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Dialysis Nurse Expert Witness

Provides Opinion & Testimony In:

Dialysis Nurse, Registered Nurs, RN, Standard of Care, Dialysis, Hemodialysis, Peritoneal Dialysis, Transplant, Vascular Acces Fitstula, Graft, CVC, Central Venous Catheter, Tunneled Peritoneal Dialysis Center

Experience

Legal Nurse Consultant/Expert Dialysis Nurse, 2015-current

  • Provide analysis and testimony regarding Medical Standard of Care
  • Evaluate merits of a case
  • Provide careful, detailed evaluation of medical records, interrogatories and depositions
  • Summarize injuries and treatment
  • Investigate Causation analysis
  • Review and summarize authoritative literature, standards and publications
  • Prepare comprehensive chronological medical reports, timelines, opinion letters and affidavits
  • Educate attorneys regarding complex medical conditions
  • Testify as Dialysis Expert Witness

HCD International, 2018-2019

  • Perform comprehensive review and analysis of medical records provided by Chronic Dialysis Clinics throughout the United States to CMS (Centers for Medicare and Medicaid Services) CROWNWeb Quality Incentive Program
  • Abstract Outcome Based Core Measurements to ensure validity, integrity and accuracy of data including:
    • Treatment Modality
    • Hemodialysis, Peritoneal Dialysis and Transplant;
    • Vascular Access-Fistula, Graft, CVC (Central Venous Catheter) and Tunneled Peritoneal Dialysis Catheter
    • Adequacy of Dialysis treatments
    • Depression Screening and follow up
    • Comprehensive Pain Assessments
    • Dialysis facility ICH CAHPS (In-Center Hemodialysis Consumer Assessment of Healthcare Providers and Systems)
    • Mineral Bone disease indicators

Fresenius Medical Care, Grand Strand, SC, 2017-2018

  • McLeod Seacoast, McLeod Loris, Conway Medical Center, Tidelands Georgetown Memorial and Tidelands Waccamaw
  • Inpatient Hemodialysis Nurse
  • Inpatient Peritoneal Dialysis Nurse
  • Proficient in Cerner EMR charting

DaVita, San Francisco, Santa Rosa, Novato, CA, 2011- 2017

San Francisco Home Program Facility Administrator

  • Opened and managed Dialysis Hemodialysis and Peritoneal Dialysis Home Training facility passing all initial and ongoing Regulatory inspections
  • including CMS, Network 17, Board of Nursing, Department of Health and Local Agencies
  • Innovated unique ways to incorporated Team Spirit
  • Achieved excellent Quality Outcomes
  • Presented to Physicians and Nephrologists at Baxter Peritoneal Dialysis University in San Francisco
  • Awarded DaVita Shining Star Award
  • Kidney Smart Educator (pre-dialysis education for patients with Chronic Renal Failure)
  • Inpatient Dialysis Clinical Coordinator-Sutter Santa Rosa Regional Hospital and Sutter Novato Community Hospital Inpatient Dialysis Clinical Coordinator
  • Inpatient Hemodialysis and Peritoneal Dialysis Nurse
  • Peritoneal Dialysis Expert- provided ongoing education and support for DaVita Hospital Services in Northern California
  • Preceptor for new Dialysis Nurses
  • Dialysis Educator of doctors, staff and patient
  • Liaison for Hospital Administration and Nephrologists
  • Quality Auditor for Clinical Outcomes and Regulatory Compliance including CMS, TJC (The Joint Commission for Hospital Accreditation), Network 17, OSHA, Board of Nursing and Policy and Procedure adherence
  • Presented Quality Outcome data at monthly and quarterly interdisciplinary meetings with Hospital Administration
  • Created and implemented Plan of Correction for deficiencies
  • Proficient in EPIC EMR

Union County Dialysis Center, Blairsville, GA, 2009-2010
Chronic Hemodialysis Nurse

  • Home Training nurse for Peritoneal Dialysis patients
  • Started monthly support group for Peritoneal Dialysis patients, “Home Heroes”, providing education and engagement to increase morale and retention
  • In-service Educator for Patients, Staff and Nephrologists
  • Quality Manager: Collected, compiled and presented Core Quality Indicators to Multidisciplinary team, including Medical Director, Nephrologist,
  • Hospital and Clinic Administration and Dialysis Team, at monthly CQI (Continuous Quality Improvement) meetings

Fresenius Medical Care, Dalton, GA, 2008-2009

  • Inpatient Acute Hemodialysis and Peritoneal Dialysis Nurse at Hamilton Medical Center
  • Learned Cerner EMR charting

DSI, Inc., Canton GA, 2007-2008

  • Chronic Outpatient Hemodialysis and Peritoneal Dialysis Nurse and Charge Nurse
  • Home Training Nurse for Peritoneal Dialysis

DaVita Dialysis, St. Petersburg, FL, 1998-2007
Outpatient Dialysis Nurse

  • Home Training Nurse – Peritoneal Dialysis
  • Hemodialysis Educator and Preceptor
  • Hemodialysis Charge Nurse
  • Hospital Dialysis Nurse
  • Peritoneal Dialysis Home Training Nurse
  • Quality Management Coordinator: Present for all Regulatory Inspections of 12 Chronic Outpatient Hemodialysis Units including CMS, Network 7,
  • OSHA, FDA, Board of Nursing, and Department of Health
  • Member of DaVita National Policy and Procedure Committee to Create, Implemented and Evaluate policies and procedures for Hemodialysis and
  • Peritoneal Dialysis

Renal Care Network, Tampa, FL, 1995-1998

  • Renal Nurse Case Manager for Humana-Managed all aspects of care for patients on chronic hemodialysis
  • Identified and prioritized patients’ needs and developed personalized comprehensive Health Care Plans
  • Identified and addressed client risk factors and obstacles to care
  • Ensured effective and efficient Multidisciplinary care
  • Monitored the quality of treatment and patient engagement to ensure optimal Quality of Life
  • Educated patients and families about preventive health care, health care treatment options, self-care and medications

Kidney Life Dialysis Center, Seminole, FL, 1993-1995

  • Outpatient Hemodialysis Nurse and Head Nurse
  • Hospital Dialysis Nurse
  • Home Training for Peritoneal Dialysis

Community Dialysis Center, Venice, FL, 1989-1992

  • Outpatient Hemodialysis Nurse
  • Outpatient Dialysis Charge Nurse
  • Hospital Dialysis Nurse
  • Registered Nurse in South Carolina
  • Previous Registered Nursing License in California, Florida, Georgia, Texas, Maryland and Virginia
  • Certified Hemodialysis Educator (DaVita)
  • Certified Peritoneal Dialysis Preceptor (DaVita)
  • Certified Legal Nurse Consultant
  • Kidney Smart Educator
  • Educator of Nephrologists at Baxter Dialysis University, San Francisco

Certified Nephrology Nurse (1999-2011)

  • HEDIS (Healthcare Effectiveness Data and Information Set) Certified
  • George Mason University, Fairfax, VA, coursework toward BSN
  • Northern Virginia Community College, Annandale, VA, A.A.S. in Nursing

Cases

  • In the Circuit Court of Montgomery, Alabama
    Dialysis Expert for plaintiff, case settled in mediation
  • Superior Court of The State of California for the County of Santa Clara
    Dialysis Nurse Expert for Defense attorney; Summary Judgement in favor of the Defense
  • Birmingham, AL
    Goldasich, Vick & Fulk
    Dialysis Nurse Expert for Plaintiff attorney, case settled in mediation
  • Percent, MD
    Nurse Expert for plaintiff’s attorney
  • Nurse Expert for Legal Consultant; created timelines and tables for mediation, case settled in mediation for
    $3,000,000.00
  • Superior Court of The State of California for the County of Santa Clara
    Dialysis Expert for defense attorney
  • Superior Court of The State of California for the County of Alameda
    Dialysis Expert for defense attorney
  • United States District Court for the Southern District of Florida
    Legal Consultant for plaintiff’s attorney; organized and analyzed data, created tables and charts for trial
Groups

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