required for accreditation.

                 

2000 –  Present

CERTIFIED LEGAL NURSE CONSULTANT

Assist attorneys in developing a thorough understanding of the medical issues in their cases by organizing the medical information and clarifying the medical issues for them and assisting in the progression of their cases.  Serve as a testifying expert in correctional medicine and in nursing standards of care.

 

2000 – 2004   COMMUNITY MEMORIAL HOSPITAL, Ventura Ca.

Staff / Charge Nurse ER

Radiology Procedures Nurse

Administrative Supervisor

Quality Assurance / Quality of Care Reviewer

Social Services / Utilization Review

Center for Comprehensive Pain Management

 

Worked full time then per diem in this extremely busy ER, with additional responsibility for radiology procedures including starting all IV’s, sedation and monitoring of all patients requiring x-ray procedures, transfer of critical care patients, and scheduling of out-patient procedures. 

In February 2001 I accepted 2 concurrent, part-time positions.  As administrative supervisor I am responsible for the activities of the hospital and all staff during my shift, including hospital staffing, problem solving, and serving as a resource for both in-house and outside questions and requests.  When working in Quality Assurance I review medical records for quality of care issues in the various disciplines and provide written reports and statistical summaries for the various medical peer review committees.  I also review several areas in nursing including medication errors, sentinel events and other nurse and/or patient concerns.  

In January 2002 I was recruited and work part time in Quality Assessment Resources and Social Services assisting patients with their discharge planning needs as well as conducting both concurrent and retrospective reviews.

Since November 2003 work at the Center for Comprehensive Pain Management assisting with procedures, recovery and management of chronic pain patients.

 

 

1989-1999

CALIFORNIA FORENSIC MEDICAL GROUP, Monterey, Ca.    

Medical Program Manager

Responsible for setting up and administering on-site and off-site health care services for 500 inmates in both adult and juvenile facilities of Placer Co. Jail in Auburn Calif.

Involved in setting up new contract sites throughout the state, as well as problem-solving in existing programs

Assisted in hiring and training of nursing, clerical, mid-level practitioners and physicians in various contract sites as well as assisting in initial accreditation or re-accreditation.

Transferred to Ventura County in 1990 and served as Nursing Director then Program Manager, supervising a staff of over 50 for 3 adult and 3 juvenile facilities, including a 32-bed infirmary at the Main Jail, and a total inmate population of 1600.  Credited with regaining California Medical Association (CMA) accreditation for both the adult and juvenile facilities within 1 year.

Performed recruitment, hiring, orientation, supervising, scheduling and performance evaluations of nursing personnel and mid-level practitioners; assisted in the hiring of medical staff and mid-level practitioners and trained them in sick-call procedures.

Managed all financial aspects of programs, appropriateness and quality of clinical services, continuity of care, and liaison between CFMG, the judicial system and various county agencies.

Conducted sick call and performed physicals in the absence of the mid-level practitioner and provided vacation relief for managers and medical providers at other contract sites.

Obtained and maintained CMA accreditation

Conducted yearly training in applicable standards for medical and custody personnel

Testified in court hearings, trials, and depositions.

 

1991-2000

ST. JOHN’S PLEASANT VALLEY HOSPITAL, Camarillo, CA

Staff / Charge Nurse-Emergency Department

1988-1989

KAISER PERMANENTE HOSPITAL, Sacramento, CA

Staff / Charge Nurse-Emergency Department

 

1985-1988

SEQUOIA HOSPITAL, Redwood City, CA

Charge Nurse / Paramedic Preceptor Emergency Department 

Relief Administrative Supervisor

 

1981-1985

MILLS HOSPITAL, San Mateo, CA

Staff / Charge Nurse / Paramedic Preceptor Emergency Department

 

1979-1987

SAN MATEO COUNTY JAIL, Redwood City, CA

Staff / Charge Nurse

 

1977-1979

STANFORD UNIVERSITY HOSPITAL, Palo Alto, CA

Staff Nurse / Cardiovascular Intensive Care Unit

 

1974-1977

ST. JOHN’S HOSPTIAL, Longview, WA

Staff nurse / ICU / CCU


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