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Certified Sexual Assault Nurse Examiner Medical Expert Witness

Provides Opinion & Testimony In:

Certified Sexual Assault Nurse Examiner, Sexual assault nurse examiner, SANE, pediatric SANE, Adult SANE, Forensic Nurse Consultant, forensic nurse, trauma nurse, emergency nurse, certified emergency nurse, Certified Forensic Nurse, Certified Medical Investigator

 

 

 

 

EXPERT NO. 3625

 

EXPERIENCE/ EMPLOYMENT

Forensic Nursing Consultant/ Trainer/ Educator/ Subject Matter Expert
August 2006 to present Independent practice

Practice inclusive of technical assistance in the areas listed below. Services available anywhere they are needed.

Consultant on various legal matters including:

  • Sexual assault/ abuse/ neglect
  • Adult
  • Adolescent
  • Pediatric
  • Elderly
  • Trauma
  • Assault
  • Domestic Violence
  • Criminal violence

Provide education and training in the field of:

  • Sexual Assault/ abuse/ neglect across the lifespan
  • Domestic Violence/ Intimate Partner Violence
  • Trauma care
  • Pediatric Advanced Life Support via the American Heart Association
  • Sexual Assault Nurse Examination
  • Co- Owner and instructor for I V League Education (Established in 2014)

Provide consultation/ expertise in the above specialties

  • Civilian
  • Prosecution
  • Defense
  • Civil Litigation
  • Plaintiff
  • Defendant
  • Military
  • Government
  • Defense

Sexual Assault Nurse Examiner/ Emergency Department Staff Nurse
September 2008 to May 2015 St. David’s Round Rock Medical Center 2400 Round Rock Blvd. Round Rock, Texas 

Director of forensic services  (2008 to 2013)(2015)

  • Co-Coordinator for Forensic Nursing Program (2013)
  • Training, scheduling, oversight of SANE program (2008-2013)
  • Performance Improvement Coordinator for SANE program
  • Coordination of SANE/ Medical Peer Review
  • On-call SANE for both adult and pediatric sexual assault/ abuse patients
  • PALS Instructor (2012-2014)
  • 2012 Nursing Excellence Award Recipient/ Outstanding Nurse for St. David’s Healthcare System:  St. David’s Round Rock Medical Center
  • Trauma Coordinator/ Director of Nursing/ Emergency Department Director
  • December, 1991 to March, 2013 Scott & White Hospital Taylor   305 Mallard Lane Taylor, Texas 76574

Trauma Coordinator  (2006 to March 2013)

  • Trauma Coordinator for Level IV  Trauma Center
  • Performance Improvement Coordinator emergency department
  • Trauma Registrar
  • Community Outreach
  • Injury Prevention Coordinator
  • Emergency preparedness event supervisor
  • Quality Data Collection
  • Training/ video presentation and PowerPoint creation
  • AIS Injury Scaling Trained
  • Injury Severity Scoring Trained

Sexual Assault Nurse Examiner  (1993 – 2013)
SANE Coordinator (1993 to 2013)
Coordinator for Williamson County SART (2004 to 2009)
Certified Examiner for adults and pediatric patients

Stroke Coordinator (2012 – 2013)

  • Planning committee
  • Performance Improvement
  • Training staff
  • Community Outreach/ education
  • Data Collection

Director of Nursing  2009 to 2010

  • Prepared nursing staff and hospital for ownership change
  • Update of policy, procedures, and protocols for:  Cardiac admission, Stroke care, and other high risk, low occurrence situations
  • Joint Commission Survey 2010 (Accredited)
  • Critical Access Hospital

Manager Emergency Department  2006 to 2009

  • Manager of 9 bed Level IV Trauma Facility
  • 11,000 patients annually
  • 16 FTE’s
  • Two Texas Department of State Health Services Survey’s for Designation as Level IV Trauma Center (Designated)

Sexual Assault Nurse Examiner
June 2012 to May 2015 Hill Country Children’s Advocacy Center 1001 N. Hill Street Burnett, Texas 78611

Contract pediatric nurse examiner, relief SANE

Contract Instructor Trainer Sexual Assault Nurse Examinations
September 2006 to 2013 Texas Office of the Attorney General 300 W. 15th Street Austin, Texas

Instructor/ trainer for community and regional training courses

  • Training for Registered Nurses and Nurse Practitioners as mandated by Texas Government Code 620 to include:
  • Texas & Federal Laws related to sexual assault
  • Domestic violence
  • Victimology, victim behaviors, recanting, history taking
  • Child, Adolescent, and Adult sexual assault examinations
  • Documentation, evidence collection
  • Anatomy & physiology
  • Examination techniques, positions, and tools for more effective process
  • Alternative light sources, photography, and use of examination adjuncts
  • Courtroom procedure, decorum, and testimony guidelines
  • Presenter/ trainer Annual SANE Coordinators Forum
  • Contributor Texas Evidence Collection Protocol Education Revisions 2007, 2009, 2010, 2011, and 2012

Sexual Assault Nurse Examiner
August 2008 to September 2010 Williamson County Children’s Advocacy Center 1811 S E Inner Loop Georgetown, Texas 78626

Medical consultant for Child Protection Team
Pediatric Sexual Assault Nurse Examiner
Sexual Assault Nurse Examiner (Senior member) 2008 to 2010

High School Teacher:  Health Occupations

  • August 2000 to May 2001 Taylor Independent School District, Taylor Texas
  • Taught beginning year program for health occupations
  • 28 junior and senior high school students
  • Provided training in patient care, introduction to various health care fields
  • Clinic Site manager and coordinator for all students

Director of Nurses/ Medicare Assessment Coordinator
April 2000- September 2004  Taylor Care Center, Taylor, Texas

Director of nurses for large Nursing/Rehab facility

  • Staff employment/training/management
  • Texas Dept. of Health Compliance
  • Annual nursing budget preparation
  • Annual report to Board of Directors
  • Implementation of policy and procedures

Field Operations Manager/ Health Care Administrator
October 1995 – March 2000  Corrections Corp of America, Nashville, TN

  • Oversight of prison medical departments for Texas, Oklahoma, New Mexico, Colorado, Arizona, Nevada, and Puerto Rico
  • Collaborated with other field managers to produce the health care policies for 72 prisons across the United States, Puerto Rico, and Australia
  • Audited medical departments prior to federal and state inspections to determine readiness.
  • Provided on site medical training to correctional staff with respect to emergency management of offenders.
  • Wrote emergency mass causality plans for Texas facilities and directed drills to test systems.
  • Set up medical departments in new and existing prisons
  • Recruit medical, dental, and psychological staff for prisons
  • Charge Nurse/ Staff Nurse/ Nurse Technician (Nursing Student)

July 1989- December 1992  Methodist Medical Center, Dallas, Texas

  • Charge Nurse for 42 bed Oncology/hematology unit
  • Clinical coordinator for night shift
  • Provide nursing care
  • Preceptor for various level nursing students
  • Hired as a Student Technician and retained through nursing program to Licensure

Medical Coordinator/ Emergency Medical Technician/Medical Content Consultant
March 1983- December 1991  Med Star,  Dallas, Texas

  • Provided on-set medical care for cast and film crews in Dallas and Austin areas
  • Consultant to entertainment industry/Studios at Las Colinas 
  • Script review for medical terminology, scenic design recommendations for medical commercials, industrials, television shows, and motion pictures
  • Managed staff of firefighters and paramedics to work in industry
  • Provided on-set medical care for more than 70 films, music videos, and industrial presentations.

Emergency Medical Technician
December 1981 – 1984 Careflight Ground Ambulance East, Dallas, Texas

  • Manned a 24-hour ambulance station responded to both emergency and non-emergency calls
  • Ground support team member for Careflight helicopter service
  • Ground support and transport medic for Careflight fixed wing medical transport

Emergency Medical Technician
August 1980- December 1981 Daniel Emergency Medical Services Temple, Texas

Manned a 24- hour ambulance station responding to long distance transfers 
Provided emergency and non-emergency care to patients of various types

EDUCATION

University of Boston,  Boston, MA
Degree Awarded: January 2013
Master’s Degree:  Forensics/ Criminal Justice

Course work:

  • Criminology
  • Crime & Punishment
  • Forensic Behavior Analysis
  • Cyber Crime
  • Terrorism
  • Victimology
  • Youth Crime 
  • White Collar Crime
  • Analytic Methods
  • Research Methods

University of Phoenix, Phoenix, AZ
Degree Awarded:  August 2006
Bachelor’s Degree in Science: Nursing  

Course work:

  • Professional Nursing
  • Theoretical Foundations of Professional Nursing
  • Health Assessment
  • Health and Disease Management
  • Concepts of Family Nursing 
  • Clinical Integration:  Nursing Management of Families
  • Issues and Strategies in Nursing research Utilization
  • Contemporary Issues and Health Policy
  • Statistical Applications
  • Dimensions of Community Nursing Practice
  • Clinical Integration : Partnership in Community Practice
  • Nursing Leadership and Management in Health Care
  • Interdisciplinary Capstone Course

Creating Change within Organizations
El Centro College,  Dallas, Texas
Degree Awarded:  December 1990
Associates Degree in Nursing

Course work (in addition to general studies required for degree program):

  • Applied Nursing Math
  • Human Anatomy & Physiology
  • Microbiology
  • Nursing I, II, III, IV, & V
  • Developmental Psychology
  • Social & Behavioral Science
  • General Psychology
  • Zoology
  • Sociology
  • Political Science
  • Microbiology
  • General Chemistry
  • Federal & State Government
  • Air Force ROTC
  • Safety & First Aid

Certifications/ Advanced training

  • Certified Sexual Assault Nurse Examiner Adult and Pediatric, International Association of Forensic Nurses 
  • Sexual Assault Nurse Examiner, certified in the care of adults and pediatric patients, Texas Office of Attorney General (Training Location:  University of Texas School or Nursing 1993) (Johns Community Hospital Taylor, Texas 2004) (Office of Attorney General – Clayton Drive Building 2011)
  • Certified Emergency Nurse, Emergency Nurses Association
  • Certified Forensic Nurse, American College of Forensic Examiners 
  • Advanced Cardiac Life Support, American Heart Association
  • Advanced Burn Life Support, American Burn Society
  • Pediatric Advanced Life Support Instructor 2012-2014, American Heart Association
  • Trauma Nurse Core Curriculum, Emergency Nurses Association
  • Certified Medical Investigator Level II, American College of Forensic Examiners
  • Basic Disaster Life Support, Department of Homeland Security
  • Emergency Nursing Pediatric Care, Emergency Nurses Association
  • Registered Nurse, Compact Licensure, Texas Board of Nurses
  • Diplomate of the American Board of Forensic Nursing
  • AIS, Injury Severity Scaling, Association for the Advancement of Automotive Medicine
  • NIH Stroke Scale Certification National Institutes of Health (NIH) 

Professional Affiliations

  • American College of Forensic Examiners Institute (Diplomat status) 
  • American Nurses Association (Fab Five Winner 2010)
  • Capital Area Trauma Regional Advisory Council (Performance Improvement Committee, Education Committee Co-Chair 2012 to 2014)
  • Central Texas Human Trafficking Coalition
  • Emergency Nurses Association
  • International Association of Forensic Nurses- (Board member:  Chairman, Nominating Committee 2012, Governmental Affairs Committee 2015)
  • Life Steps Community Coalition, medical representative (2006 – 2014)
  • National Disaster Life Support Foundation
  • Society of Trauma Nurses
  • Texas Association Against Sexual Assault (Edith Rust Award recipient for 2009) (Board Member 2014)
  • Texas Chapter, International Association of Forensic Nurses (Board Member at Large Position 2010-2012)
  • Texas Trauma Coordinators Forum (Level IV State Chairman 2007-2009)
  • Williamson County Child Fatality Review Board (Medical Consultant)
  • Williamson County Child Protection Team (SANE Coordinator and Medical Consultant 2008 – 2010)
  • Williamson County Domestic Violence Response Team
  • Williamson County Sexual Assault Team (SANE Coordinator 2002 – 2009)

PROFESSIONAL ACTIVITIES/ PRESENTATIONS/ PUBLICATIONS
July 2015
Advanced Sexual Assault Litigation Course
Sexual Assault Nurse Examination:  Mock Trial/ presentation
Maxwell AB, Montgomery, Alabama

April 2015
St. David’s Round Rock Medical Center
Instructor/Trainer
Sexual Assault Nurse Examination:  Pediatric Patients
Round Rock, Texas

March 2015
St. David’s Round Rock Medical Center
Instructor/Trainer
Sexual Assault Nurse Examination:  Adult/Adolescent Patients
Round Rock, Texas

February 2015
Temple College School of Nursing
Guest Lecturer
Sexual Assault/ Domestic Violence/ IPV:  Role of the Nurse
Temple, Texas

February 2015
Texas A & M University School of Nursing
Guest Lecturer
Sexual Assault/ Domestic Violence/ IPV:  Role of the Nurse
Round Rock Campus, Round Rock, Texas

November 2014
Louisiana Association of Criminal Defense Lawyers
Sex Offense Seminar
Presenter:  Everything you ever wanted to ask a SANE Nurse
Natchitoches, Louisiana

October 2014
2014 International Conference on Forensic Science & Technology
Key note speaker:  Perception of Research in Sexual Assault physical examinations
Presentation:  Management of the Sexually assaulted patient:  Utilization of the Forensic Survey
San Antonio, Texas

July 2014
Forensics for the Registered Nurse 
I V League Education:  Principal presenter
Hutto, Texas 

July 2014
Advanced Sexual Assault Litigation Course
Sexual Assault Nurse Examination:  Mock Trial/ presentation
Maxwell AB, Montgomery, Alabama

June 2014
St. David’s Institute for Learning
Presentation:  The Medical Forensic Exam: A Basic Primer for ED Personnel
Austin, Texas

March 2014
Temple College School of Nursing
Presentations: Domestic Violence, Sexual Assault, & Forensic Nursing
Temple, Texas

February 2014
Temple College School of Vocational Nursing
Presentations: Domestic Violence, Sexual Assault, & Forensic Nursing
Taylor, Texas

January 2014
Texas A & M University Health Science Center
School of Nursing
Presentation:  Domestic Violence:  The Medical forensic response
Round Rock, Texas

December 2013
T. Don Hutto ICE Detention Facility
Presentation to security and medical staff:  Forensic Evidence Collection
Taylor, Texas

October 2013
International Conference on Forensic Research & Technology
Keynote Speaker, Moderator, and Presenter:  Domestic Violence:  The Medical Forensic Response
Las Vegas, Nevada

August 2013
Governors’ Executive Trauma Advisory Council (GETAC)
Presentation to RAC Chairpersons regarding Sexual Assault examination legislation
Austin, Texas

August 2013
Texas Association Against Sexual Assault
Webinar presentation:  Sexual Assault:  The Medical Forensic Exam
Austin, Texas

July 2013
Advanced Sexual Assault Litigation Course
Sexual Assault Nurse Examination:  Mock Trial/ presentation
Maxwell AB, Montgomery, Alabama

July 2013
Capital Area Regional Advisory Council (CATRAC)
Presentation/ Education regarding SB 1191 & 1192
St. David’s North Austin Medical Center
Austin, Texas

June 2013
Texas Municipal Police Officers Association
SANE Presentation
Austin, Texas

May 2013
Williamson County Domestic Violence Response Team
1st Annual Domestic Violence Conference
Presentation:  Domestic Violence:  The medical response
Round Rock, Texas

May 2013
Texas Association Against Sexual Assault
Fundamentals Training
Presentation:  Sexual Assault Nurse Examiner:  Working with you and the victim
Austin, Texas

April 2013
Texas District and County Attorney’s Association
Crimes Against Children Conference
Presentation:  Photo-documentation:  What’s a Picture Worth?
Dallas, Texas

March 2013
Temple College LVN School
Presentation:  Recognizing Child Abuse
Taylor, Texas

March 2013
Texas Association Against Sexual Assault (TAASA)
2013 Annual Conference
Presentation:  SANE Case Review:  Part I
Austin, Texas

February 2013
Temple College School of Nursing
Presentation:  The Nurses Role in Recognizing Sexual Assault
Temple, Texas

January 2013
Williamson County District/ County Attorney’s Offices
Domestic Violence Response Team training
Presentation:  Role of the SANE in an investigation
Round Rock, Texas

January 2013
Round Rock Police Department
Sexual Assault/Family Violence Investigators Course 
Presentation:  Role of the SANE in an investigation
Round Rock, Texas

2012:
Training for Attorney General at the following locations:
Central Texas Training: Austin, Texas

Lecture Events:
Texas Association Against Sexual Assault:  TAASA Fundamentals Austin, Texas
Hope Alliance Advocate Training- Round Rock, Texas
International Association of Forensic Nurses: Presenter, Fajardo, Puerto Rico
St. David’s School of Nursing, Round Rock, Texas
Texas Municipal Police Officers Association, Austin, Texas
Capital Area Trauma Regional Advisory Council (CATRAC) Presentation Georgetown, Texas
St. Edwards University, Austin, Texas
Temple College School of Nursing, Temple, Texas
Cedar Park Police Department, Cedar Park, Texas
Texas Municipal Police Officers Association, Austin, Texas
Temple College School of Nursing, Taylor, Texas

2011:
Training for Attorney General at the following locations
Center for Child Protection:  Austin, Texas
Central Texas Training: Austin, Texas
South Texas Regional SANE training: Laredo, Texas
West Texas Regional SANE training: Alpine, Texas
Central Texas Regional Training:  Temple, Texas
North Texas Regional Training:  Wichita Falls, Texas
Southeast Texas Regional Training:  Dickinson, Texas

Lecture Events:
International Association of Forensic Nurses Conference: Montreal, Canada
Texas Emergency Nurses Association:  Austin, Texas
Texas Municipal Police Association:  Austin, Texas
6th Annual SANE Coordinators Forum:  Austin, Texas
Texas Association Against Sexual Assault:  Austin, Texas
Texas District & County Attorney’s Association:  Houston, Texas
Cook Children’s Medical Center:  Fort Worth, Texas
Statewide Conference on Violence Against Women:  Dallas, Texas
Standing United Against Violent Crime in Rural Texas:  San Angelo, Texas
Temple College School of Nursing:  Temple, Texas

2010:
Training for Attorney General at the following locations:
Central Texas Regional SANE Training:  New Braunfels, Texas
North Texas Regional SANE training:  Dallas, Texas
West Texas Regional SANE training:  Lubbock, Texas
Lufkin, Texas
El Paso, Texas

Lecture Events:
ChildSafe Conference:  San Antonio, Texas
5th Annual SANE Coordinators Forum:  Austin, Texas
Texas Municipal Police Officers Association:  Austin, Texas

2009
Training for Attorney General at the following locations:
Cedar Park Medical Center:  Cedar Park, Texas
St. David’s Round Rock Medical Center:  Round Rock, Texas
Texas Tech University:  Lubbock, Texas

Lecture Events:
Case Review:  Taylor, Texas
Taylor Resource Center
Child Protection Team Training:  Georgetown, Texas
4th Annual SANE Coordinators Forum:  Austin, Texas
National SANE/SART Conference:  Seattle, Washington
Hope Alliance:  Round Rock, Texas
Texas Association Against Sexual Assault:  Austin, Texas
Texas Trauma Coordinators Forum:  Austin, Texas
St. Michael Health Care System:  Texarkana, Texas
Southwestern University:  Georgetown, Texas
St. David’s Georgetown Medical Center:  Georgetown, Texas

2008:
Training for Attorney General at the following locations:
Methodist Transplant Hospital:  San Antonio, Texas
East Texas Regional Medical Center:  Houston, Texas
University of Texas Medical Branch Hospital:  Galveston, Texas
Lufkin, Texas
Cook Children’s Hospital:  Fort Worth, Texas

Lecture Events:
Williamson County Child Protection Conference:  Georgetown, Texas

2007:
Training for Attorney General at the following locations:
Austin Safe Place:  Austin, Texas
Midland/ Odessa
Scott & White Memorial Hospital:  Temple, Texas
San Angelo, Texas

Lecture Events:
Texas EMS Conference:  Houston, Texas
Texas Investigators Conference:  Georgetown, Texas
Taylor Leadership Council:  Taylor, Texas
TAASA Conference:  Austin, Texas

2006:
Training for Attorney General at the following locations:
Christus St. Elizabeth Medical Center:  Beaumont, Texas
Kerrville, Texas
Houston, Texas
Pampa, Texas
Longview, Texas

Lecture Events:
12th Annual Trauma Symposium:  San Antonio, Texas
Taylor High School:  Taylor, Texas

District/ State/ Federal Courtroom Testimony and/ or Consultation in the following States

:Arkansas
California
Colorado
Iowa
Kansas
Louisiana
Oklahoma
Michigan
Missouri
Nevada
Texas
Utah
Washington
Provided consultation and/or Testimony for the following military Judge Advocate GCM’s:

Andersen Air Base, Guam (Testimony)
Andrews Air Base, Washington D.C. (Testimony)
Aviano Air Base, Italy (Testimony)
Barksdale Air Base, Louisiana (Testimony)
Beale Air Base, California
Cannon Air Base, New Mexico
Dover Air Base, Delaware
Dyess Air Base, Texas
Ellsworth Air Base, South Dakota
Ft. Hood Army Base, Texas (Testimony)
Hill Air Base, Utah
Holloman Air Base, New Mexico
Kadena Air Base, Japan (Testimony)
Keesler Air Base, Mississippi
Kirtland Air Base, New Mexico
Kitsap Naval Base, Washington (Testimony)
Lackland Air Base, Texas
Laughlin Air Base, Texas
Malmstrom Air Base, Montana
Maxwell Air Base, Alabama (Mock Trial, Expert Witness 2013, 2014, 2015)
McGuire Air Base, New Jersey
Minot Air Base, North Dakota
Moody Air Base, Georgia (Testimony)
Nellis Air Base, Nevada
Randolph Air Base, Texas
Robbins Air Base, Georgia (Testimony)
Shaw Air Base, South Carolina
Sheppard Air Base, Texas
Tinker Air Base, Oklahoma (Testimony)
Tori Station, Army Base, Okinawa
Yokota Air Base, Japan (Testimony)

Retained/ Recognized as an Expert in Sexual Assault Nurse Examination (adult, child, and adolescent), Forensic Nursing, Emergency Nursing, Domestic Violence, Child Abuse, Elder Abuse, and Trauma Nursing for both Civilian and Military Courts.

Number of Sexual Assault Nurse Exams Completed since 1993:  Approximately 1800 exams for patients of all ages

 

 

 

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