Operating Room General Surgery Nurse Expert Witness

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Operating Room General Surgery Nurse Expert Witness

Provides Opinion & Testimony In:

Director of Nursing, Administrator, Operating Room, GI Nurse, Risk Management, Quality Assurance, Legal Nurse Consultant, Surgery, Back Surgey, Implants, Pain Management, Podiatric, General Surgery,

PROFESSIONAL PRACTICE:

PRESENT POSITION:

Administrator/Director of Nursing
Advanced Diagnostic and Surgical Center, Alhambra, CA
October 2011-Present
The facility has 2 procedure rooms, 2 O.R.’s, 8 RR beds and 5 pre op admitting beds. We perform approximately 1000-1200 cases per month that include laparoscopic surgeries, (Gallbladders, etc.), pacemaker generator replacements, primary pacemaker placement, pain management, plastic and reconstructive, general surgery, podiatry, orthopedic surgery, ENT, gynecologic, Endoscopic, among others. There are 30 FTE’s as well as 10 per diem RN employees. I am responsible for the scrub techs monitoring their techniques, observation of and practicing infection control guidelines, sterile technique, and overall ability to function effectively during a surgical procedure. I am the administrator/director of nursing, in charge of Risk Management/Quality Assurance programs, credentialing, employment, as well as a first assistant, OR circulator, GI nurse, pre op admitting nurse, and PACU nurse.

Hallmark Surgical Center, San Bernardino, CA
August, 2010-September 2011
The facility had 4 O.R.’s, 11 RR beds. We performed approximately 300-400 cases per month that included all types of laparoscopic surgeries, (Gallbladders, lap bands, tubal ligations, laser ablations, etc), pain management, plastic and reconstructive, general surgery, podiatry, all types of orthopedic surgery, ENT, and gynecologic. Hallmark physicians performed approximately 15 to 25 pediatric procedures (children ages 6 months of age to 17 years of age) per week such as tonsillectomies, adenoidectomies, PE tube insertions. There were 13 FTE’s as well as 15 per diem RN employees. I was the administrator as well as a first assistant, Pre-Op admitting nurse, OR circulator, and RR nurse.

Director of Nursing/OR Supervisor/Legal Nurse Consultant
Surgery Center of Beverly Hills, CA
February 2007 -August, 2010
There were 2 O.R.’s and 4 RR beds (I was also in charge of the RR). We performed percutaneous discectomies (cervical and lumbar), open back surgery, implants, pain management cases, discograms, cosmetic, ortho, GYN, podiatric, and general surgery cases. I have first assisted on scores of gastric bypasses and lap bandings. I also worked as a registry nurse, Moreno Valley Hospital, Hollywood Community Hospital, Century City Hospital, circulating general surgery, orthopedics, neurosurgery, gynecology, vascular, urology etc. surgeries. At the BI there are 10 FTE’s. At times I also serve as a CRNFA (Certified Registered Nurse First Assistant), a Pre-Op admitting nurse, a circulating nurse and Recovery Room nurse. I also worked as a registry nurse in surgery, ICU’s (Intensive care Units) for cardiac, neurological, post surgical, cardiac step down at Moreno Valley Hospital, Hollywood Community Hospital, circulating general surgery, orthopedics, neurosurgery, gynecology, vascular, urology, podiatry, etc. surgeries..

Director of Nursing/OR Supervisor
Sterling Surgery Center, Pomona, CA,,
December 2002 – February 2007
(AAAASF, CMS, DHS, certifications attained for the center by my efforts).
There were 3 O.R.’s, 1 procedure room, that performed plastic, orthopedic, GI, pain management, gynecology, podiatric, and general surgery cases, 6 RR beds (I was also in charge of the RR) with 22 FTE’s. I assisted with liposuctions, circulated O.R. Cases, closed wounds, was a Pre-Op admitting nurse, a recovery room nurse, and scrubbed as a CRNFA. As a weekend position,. I was a surveyor, an ASC project manager, and performed site visits to check for adherence to California, AAAASF, CMS, etc. compliance. I also worked as a registry nurse, Moreno Valley Hospital, Hollywood Community Hospital, Century City Hospital, circulating general surgery, orthopedics, neurosurgery, gynecology, vascular, urology etc. surgeries.

Director of Nursing/OR Supervisor
Surgical Institute, Beverly Hills, CA
February 2000 – December, 2002
There were 2 O.R.’s and 4 RR beds (I was also in charge of the RR). We performed percutaneous discectomies (cervical and lumbar), open back surgery, implants, pain management cases, discograms, cosmetic, ortho, GYN, podiatric, and general surgery cases. I also worked as a registry nurse, Moreno Valley Hospital, Hollywood Community Hospital, Century City Hospital, circulating general surgery, orthopedics, neurosurgery, gynecology, vascular, urology etc. surgeries. At the BI there were 10 FTE’s. At times I also served as a CRNFA (Certified Registered Nurse First Assistant)., Pre-OP admitting nurse, O.R. circulating nurse, a recovery room nurse.

Director of Nursing/OR Supervisor
Inland Valley Medical Center, Moreno Valley, CA
June 1995 – January 2000
There were 2 O.R.’s and one procedure room. We performed plastic, orthopedic, general, gynecology, podiatric, and ENT cases. I was also in charge of the RR. I worked as a CRNFA, Certified Registered Nurse First Assistant, circulated cases, did RR nursing, Pre-Op admitting, etc. I personally performed all the various types of laser surgery done at the clinics under the auspices of the Nurse Practice Act of the State of California. I first assisted on the various types of outpatient procedures performed at the clinic (inguinal hernias, orthopedic procedures, anterior/posterior repairs, cholecystectomies, ventral hernias, face lifts, tummy tucks, upper and lower blephs, breast implants, among others), saw patients post operatively, and I was the in-service director for the facility. I was also responsible for all the various documentation to maintain our state certifications. I was also a consultant to a number of surgery centers in Los Angeles and Beverly Hills in regard to operating room matters, policies and procedures, and training personnel for mock JCAHO and CMS surveys.

Medical In-service Director
Surgical Lasers, Inc., Chicago, IL
January 1991 – June 1995
I was the medical in-service director and gave in-services on the various types of laser surgery for the company. I also gave numerous laser safety courses and became certified using the various lasers mentioned above.

Sales Associate
June 1983 – January 1990
DePuy Orthopedic Company, Warsaw, IN
My territory was Cook County, Illinois. I was a salesman selling various orthopedic appliances, disposable surgery equipment, surgical instruments, etc., and I was the in-service coordinator. During all my years at DePuy, I was in the top 15% of all salesmen. During this time period I was an Orthopedic Operating Room consultant for the Chicago legal firm of Leonard Arnold and associates. I gave advice and technique theory as it related to operating room matters.

OR Nurse/Evening Supervisor
Midway Hospital Medical Center, Los Angeles, CA
September 1980 – June 1983
I scrubbed all types of scopic surgery, general, plastic, orthopedic, urologic, ophthalmic surgeries. During this time I was also the evening supervisor.

OR Supervisor and Director of Nursing
American Physicians Management Corporation
September 1978 – October 1980
I was an OR nurse and RNFA in plastic, general, orthopedic, podiatric, and hair transplant surgery. I performed all the post op visits, injections, etc.

RN, SICU, CCU, NICU
VA Hospital, La Jolla, CA
May 1978 – September 1978

RN, Neuro ICU, CCU and Surgery
May 1977 – May 1978
City Hospital, St. Louis, MO

Graduate Assistant at Southeast Missouri State University,
Cape Girardeau, MO
September 1975 – May 1977

EDUCATION:

B.S. in Education and Nursing Degrees
Southeast Missouri State University
Cape Girardeau, Missouri.

CERTIFICATIONS/LICENSING:

RN licenses: CA, PA
Certifications: PALS-Pediatric Advanced Life Support, BCLS- Basic Cardiac Life Support, ACLS-Advance Cardiac Life Support, CIC, Certified in Infection Control, LNC-Legal Nurse Consultant.
CNOR Certification 2014 – 2019; CRNFA 2014-2019, CRNFA 2020-2024.
RNFA course completed at the University of California in Los Angeles (UCLA), CRNFA (Certified as a Registered Nurse First Assistant), certified CNOR, (Certified Perioperative Nurse Operating Room).

Course certified in the use and safety of the CO2 laser, Nd:YAG laser, Copper Vapor Laser, Q-switched Nd:YAG laser, Q-switched KTP (532) laser, and the Alexandrite laser.

ORGANIZATIONS:

Member AORN (Association of Peri-Operative Nurses), Denver, Colorado

OTHER INTERESTS:

My company, Vast Enterprises, LLC., Inc., is provider approved by the California Board of Registered Nursing, provider number 11202. I am a clinical assistant for the University of California at Los Angeles (UCLA) Registered Nurse First Assistant (RNFA) program.

I am a legal nurse consultant and have been doing so since 1983. I spend less than 5% of my time doing such. I give expert opinions and testimony on the standard of care in all types of medical malpractice cases for both defendants and plaintiffs. I serve as a case reviewer/consultant and review nurse malpractice cases for the California Board of Registered Nursing on an as needed basis.

Keynote speaker for Concorde University May 24, 2018, graduation ceremony.

Certified to teach English as a second language.

References available upon request

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