Areas of Practice


Pediatric & Clinical Care

  • Clinical experience in pediatric acute care settings, including ICU, emergency, and perioperative environments

  • Familiarity with hospital-based documentation, standards of care, and interdisciplinary clinical workflows

  • Review of medical records for consistency, completeness, and alignment with reported events or treatment plans

  • Analysis of injury mechanisms and whether clinical findings are consistent with documented history

  • Evaluation of wound care, surgical intervention, and rehabilitation documentation in the context of overall case narratives

  • Identification of gaps, inconsistencies, or documentation failures that may affect credibility or case strength


Behavioral & Developmental Health

  • Extensive experience working with youth in residential and school-based mental health settings

  • Direct familiarity with how behavioral plans, intervention data, and treatment records are developed and documented in practice

  • Analysis of whether behavioral and developmental documentation supports the services outlined in IEPs and 504 Plans

  • Evaluation of data integrity, consistency of reporting, and alignment between documented interventions and outcomes

  • Identification of gaps or inconsistencies in behavioral records that may affect credibility or defensibility in a case

  • Understanding of how psychiatric, developmental, and behavioral conditions impact access to education under IDEA and FAPE


School Health & Educational Medicine

  • More than 15 years of experience as a Massachusetts public school nurse, including leadership as an elementary nurse coordinator

  • Direct knowledge of how IEPs, 504 Plans, and IHCPs are developed, implemented, and documented in practice

  • Analysis of whether school health documentation supports the services a district claims to provide

  • Evaluation of how medical and behavioral conditions affect a student’s access to education under FAPE

  • Experience with complex student populations, including chronic medical conditions, developmental disorders, and behavioral health needs

  • Identification of documentation gaps, delegation issues, and record inconsistencies that may affect defensibility in a hearing

  • Familiarity with FERPA/HIPAA boundaries, school nursing workflows, and real-world documentation practices

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