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Emergency Room Trauma Correctional Medical Surgical Nurse Practices Standards Expert Witness

Provides Opinion & Testimony In:

Legal Nurse Consultant Certified, LNCC, General Nursing Practices, General Nursing Standards, Emergency Room, School Nurse, Administration Office, Emergency Trauma, Medical Surgical General Nursing Practice Transplant, School Camp Nursing, Pediatric, Gerontology, Decubitus Ulcers, Phlebotomy, Corrections, Correctional Health, Public Health, Pressure Ulcers, Bedsores, Blood Drawl,

EXPERT NO. 371
 
EDUCATIONAL BACKGROUN
D
2013 - present    
Capella University
Minneapolis, Minnesota
Doctor of Nursing Practice (in progress)

1998 - 2005
California State University
Sacramento, California
Masters in Nursing (Completed 8.05)
Case Management Certificate Program (Completed 5.03)

2002 - 2003
University of Florida
Life Care Planning Certificate Program

1985 - 1987
University of San Francisco
San Francisco, California
Masters in Public Administration, Health Services Administration

1978 - 1980
California State University, Sacramento
Sacramento, California
Bachelors of Science, Nursing

1973 - 1977
University of California, Davis
Davis, California
Bachelors of Science, Zoology

CURRENT PROFESSIONAL EXPERIENCE

October 2008 - Present
State of California, Health Care Services
Policy and Risk Management Division, Third Level Appeals-Health Care
Nursing Consultant Program Review

Review,  research,  and  perform clinical  investigation  of  third  level  health  care appeals filed by patients confined in California prisons to determine if care is in accordance with regulatory and departmental policies, and meets the standard of care. Identify potential risk management issues and work collaboratively with intra and interdepartmental clinical staff to implement strategies which promote risk reduction and improvement in quality patient care along the health care continuum. Perform special projects related to compliance and litigation as requested.

1991- Present
Private Consulting
Legal Nurse Consultant

Provide legal nurse consulting services which include expert witness services: medical record analysis, case evaluation and testimony regarding adherence to or deviation from the standard of care.  Provide evaluations and litigation support including literature research, comprehensive medical chronologies, and written summaries.  Other consulting services include Life Care Planning, Case Management, Medicare Set Aside allocation; and estimating the lifetime medical cost projections for catastrophic events and chronic conditions.

1997 - Present
Private Community College District
Nursing, Assistant Professor

Provide periodic clinical instruction to nursing students for Los Rios Community College Associate Degree Nursing programs.  Provided full time Nursing instruction in 2000 and 2003. Approved by the California Board of Registered Nursing at the highest instruction level to teach Med- Surg, Pediatrics, and Geriatrics

PAST PROFESSIONAL EXPERIENCE

1990 - 2011
Catholic Healthcare West:  Mercy General Hospital

1997- October 2011, Staff Nurse; Emergency
Provided acute care nursing services including triage, trauma, and primary emergency nursing services to patients of all ages and presentations to the emergency department, which is an accredited chest pain center, an accredited primary stroke center, and provides level 2 emergency services.

1990- 1997, Clinical Coordinator/Assistant Manager, Emergency
Provided acute care nursing services to all types and ages of emergency patients while directing the operations of the emergency department.  Coordinated research program for acute myocardial infarction (MI – heart attack) patients and assisted with research of acute stroke patients.   Clinical expertise included emergency, pediatrics, medical surgical intensive care, and recovery room.

2000 - 2008
State of California (Continued)

October 2004 - October 2008
California Department of Health Services/Public Health, Sacramento, CA
Chronic Disease and Injury Control Division, Chronic Disease Control Branch,
Medicine and Public Health Section Center for Gerontology

Nurse Consultant III Specialist and Chief

Developed clinical protocols; provided professional education and technical assistance to Public Health Nurses and County Health Department grantees of the Preventive Health Care for the Aging/Adults (PHCA) program. Responsibilities included monitoring clinical, contractual, and fiscal program elements; performed on-site programmatic and chart reviews to ensure delivery of quality services according to regulatory and professional standards of nursing practice. The PHCA program was an evidence based research program administered by public health nurses to underserved areas in the community. Data was collected and analyzed in collaboration with the University of California, San Francisco Institute for Health and  Aging School  of  Nursing.  The  research  protocol  included  over  200  data elements  which  included  evaluation  of  participant’s  achievement  of  Healthy People 2010 goals, fall risk prevention measures, medication management and safety, and nutrition and health diets.

Provided  nursing  leadership  and  consultation  to  other  branch  and  division programs including: Osteoporosis and Prevention Program, California Arthritis Prevention Program, Alzheimer’s Disease Program, School Health Services, Best Practices in Childhood Asthma Program, California Asthma Public Health Initiative,  Well-Integrated  Screening  and  Evaluation  for  Women  Across  the Nation  (WISEWOMAN),   California   Heart   Disease   and   Stroke   Prevention Program,   California   Diabetes   Program,   Office   of   Oral   Health:   California Children’s Dental Disease Prevention Program, and Physical Activity, Nutrition, and Obesity Prevention Program; and external agencies, programs, and coalitions regarding various healthy aging issues across the lifespan.

April 2003 - October 2004

Maternal Child and Adolescent Health Branch, Child and Adolescent Health Unit
Nurse Consultant II

Provided nursing consultation services, policy development and program recommendations for Maternal Child and Adolescent Health programs including comprehensive case management programs :Adolescent and Family Life Program and Adolescent Sibling Pregnancy Prevention Program; Oral Health and School Health Services.  Program consultation and technical assistance encompassed a collaborative approach with program grantees.  Responsibilities included development of scope of work, providing programmatic technical assistance, monitoring contractual and fiscal program elements, and performing on-site programmatic and chart reviews to evaluate the programs and ensure quality and delivery of services according to statewide standards.

2000 - April 2003
Medi-Cal Managed Care, Office of Clinical Standards and Quality
Nurse Consultant II

Provided nurse consulting services, policy development, and program recommendations while applying recognized clinical standards and quality principles.   Developed statewide clinical quality review training curriculum for ongoing training of professional staff which incorporated current State, Federal, and  professional  practice  standards.  Responsible for  all  aspects  of  project coordination including budget and logistics for multi-site trainings.  Coordinated a State Task Force charged to develop a methodology to define and identify the Children with Special Health Care Needs population to meet Federal requirements to  facilitate the delivery of coordinated  quality services.  Prepared  multiple comprehensive reports integrating policy, statute and task force recommendations for administrative action.

1997 - 2000
Roseville City School District, Roseville, CA
School Nurse

Provided health related services to multiple K-8 school sites which included health and prevention education, special education assessments, community outreach, case management, and program coordination; while applying public health and acute care clinical standards.

1988 - 1990
NorthBay Medical Center, Fairfield, CA
Director of Emergency Services

Provided emergency nursing management for the trauma service, base station, emergency department in a multi-facility health care system.

1987 - 1988
Seton Medical Center, Daly City, CA
Supervisor, Emergency Department

Provided direct patient care and emergency department management for urban trauma service medical center.

1985 - 1987
Methodist Hospital, Sacramento, CA
Administrative Supervisor, Nursing Department

Responsible for hospital administration and supervision of all employees on the evening shift.  Provided patient care as needed in all clinical areas.

1980 - 1985
Sutter Memorial Hospital, Sacramento, CA
Charge Nurse and Staff Nurse

Provided acute nursing services in critical care units: coronary, intensive, medical/surgical and emergency.

LICENSURE

  • Licensed Registered Nurse, State of California  (1980 - Present)
  • California Public Health Nursing Certificate  (1980 - Present)

CREDENTIALS

  • Professional Clear School Nurse Services Credential with (1997 - Present)
       Specialized teaching Authorization in Health
  • California Community College Heath Service Credential: Nurse  (Lifetime)
  • California Community College Instructor Credential  (Lifetime)
    Subject Matter:  Health and Physical Care and Related Technologies Nursing
                             Public Services and Administration

CERTIFICATIONS AND CERTIFICATES

  • Medicare Set-aside Consultant Certified (MSCC) — 2005 - Present
  • Certified Case Manager (CCM) — 2005 – Present
  • Certified Life Care Planner (CLCP) — 2003 – Present
  • Legal Nurse Consultant Certified (LNCC) — 1998 – Present
  • Professional Clear School Nurse Services Credential — 1997 – Present
  • Case Management Certificate — 1997 - Present
  • Pediatric Advanced Life Support Provider (PALS) — 1992 - Present
  • Advanced Cardiac Life Support Instructor — 1989 – 2013
  • Nursing Executive, Board Certified (NE-BC) — 1987 – Present
  • Trauma Nursing Core Course Provider (TNCCP) — 1987 – 1991
  • Mobile Intensive Care Nurse (MICN) — 1987 – 1990
  • Certified Emergency Nurse (CEN) — 1986 – Present
  • Advanced Cardiac Life Support Provider (ACLS) — 1980 - Present

PROFESSIONAL AFFILIATIONS

  • American Nurses Association     — 2012 - Present
  • Academy of Correctional Health Professionals — 2011 - Present
  • Academy of Certified Case Managers — 2006 - Present
  • American Association of Nurse Life Care Planners — 2005 - Present
  • International Association of Rehabilitation Professionals — 2003 - Present
  • Case Management Society of America — 2002 - Present
  • National Association of School Nurses — 1997 - Present
  • California School Nurses Organization — 1997 - Present
  • Greater Sacramento Area Chapter of the American Association of Legal Nurse Consultants — 1995 - Present
  • American Association of Legal Nurse Consultants — 1991 - Present
  • Emergency Nurses Association — 1986 - Lifetime Member
  • Sigma Theta Tau, National Honor Society of Nursing — 1980 – Present
  • The Honor Society of Phi Kappa Phi — 1980 - Lifetime Member

AWARDS

  • 2014 Emergency Nurses Association Foundation Doctoral Scholarship — 2014- 2015
  • California School Nurses Organization Service Award — 2008-2010
  • Mercy General Hospital: President’s Five Star Team Member — 2009
  • State of California, Superior Accomplishment Gold Award — 2002

PUBLICATIONS: AuthorAvailable Upon Request

SIGNIFICANT UNPUBLISHED WORKAvailable Upon Request

EDITORIAL CONTRIBUTIONSAvailable Upon Request

PRESENTATIONSAvailable Upon Request

COMMUNITY AND VOLUNTEER ACTIVITIES:  Available Upon Request

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