Nursing (Nurse) Expert Witnesses: 9

Tyla A. DiMaria has a Master of Science in Nursing (MSN), with over 25 years of experience in Serious Injuries and Catastrophic Illness within various clinical settings, management, work comp, and home care. Ms. DiMaria is a Registered Nurse certified in Case Management as well as Life Care Planning. She has owned her own homecare company since 2008.

As Principal of Best Care Life Solutions, based in Carlsbad, California, Ms. DiMaria reviews medical records, performs past billing analysis, consults and collaborates with physicians and other health professionals to formulate future care needs and Life Care Plans for patients with catastrophic injuries and chronic illness.

Ms. DiMaria provides nationwide services to both plaintiffs and defense attorneys. Expert Witness Services include Independent Medical Evaluations, Depositions, and In-Court Testimonies.

Areas of Expertise:

Life Care Plans Life Care Plan Rebuttals

Standard of Care Reports Cost Comparisons

The Life Care Plan is crucial to individuals with injuries or chronic conditions requiring complex long-term healthcare intervention and management. It is an integrative plan for individuals with disabilities or chronic health conditions that includes items and services required, along with specific costs that addresses current and future needs. The Life Care Plan includes estimates for the current and future healthcare needs of individuals along with the associated costs.

Yolanda Anderson, RN, BSN, CEN, CLNC is a Registered Nurse and has been working in the Emergency Department for more than 25 years. A Certified Legal Nurse Consultant with a detail-oriented approach, Ms. Anderson is knowledgeable about all aspects of Hospital Care and Standards of Care for Physicians, Nurses and Ancillary Personnel.

Ms. Anderson's background experience includes work in the Emergency Department of Los Angeles County, USC Medical Center, a level I Trauma Center and in the Emergency Department at Saint Anthony Hospital Central in Denver, Colorado, a level I Trauma Center where she helped initiate the Hyperbaric Medicine program. For 15 years, she worked as a staff RN, Charge RN and Assistant Nurse Manager in the Emergency Department at Littleton Adventist Hospital - Littleton, Colorado, a level II Trauma Center. There, she helped with the expansion and reconstruction of the current Emergency Department facility.

Ms. Anderson has been retained as an Expert 27 times. Her litigation support services include chart review for merit, chronologies, medical care research, Independent Medical Assessments, and more. Ms. Anderson's services are available to attorneys for both Plaintiff and Defense.

Areas of Expertise:

Emergency Department Care Inpatient Hospital Care Trauma, Cardiac, Neurological Emergency Adult, Pediatric, and Infant Care

Triage & Documentation Nursing Home Care Electronic Medical Records Worker's Compensation

View Yolanda Anderson's Consulting Profile.

Ms. Elizabeth D'Alesio has 30 years experience in ICU, including Medical, Surgical and Acute Care. She is ICU certified. She has managed the ICU and telemetry floor which includes bed monitoring. Ms. D'Alesio has also been involved with creating policy/procedure to meet JACHO requirements as well as ongoing recruiting of new ICU staff. She has served on the ethics committee for four years while in management.

Ms. D'Alesio is currently employed at the Reproductive Science Center of Milford and Milford Regional Medical Center where she administers Conscious Sedation, assists physicians with pacemakers, arteriograms and picc lines for septic patients.She currently holds certifications as and Adult Nurse Practitioner and Women's Health Nurse Practitioner,and has recently completed the Kaplan Life Care Planning Course.

Lois Hawkins, RN, CLCP of Hawkins Forensic Consulting, Inc, specializes in Medical and Vocational Damage Assessment in personal injury and catastrophic injury cases throughout the United States. For over 10 years, Ms. Hawkins has been evaluating cases involving children and adults with complex, catastrophic injuries, as well as less serious injuries.

Areas of Expertise:

• Catastrophic Medical Case Management - Traumatic Brain Injury, Acquired Brain Injury, Spinal Cord Injury, Amputation, Soft Tissue Injury, Chronic Pain, Burns, Cerebral Palsy & Developmental Delay, Chronic Respiratory Conditions, Visual & Hearing Impaired
• Life Care Planning - Comprehensive Record Review and supportive documentation / Case Analysis, Case Summary Chronology, Clinical Interview and History with Patient, Medical-Legal Research, Assessment of Future Medical / Rehabilitation Needs
• Legal Nurse Consulting

Professional Memberships and Associations
International Academy of Life Care Planners (IALCP) - Present
International Association of Rehabilitation Professionals (IARP) - Present
American Association of Legal Nurse Consultants (AALNC) - Past
American Operating Room Nurse (AORN ) - Past

Jason C. Goodwin, MS, MPH, RN, CNOR, is a highly skilled and decorated Veteran Nurse Corps Lieutenant, honorably discharged in 2006. As a Registered Nurse, Operating Room Manager, Director, and Administrator, he has extensive experience with regulatory mandates, expertise in national clinical standards, and ensuring best practices in procedural safety culture.

As a procedural department administrator and clinician, Mr. Goodwin has personally supervised the safe care in and around various procedures and operating room venues for 17 years, totaling approximately 300,000 individual patient encounters. An expert with quality and safety compliance regulation, he has successfully prepared teams for Joint Commission, AAAHC, Medicare, Inspector General, and State audits.  Mr. Goodwin has experience managing as many as 20 managers, 4 Lean/Six Sigma process-improvement personnel, 500 total employees, and $1.8 Billion in annual gross revenue.

Clinical Experience Medical Surgical Nursing Shock / Trauma Intervention Procedural Services Preoperative, Intraoperative, and Postoperative Care Procedural Sedation Clinical Educator

Operational / Leadership Experience 2003 Iraqi War Veteran Multi-site Surgical Venues - UC Davis Medical Center, Kaiser Permanente Level 1 Trauma Academic Medical Center – UC Davis Medical Center Military – Naval Hospital Camp Pendleton, Operation Iraqi Freedom Fee for Service Ambulatory Surgery Services – ABSMC Surgery Center Clinic Management – Perioperative Medicine Clinic, Kaiser Permanente

Litigation Support - Mr. Goodwin provides expert witness services to attorneys representing plaintiff and defendant. He has been retained in approximately 30 cases. His services include medical record review, thorough reporting, depositions, and trial testimony as needed. 

Areas of Expertise:

Surgical Standard of Care Medical / Surgical Units Operating Room Injuries Sterile Processing Adverse Quality / Safety Events Pre & Postoperative Complications Pain Procedures / Procedural Sedation Positioning Injuries Wrong Site Surgeries

National Nursing Standards Regulatory Guidelines Nursing Administration Medical Devices Patient Falls Medication Errors Failure to Rescue Team Communication Emergency Preparedness

Dr. Patricia J. Bartzak, DNP, RN, CMSRN, TCRN, CNRN is a skilled hospital nurse clinician with 22 years of direct nursing care of patients with infectious diseases and trauma patients, including injuries and diseases related to neurologic, cardiac, renal, renal transplant, spinal, orthopedic and acute and chronic pain and oncologic diagnoses.  Located on the east coast with current nursing licenses both in Massachusetts and California. Has reviewed more than 80 cases in 8 years, written several reports, and been deposed about a dozen times in person and video. Currently working in a hospital designated as level-1 trauma center.

Continued active contributions to the field of nursing as staff nurse, nurse researcher, professional journal column editor and leadership initiatives through active participation in professional nursing organizations.  Served 2 terms as an elected Regional Coordinator for Sigma Theta Tau, the nursing honor society. Currently, serving on the Board of Directors for the Academy of Medical-Surgical Nurses. 

Direct care experience with complex airways, cervical instability, multi-drain management, invasive monitoring, complex wounds, pain management and surgical interventions from many services: orthopedics, neurology, general surgery, thoracic, infectious disease and gastrointestinal medicine. 

Co-chaired the American Nurse's Association (ANA) Scope & Standards of Practice (4th edition, 2021), a document that guides nursing practice for the country's 4 million nurses, Chair of Nursing Research in a level-1 trauma center and Med-Surg Nurses Scope and Standards of Practice.

Nurse educator for several years from undergraduate through the doctoral level including clinical rotations.

Column writer for Nursing Evidence-Based Practice column, having published dozens of articles on safe bedside nursing care. Peer reviewer for the Journal of Trauma Nursing.

Served as a nurse voting members of an Institutional Review Board (IRB) with current Collaborative Institutional Training (CITI) certification.

Professional nursing certifications in medical-surgical nursing, trauma nursing, neuroscience nursing and telemetry. 

View Dr. Bartzak's Consulting Profile.

Georgia J. Persky RN, MBA, PhD, CLNC, CNOR is a Columbia University trained nurse researcher with over 40 years of broad Clinical Nursing experience and 25 years of senior leadership in Hospitals, Nursing Homes and Home Health organizations. She also has 20 years of Surgical Nursing and Operating Room experience. Dr. Persky has expertise in the micro issues in nursing for adult patient care and the broad management, quality, and regulatory issues in hospitals. 

Background Experience - Dr. Persky served as Vice-President of Nursing and Patient Care Services for the past 25 years and most recently at New York Presbyterian Hospital/Columbia University Medical Center. For nine years, she was responsible for Patient Care Services, Risk and Quality Management and Patient Satisfaction for a 750-bed academic hospital. She directed a $200 million budget with 33 patient care units and Care Management, Respiratory Therapy, Social Work and Admitting Departments with 9 direct reports and 2,000 patient care employees.

Litigation Support - As a Certified Legal Nurse Consultant and Quality Reviewer, Dr. Persky has investigated hundreds of Malpractice and Injury cases as a quality reviewer and can assist in legal case review with chronologies, timelines, and evidence-based reports. She has testifying experience in malpractice and personal injury cases, as well as, with human resource and employee discrimination with an ability to attest to standards of care in clinical litigation. Dr. Persky's services are available to attorneys for the plaintiff and defense seeking an expert in nursing and patient care with a strong understanding of how heath care organizations work.

Areas of Expertise:

Nursing/Hospital Standards of Care Nursing Home and Skilled Nursing Surgical and Perioperative Nursing Quality and Risk Management Fall and Pressure Ulcer Prevention

Hospital Policy and Procedure Medication Safety Medical Device Safety Hospital Administration State, Federal, Joint Commission Regulatory Compliance

View Dr. Persky's Consulting Profile.

Ms. Roughan is a Rehabilitation Nurse Specialist who functions in the capacity of case manager, life care planner and expert witness. Her company, Roughan & Associates at LINC, is a nationally recognized Case Management and Medical/Legal Consulting service. It has been in existence since 1987, providing coordination of patient care; construction of Life Care Plans; and, consultative services to both the defense and plaintiff bar on simple and complex cases alike. Ms. Roughan has experience with diagnoses involving both children and adults and are knowledgeable in current treatment philosophies, identification of appropriate resources.

Diagnoses include, but are not limited to:

• Neurological Injuries (Brain and Spinal Cord Injury)
• Burns
• Orthopedic Injures
• Amputation
• Chronic Pain
• Post Traumatic Stress Disorder

Services Include:

• Expert Testimony
• Life Care Planning
• Mini/Preliminary Life Care Plan
• Video Services
• Medical Record Review
• RN Independent Medical Exam
• Medicare Set Aside Trust Analysis
• Medical Bill Auditing
• Questions: Deposition Cross Examining

Marilyn McCullum, BSN, RN, CEN, is a certified Emergency Nurse with peer-reviewed publications, speaking engagements, and testifying experience. She specializes in emergency nursing, general nursing care, medical documentation bias, and medical products as an end-user. She stays active in her clinical position and teaches her peers about documentation and triage.

Ms. McCullum's expert opinions are unbiased, neutral, and fact-based, following the national Standard of Care.