JK Legal
Nurse Consulting
Developing Winning Case Strategies
Jane E. Kuhn, MSN, RN, CNOR, CLNC, CNAA, BC
JK LNC is located at
P.O. Box 4307
Carson, CA 90745-9998
310-710-7315
310-518-1696 Fax
Email: jane@healthcarelegalconsult.com
EDUCATION
May 1994 University of San Francisco; MSN-Administration
December 1992 California State University Dominguez Hills; BSN
July 1969 St. Joseph's Hospital School of Nursing; Diploma
LICENSURE/CERTIFICATION
1977-Present Registered Nurse: CA RN2748622
1981-Present Certified Nurse Operating Room (CNOR)
2000-Present Certification Nursing Administration Advanced (CNAA)
2005-Present Certified Legal Nurse Consultant
PROFESSIONAL EXPERIENCE
University of California San Francisco 10/02 – 2/06
Administrative Nurse IV – Patient Care Manager for 22 operating
room suite that performs over 12,000 complex surgical procedures
per year. Span of control includes Manager Support Services, 4 Assistant
Patient Care Managers and 7 Clinical Supervisors and an FTE count
of 220 including anesthesia support cost center. Collaborates with
Business Manager on budgetary accountability for 16 million dollar
labor and 33 million dollar supply budget. Accomplishments during
tenure as PCM include: dramatic decrease in traveler positions, initiation
of Surgical Technician Training Program, inclusion of PCM role in
business decisions of the department, restructuring of management
of department to meet markets trends in health care delivery systems
and implementation of a new IT system including an electronic nursing
record.
Kaiser Resource Network 6/98 – present
Administrative House Supervisor - Responsible for patient care activities
during assigned shifts. Accountable for staffing to volume, budgetary
compliance, evaluating delivery of patient care, and addressing
concerns of staff members, physicians and patients.
Centinela Hospital Medical Center 5/97 - 6/99
Director Surgery Services - 24 hour responsibility for Operating
Room Services which includes Main and Day Surgery clinical areas.
Accountability for 85 FTE benefited positions and a total budget
of 12 million dollars. Accountable to decrease operating costs
on a per case basis, develop physician business and create an environment
that is service oriented, collaborate on new business including
the spine center, total joint center and the cardiac center programs.
Compliance with all TENET corporate and regional initiatives. Accountable
to develop a department that functions as a cost effective and
profitable franchise of a major corporation.
Jefferson Regional Medical Center 1/96 - 5/97
Director Surgical Services - 24 hour responsibility for Surgical
Services Department which incorporates inpatient services: Preadmission
Unit, Holding Unit, 12 operating room suites, 18 bed recovery room
and outpatient services: Ambulatory Surgery Center Holding Area,
6 operating room suites, and 8 bay post anesthesia care unit. Accountability
for defining systems that promote quality patient care, JCAHO compliance,
fiscal compliance, and new programs for surgical patient populations.
New projects included starting a Pain Clinic marketed to the community
and adherence to state regulations, developed a breast surgery
minimally invasive program and networked with community hospitals
in Southeast Arkansas to initiate program for preoperative services
for patients referred to the medical center from outlying communities.
San Mateo County General Hospital 4/95 - 1/96
Administrative House Supervisor - Responsible for patient care activities
during assigned shifts. Accountable for staffing to volume, budgetary
compliance, evaluating delivery of patient care, and addressing
concerns of staff members, physicians and patients.
Kaiser Permanente Medical Center 12/88 - 7/94
Administrative Manager Perioperative Services - San Francisco (2/92-7/94)
24-hour responsibility for nursing unit activities and delivery of
patient care in a 20 bed Ambulatory Care Unit, 10 room surgical suite,
19 bed Post Anesthesia Care Unit. Department structured to maintain
compliance with JCAHO and Title 22 regulatory standards. Involved
with implementation of ORSOS system, CQI projects, construction and
planning of 27 bed ACU & GI lab. Coordinated Free Surgery Program
for San Francisco County, developed business plan to consolidate
transfusion services for West Bay Kaiser facilities and consolidated
ancillary campus to decrease inpatient beds.
Nurse Educator - Oakland (1/90-1/92) / San Francisco (2/92-9/92)
Inservicing and training of Perioperative Services nursing staff
member. Orientation of staff. Development of Perioperative Nursing
Postgraduate course and Operating Room Technician 9 month training
program in collaboration with community college. Staff educational
programs developed to maintain compliance with JCAHO, Title 22,
and Department of Agriculture regulatory standards. Participation
on multiple hospital nursing and interdisciplinary committees.
Administrative House Supervisor - French Campus (12/88 - 1/90)
Responsibility for patient care activities including supervising
and directing staff on medical-surgical units, ICU and Emergency
Department. Accountable for staffing to volume, budgetary compliance,
interpretation of union contracts, and facilitating concerns of physicians
and family members.
Children's Hospital of San Francisco 8/86-4/88
Specialty Supervisor - Shift responsibility for operations of Same
Day Surgery Unit, Operating Rooms, Post Anesthesia Care Unit, and
the Central Services Department.
University of California San Francisco 4/77-8/86
Administrative Nurse III - Administrative responsibility for the
daily operations of 18 surgical suites. Duties included program development,
budget accountability, development of staffing patterns, staff education
and quality management.
Central Medical Pavilion - Pittsburgh, PA 6/76-4/77
Mercy Hospital - Miami, FL 2/74-5/76
Mt. Sinai Medical Center - Miami Beach, FL 1/71-9/72
Staff Nurse - Scrub and circulating roles in multiple surgical specialties.
Competency established in general, GYN, urology, ophthalmology, neurosurgery,
cardiac, and orthopedics. Charge nurse duties and participation on
departmental committees. Preceptor new employees.
Montefiore Hospital - Pittsburgh, PA 9/69-1/71
Staff Nurse/Charge Nurse - Charge nurse 48 bed medical-surgical unit. Staff
nurse Intensive Care Unit.
PROFESSIONAL MEMBERSHIPS
1981-Present Association of Operating Room Nurses (AORN)
1986-Present Operating Room Nursing Council of California (ORNCC)
1992-1996 Organization of Nurse Executives of California (ONE-C)
1992-1993 Post Anesthesia Nurses Association of California (PANAC)
SPECIAL PROJECTS
1986 Position Paper on the RNFA in collaboration with Operating Room
Nursing Council of California (ORNCC) and the California Nurses Association
(CNA)
1994 Consolidation of perioperative services from 2 to 1 campus without
interruption in patient care services.
CONSULTATION
1994 Higman Healthcare - Interim Management for Genesys Healthcare
System Flint, MI.
6/99-4/00 Northridge Hospital Medical Center - Interim Director
Surgical Services Department.
4/00-12/200 Kaiser Harbor City – Interim Department Administrator
Surgical Services.
1/2001 – 11/2001 Association of periOperative Registered Nurses
(AORN).
3/02 – 8/02 Interim Director Motion Picture and Television
Fund Hospital.
PUBLICATIONS
“
Establish and Maintain A Clean Environment”, Chapter Revision
for CNOR Study Guide, NCB:PNI:Denver, 1996.
"Operating Room Management", Chapter for Critical Issues
in Operating Room Management, Editor: Mark A. Malangoni, MD, Raven
Press, 1996.
"An Ethical Dilemma: A Nurses Right To Refuse A Patient Care
Assignment", Association of Operating Room Nurses Journal, September,
1995.
"Perioperative Nursing Care of Posterior Fossa Tumor Surgery
Patients in the Sitting Position", Journal of Neuroscience Nursing,
August, 1981.
PRESENTATIONS
1994 (R)Evolution in the Workplace
1993 Safe Practice Guidelines: Blood Borne Pathogens
1992 Trends in Healthcare
1992 Legislative Issues Affecting Perioperative Nursing
REFERENCES
Available upon request.
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