1972 Children’s Heart Camp, Verbank, NY Camp nurse 1972-1973 Outdoor Education at Shaker Village, New Lebanon, NY Camp nurse 1973-1976 Pacific Presbyterian Medical Center, San Francisco, CA Staff nurse, medical-surgical and emergency department 1976-1978 California State University, Chico, CA Assistant Professor, Nursing 1980-1981 Emergency Nurse Training Program, Philadelphia, PA Program Director 1981-1983 St. Mary Hospital, Philadelphia, PA Assistant Director for Adult Health Services 1983-1985 Hospital of the University of Pennsylvania, Philadelphia, PA Manager, ED, 1983-1985 1985-1987 Marin General Hospital, Greenbrae, CA Manager, Emergency Department 1987-1994 John Muir Medical Center, Walnut Creek, CA Staff nurse, per diem, emergency department 1994-1996 Kaiser Foundation Hospital East Bay, Oakland, CA Department Leader (manager), Emergency Department 1996-1999 John Muir Medical Center, Walnut Creek, CA Staff nurse, per diem, emergency department 1999-2003 Oregon Health & Science University, Portland, OR Graduate research assistant 2003-2004 Oregon Health & Science University, Portland, OR Post-doctoral fellow 2005-2008 UCSF Medical Center, Department of Nursing, San Francisco, CA Director, Research and Evidence-based Practice 2008 – 2010 Center for Nursing Research and Innovation Senior Nurse Scientist and Associate Clinical Professor,