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Child Abuse Medical Expert Witness

Expert Witness No.2135




  • Registered Nurse
  • Graduated University of North Dakota
  • School of Nursing, Bachelor of Science 1973
  • Sexual Assault Nurse Training Program, 1991
  • Pomerado Hospital, Poway, CA
  • Death Investigator's Training Program, 1994
  • St. Louis University School of Medicine
  • St. Louis, MO
  • Forensic Nursing,
  • San Diego, CA
  • John Hopkins University, 2005
  • Master of Science in Nursing
  • Graduate in June 2006
  • University of Phoenix MSN

1973    Registered Nurse RN
1973    Public Health Nurse Certificate
1973    Basic Cardiac Life Support Provider * expires 2016
1988    NRP Neonatal Resuscitation Program Provider * expired 2005
1989    Pal’s Pediatric Advance Life Support Provider * expired 2007
1990    CPN Certified Pediatric Nurse **
1994-2004    Diplomat American Board of Forensic Examiners
1998-2004    Diplomat American Board of Forensic Nurses
2000    Fellow American Academy of Forensic Science
2002    SANE A/A Certified Sexual Assault Nurse Examiner *
2007    SANE-P Certified Pediatric Sexual Assault Nurse Examiner*
2009    DF-IAFN Distinguished Fellow International Association of Forensic Nurses

*Fulfill licensure requirements every two years
**Fulfill re certification requirements annually
RN License in California, Minnesota current and North Dakota expired 2008

As a Registered Nurse since 1973, I have:
Provided direct Nursing Care in various areas of medicine, and have cared for hundreds of patients with injuries and skin types in various stages of acuteness, from fresh to days and weeks old. Assisted with and visualized hundreds of pelvic examines on adult patients for pelvic infections, pregnancy, catheterization, and medical work-up. Assisted with or conducted over 3,000 examines on children for direct visualization and colposcope exam to rule out sexual abuse in children. Testified in a court of law as an expert witness on sexual assault on adults or children > 100 times. As a forensic nurse I provide the appropriate health care response to the sequelae of criminal and interpersonal violence. In cases of domestic violence, child maltreatment, interpersonal violence or elder abuse, Forensic Nurses implement practices which aid law enforcement agencies in meeting the objectives of criminal investigation and share responsibility with the legal system to identify crime victims. Prevent further injury or death due to cyclical violence and to provide early detection of potentially abusive situations.  Early detection is a critical step in stemming the effects of human violence and thus provides an immeasurable savings in lives.
It is cost effective to both health care and legal systems.


1/2012 to Present     Barbara Sinatra Center CAC,
                               Nurse Examiner SANE-P contract nurse

1/2008 to Present     Pesi    Pesi-Speaker on Forensic Topics

2/2007 to Present     Eisenhower Medical Center,
                               Nurse Examiner SANE-contract nurse

8/2005 to present     Self Emploued    Forensic Nurse Consultant
                              EVAW Board Director/Treasure

7/2006 to 1/2012     Barbara Sinatra Center CAC,
                              Nurse Examiner Pediatric Sexual Abuse Per Diem

1977 – 7/2005:        Palomar Medical Center
                              Pediatrics, NICU, Child Abuse Program,
                              Pediatric Outreach Education – Developed community outreach programs

1977   1983            Palomar Medical Center
                             Staff Nurse, Pediatrics, Peds Special Care

1983 – 7/2005        Palomar/Pomerado Health System    Nurse Director: Pediatrics, Neonatal Intensive Care Unit, Child Abuse Program

1991 – 7/2005        Pomerado Hospital
                             Sexual Assault Response Team Member/Staff Nurse

1994 - 2002:          Palomar/Pomerado Health System    District Director: Respiratory Services, Pulmonary-EEG-Sleep Lab

1997 – 7/2005        Palomar/Pomerado Health System    District Director: Forensic Health Services/Peds-NICU

1975   1977           St. Francis Hospital
                            Staff Nurse, Labor and Delivery, Obstetrics, Relief Hospital Supervisor on weekends - Developed and implemented Prenatal Classes

1974   1975           Palomar Memorial Hospital
                            Pediatrics   Established Peds Special Care Unit

1974 - 1975          Volunteer Escondido Community Clinic
                            Staff Nurse, Pediatrics

1973   1974           San Bernardino County Hospital
                            Staff Nurse: Acute Medical


NANN         National Association of Neonatal Nurses - membership expired 4/2005   
SCANN       Southern California Association of Neonatal Nurses - membership expired 1/2005   
                   Vice President 1990 1991
                   President 1991 1992
                   Past President 1993 1994
APSAC       American Professional Society on the Abuse of Children *    
CAPSAC     California American Professional Society on the Abuse of Children   
                   Board Member 2008-2012
CSAIA        California Sexual Assault Investigators Association expired 8/2011   
AAFS          American Academy Of Forensic Science: Provisional   
                   Member 1995 - 1997
                   General Member 1997
                   Fellow 2000
IAFN          International Association of Forensic Nurses   
                  Charter member 1992
                  Secretary/Treasurer  1998-2000, 2000-2002
                  Finance Committee member 2008-2009
DABFE       Diplomat American Board of Forensic Examiners-expired 2004   
DABFN       Diplomat American Board of Forensic Nursing-expired 2004   
AALNC       American Association of Legal Nurse Consultants-expired 2011   
SDAALNC   San Diego Chapter American Association Legal Nurse    Consultants-expired 2011
SDNASPA   San Diego Chapter of North American Society for Adolescent Medicine 2003, 2004   
STTI           Sigma Theta Tau International Honor Society Nursing, 2000-2002, 2003-2012   
SCCBW       Statewide California Coalition for Battered Women, 2003   
CALCASA   California Coalition against Sexual Assault 2006    


Employee of the Month                               Palomar Medical Center, 1979
Child Abuse Program,                                  Nurse Recognition    CAP, 1990 1991
Kids Care Fair Provider                                1991, 1992, 1993
National Award of “Outstanding Achievement”    IAFN, Nov. 2, 1996
Response from a Heart “SART” Award          County of San Diego SART, July 10, 1998
Honoree of Distinction Award                        Soroptomist of Rancho Bernardo, 2001
TWIN (Tribute to Women in Industry)           Honoree 2003
PWR (Professional Women’s Round Table)    Women of Excellence, 2003
DF-IAFN                                                      IAFN, 2009

March of Dimes Speaker: Fetal Alcohol Syndrome 1998
Bibliography in Who's Who in American Nursing, 1988, 1993-1994, 1995-1996 editions.
Member, Health Advisory Board of March of Dimes, 1997, 1998
Committee Member of 1997 International Association of Forensic Nurses (IAFN) National Conference
Member of ASTM (American Society for Testing and Materials) for sexual assault development of standards under the American Academy of Forensic Science, 1999, 2000, 2001, 2002, 2003
Secretary/Treasurer for IAFN 1998-2000, 2000-2001
Member of the Finance Committee for IAFN 2008-2009
IAFN foundation Board Member 2009-2014, Treasurer 2009-2011, 2013
Member of task force of the Commission of Peace Officers Standards and Training for development of tele-course on Sexual Assault 1998, 1999.2006 revision of course/video
Member of ad hoc Advisory Committee OCJP State Grant for domestic violence, sexual assault, 1998, 1999
Co-Coordinator IAFN First Clinical Update Domestic Violence and Sexual Assault 2000, Phoenix, Arizona
Member planning committee IAFN 2001-2002, Minneapolis, Minnesota, 2004  Chicago,
Statewide Advisory Group (SAG) member for Adolescent/Adult Sexual Assault Domain (CMTC), 2001-2002
Statewide Domestic Violence Medical Forensic Advisory Committee 2004
Editorial Advisory Board Member of Forensic Nurse Magazine 2002-2003
IAFN Chapter Liaison Chair 2000-2007
Chair, County SART Committee 2002
Second National SART Team Training, New Orleans 2003 Planning Committee
Chapter committee development for IAFN 2000-2006
Board Member EVAW International 2003-2015 Treasurer 2012-15
Vendor Chair, National EVAW Conference, Houston, Texas. 2007  
Task Force Member IAFN Primary Prevention of Violence Grant 2006-2007
SANE P Ad Hoc Committee 2006-2007
POST Development of Tele-course on Sexual Assault investigations 2006-2007
Contributed to: Crime Victims with Disabilities: What the Prosecutor of autism, cerebral palsy, mental retardation needs to know 2006
Task force member Loan Forgiveness Legislation- CA State Assembly Shirley Krohn 2007-2008
Board member CAPSAC 2008, 2009, 2010, 2011, 2012, 2013, 2014, 2015
Group meeting to update the SANE-A certification test questions: Salt Lake City 2009 2 days
Advisory Board Member Abused Kids with Disabilities
A National Training and Support Program 2010-2011
Advisory Board, Peace Corp, Washington DC 2012-2015    Office for Victims of Crime Training and Technical Assistance Center (OVC TTAC) as the professional currently featured in their Consultant Spotlight Gallery
Listed on the website for the Pediatric Nursing Certification Board, where they invite visitors to "Meet a Pediatric Nursing Professional.

Provides the medical component of the Sexual Assault Response Team (SART).  The team has three components: law enforcement, forensic examiners, and advocacy groups.  This multi-disciplinary approach coordinates immediate and follow-up medical, advocacy and criminal justice services to victims of sexual assault, thereby increasing the potential for recovery of the victim and increasing the prosecutability of perpetrators of such crimes.

November 1991 through 7/2005
7/2006 to present

After fulfillment of training and receiving a passing score on written examination, I:
    Perform physical/psycho social assessment
    Collect and document physical and laboratory evidence
    Provide information and referral for patient
    Present expert testimony in court

Training to prepare investigator to conduct scientific, systematic investigations of death. Also presented was cause, manner, and mechanism of death.  Types of deaths covered: drug and alcohol, asphyxia deaths, blunt and sharp injuries, SIDS and Child maltreatment.  Rape homicide and serial killing was also presented as well as legal proceedings.


January 22-25, 1992    Responding to Child Maltreatment   
August 13-14, 1992     Sexual Assault Clinical/Examiner Training   
January 26-30, 1993    San Diego Conference on Responding to Child Maltreatment   
February 12, 1993       SART Training: The Medical Case Review and Advanced education of patterns of injury consistent with non-consensual versus consensual intercourse. 
June 11, 1993              Forensic Nursing/SART Update - Virginia Lynch RN, MSN, Forensic Nurse Specialist   
October 8-10, 1993     International Association of Forensic Nursing   
January 18-20, 1994    SART Training: Dr. Slaughter  
January 26, 1994         San Diego Conf. Responding to Child Maltreatment   
April 25 28, 1994         The Medico legal Death Investigator Training Course   
May 1-3, 1994             Clinical Forensic Medicine First Annual Postgraduate Clinical Forensic Medicine Conference  
June, 1994                   Forensic Interview Techniques for Sexual Assault Examiners - Presented by Detective Mark, Manriequez, SDSO   
October 21-23, 1994    International Association of Forensic Nursing   
November 19, 1994     Sexual Assault Nurse Examiner Information Update. Physical Assessment and Findings in the Pregnant, Post-partum, and Post-Menopausal Female pact
January 16-20, 1995    Sexual Assault Response Team - SART Certificate Training   
January 23-25, 1995    San Diego Conference Responding to Child Maltreatment   
February 13-18, 1995   American Academy of Forensic Science   
March 3, 1995             False Allegation of Sexual Assault   
April, 1995                  Sexual Assault Nurse Examiner Informational Update.  Normal Assessment and Documentation of Female Genitalia and Knowledge and Utilization of the       OCJP form 923  
May 23-25, 1995         Sexual Assault Team/Child Abuse Training Program - 14th Annual Conference  
October 2-10, 1995      International Association of Forensic Nursing  
January 15-16, 1996    Sexual Assault Response Team SART Certification Training  
January 22-24, 1996    San Diego Conference Responding to Child Maltreatment   
February 20-23, 1996   American Academy of Forensic Science  
June 28, 1996              Rohypnol and How to Test For It  
November 1-4, 1996    International Association of Forensic Nursing: 4th Annual Scientific Meeting  
September-December, 1996    Forensic Photography    Palomar College
January 27, 1997         Advanced Workshop: Medical Evaluation of Sexual Abuse of Children 
January 28-31, 1997    San Diego Conference on Child Maltreatment   
March 17-22, 1997      Sexual Assault Response Team Training   
March 23, 1997           Forensic Photography for Medical Personnel  
September 25-29, 1997    International Association of Forensic Nurses, 5th Assembly  
December 10-12, 1997    DNA Conference  
January 5-10, 1998      Sexual Assault Response Team Training   
January 30-31, 1998     Responding to Child Maltreatment   
February 8-13, 1998    American Academy of Forensic Science  
March 6, 1998             Date Rape Drugs Update   
June 8, 9, 1998            Sexual Assault Team Training   
August 3-8, 1998         Sexual Assault Team Training 9th Annual Conference  
October 1-5, 1998        IAFN Conference 6th Annual Assembly 
December 3, 1998       Domestic Violence for SART nurses    
January 25, 1999         Medical Evaluation of the Sexually Abused Child Responding to Child Maltreatment   
February 14-18, 1999   American Academy of Forensic Service  
June 3-4, 1999             Hall of Justice, Sexual Assault Training   
July 12, 1999              Forensic Photography and Medical Evaluation of the Child   
July 13-17, 1999         Sexual Assault Team Training 10th Annual Conference  
August 5-9, 1999        7th Scientific Assembly IAFN  
January 24-29, 2000    Responding to Child Maltreatment   
February 21-26, 2000  American Academy of Forensic Science   
March 11-12, 2000      IAFN First Clinical Update Domestic Violence and Sexual Assault 
June 24, 2000             Domestic Violence, Evidence Collection & Prosecution   
September 23, 2000    Unfounded Allegations of Sexual Assault  
October 13-16, 2000    IAFN 8th Scientific Assembly   
January 22-26, 2001    San Diego Conference on Responding to Child Maltreatment  
March 14-15, 2001     Child Abuse Training   
May 26-27, 2001        1st National SART Training Conference   
August 28-29, 2001     Forensic Clinical Nursing Update 2001   
September 8, 2001      An Inside look at American Indians and Intervention in their worlds.   
Sept. 26-Oct. 1, 2001    International Forensic Nursing Conference.   
March 9, 2002             Civil Recourse for Sexual Assault Victims   
March 12-16, 2002      International Conference on Domestic Violence, Sexual Assault and Stalking   
July 20, 2002              Advance Practice for Sexual Assault Forensic Examiner   
October 9, 2002           Forensic Photography   
October 10-13, 2002    International Forensic Nursing Conference   
November 4, 2002       Infection control aspects associated with the use of humidified air in NICU  
November 11, 2002    Management Intensive Nursing Leadership Academy   
January 6, 2003         Nursing Leadership Customizing the Job   
February 18, 2003     Refresher training from the Crime Lab   
March, 2003              Managing in a Union Environment 
March 6, 2003           PAL’s recertification   
April 7-8, 2003          DNA from Crime Scene to Courtroom   
April 23-25, 2003       International Conference on Domestic Violence Sexual Assault Stalking   
May 2, 2003              Setting Goals & Motivating Staff   
May 22-24, 2003       SART Training  
June 18-20, 2003       Forensic Focus Conference   
May 3-5, 2004           National Children’s Alliance Conference  
August 4, 2004          JCAHO Survey Prep Class  
September 8, 2004    Trafficking and Slavery  
October 20-24, 2004    IAFN Conference   
October 26-27, 2004    Making a Difference Conference   
June, 2006                 SART/SANE Conference   
October, 2005            IAFN Conference  
February, 2006           Campus Sexual Assault/CALCASA  
March, 2006              Elder Abuse    
April, 2006                CSAIA Conference  
July 12, 13, 2006       Forensic Response to Missing Abducted Children  
Sept. 26-29, 2006      IAFN National Meeting 
Oct. 24-27, 2006       CSAIA Fall Training   
April 26-28, 2007      AALNC, Annual meeting  
May 28th-31st, 2007  SART/SANE Conference   
Oct. 17-20th, 2007    IAFN Conference   
Sept. 13, 2008           Child Abuse 101   
Sept. 17-20, 2008      IAFN National Conference   
Jan. 26th, 2009         APSAC annual meeting, Shaken baby’s and head trauma   
Feb.  18-20, 2009     AAFS Annual Meeting   
See CEU certificates on file

Available upon Request


Available upon request


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