Ms. Cassandra L. Garcia

571 NW Broken Oak Trail
Jensen Beach FL, 34957

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Certified nurse midwife in active practice since 1990. Adjunct faculty member University of Miami. Certified legal nurse consultant, expert witness for both plaintiff and defense.
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Curriculum Vitae Education: Undergraduate: Texas Woman's University, Denton, Texas. May 1984: Bachelor of Science, Nursing, with minors in Biology and Sociology. Graduate: University of Miami, Coral Gables, Florida. May 1990: Master's degree in Nursing with specialty in Nurse Midwifery Clinical training: University of Miami Jackson Memorial Hospital, Jackson North Maternity Center, Miami, FL; Women's Center of Martin County, Stuart, FL. Doctors and Midwives Group, Key West, FL. July 2002: Certified Legal Nurse Consultant, Medical Legal Consulting Institute, Houston, Texas Awards: 1988: U.S. Public Health Service Traineeship Grant. March 2000: American College of Nurse Midwives/Maternal Child Health Bureau Providers Partnership Fellowship, Washington, DC; An opportunity to network with Title V and other maternal child health program staff at the national and state levels. May 2000: ACNM Excellence in Teaching Award, University of Miami adjunct faculty member. June 2003: Davis Productivity Award, Nurse Midwifery Maternity Program, Martin County Health Department. Professional Organizations: Member: American College of Nurse Midwives. Clinical preceptor: 1991 to present: CNEP (Community Based Nurse Midwifery Education Project), Frontier School of Nursing and Midwifery, with clinical training for CNM students, in Key West, Pahokee, and Stuart, FL. Clinical preceptor: 1991-1994, University of Miami, Family Medicine department. Adjunct Clinical Faculty, Intrapartum Nurse Midwifery, Fall semesters 1998, 1999, 2000: University of Miami, Nurse Midwifery Program. Research: Patient Satisfaction at the Daystar Health Center: A Descriptive Evaluation Research Study. Unpublished Master's thesis, University of Miami, May 1990 Advanced Practice Nursing and the Caring Component of Client Satisfaction. Under review for publication, October 1999. Licensure: Florida RN-ARNP (CNM) American College of Nurse Midwives (NACLS Certified) Florida Medicaid Provider CLNC (Certified Legal Nurse Consultant) Virginia RN license - Inactive Texas RN license - Inactive Arkansas RN license - Inactive Related Work Experience: October 2000 to present: Staff CNM, Nurse Midwifery Service, Martin County Health Department, Stuart and Indiantown, FL. One of four CNMs staffing three Martin County Health Department clinics weekly. OB census: 400+ deliveries per year. April 2002 to present: Part time staff, nurse practitioner, Treasure Coast Chapter Planned Parenthood; Stuart, West Palm Beach, Lake Worth, and Vero Beach, FL. August 1998 to October 2000: Staff CNM, Nurse Midwifery Service, Martin Memorial Health System, Stuart and Indiantown, FL. One of five CNMs staffing three Martin County health department clinics weekly, serving a diverse patient population, including a large population of Guatemalan Mayan Indians and Mexican migrant farm workers. Antepartum and intrapartum CNM practice including Co management of high risk obstetrics. OB census for CNM service, average 400+ deliveries per year, (approximately 30% of total OB volume in Martin County, FL.) CNM service closed due to budget constraints, October 2000. Adjunct clinical faculty, Nurse Midwifery Program, University of Miami, Coral Gables, FL. April 1999 to July 2000: Part time CNM, Womens Center, affiliate of Martin Memorial Health Systems, Stuart, FL. Well woman office gynecology. 1998 to present: Practice consultant for site specific, full scope midwifery protocols for collaborative MD/CNM services throughout the country. Protocols have been created for practices in New York, New Jersey, Massachusetts, Maryland, North Carolina, West Virginia, Florida, South Carolina and California. Legal nurse consultant services to several law firms providing chart review and research for medical malpractice cases. Training; Medical Legal Consulting Institute, Houston, Texas. April 1997 to August 1998: Full scope nurse midwife in western Palm Beach County, on Lake Okeechobee, FL., in association with Robert L. Hatton, M.D., Everglades Regional Medical Center. Management of high risk obstetrics, and obstetric sonography, first assistant for C-sections. Rural, agricultural community founded in 1927. Everglades Regional Medical Center was the oldest hospital in Palm Beach County. OB census; 800 births per year. Hospital closed in March 1998. Robert L. Hatton, M.D. Everglades Regional Medical Center Pahokee, FL 33467 January to March 1997: Practice consultant, with The CNM Group, Baltimore, Maryland, providing interim, permanent and consultant nurse midwifery services for MD/CNM collaborative practice. Barbara Fitchett, CNM, MSN The CNM Group Baltimore, MD January 1994 to January 1997: Associate in joint CNM/MD private practice, Doctors and Midwives Group. Full scope CNM practice, including co-management of high risk obstetrics, with offices in Key West, Marathon and Islamorada, Florida Hospital privileges for obstetrics at Lower Florida Keys Health Systems and establishment of birth center practice at Babies by the Sea; a Birth Center. Annual OB census; 300 births per year. Doctors and Midwives Group Frank Ferrin, MD and Edmund Boulting, MD, Helen Swallow, CNM, MSN Key West, FL 33040 June 1990 to January 1994: Associate in joint CNM/MD private practice, Doctors and Midwives Group. Full scope CNM practice with offices in Key West, Marathon and Islamorada, Florida. Hospital privileges for obstetrics at Lower Florida Keys Health Systems (formerly Florida Keys Memorial Hospital). Doctors and Midwives Group Willard J. Morse, Jr., MD, Helen Swallow, CNM, MSN Key West, FL 33040 December 1986 to September 1988: Obstetrics and gynecology office RN for a collaborative MD/CNM private practice with W.J. Morse, Jr., MD and Helen Swallow, CNM. Per diem status as a labor and delivery nurse at Florida Keys Memorial Hospital, Key West, Florida. December 1985 to July 1990: Staff RN in Obstetrics department at Florida Keys Memorial Hospital, the only obstetrics facility in the Florida Keys with an obstetrical census of approximately 800 births per year. 1986: Spring, Summer and Fall Semesters: Adjunct faculty at Florida Keys Community College, in the Associate degree program in Nursing as clinical preceptor. May 1984 to December 1985: Staff RN II at the University of Texas Medical Branch, Galveston, Texas. Worked in the Obstetrics department in the Rooming-In postpartum unit. UTMB is a regional tertiary referral center for the State of Texas with an obstetrical census of 10,000 births per year. University of Texas Medical Branch Hospitals Galveston, TX 77550 August 1981 to March 1984: Worked in partnership as a licensed midwife in private practice in the North Texas area, with the support and backup cooperation of J.M. Rampoldi, MD and B. Schenck, DO. Over the years, I have attended approximately 250 births as a primary attendant and many more as an assistant in a home birth setting. Midwife Associates Roxanne Struve, LM, Betsy Schenck, DO Denton, TX 76201 April 1978 to December 1980: Licensed midwife in private practice in the greater Houston area. Rosemary Stogre, MD and Richard Kondejewski, MD Family Practice Associates Texas City, TX 77590 January 1978: Became a Licensed Midwife in Texas through the Houston Association for Midwife Education, in conjunction with the Public Health Department. January 1976 to April 1977: Studied and worked under the supervision of Dr. Harold Graves, MD, at a medical mission on the Mexican-Guatemalan border. Classroom and clinical experience in prenatal, intrapartum, postpartum, and newborn care. Dr. Harold Graves, MD Clinica Valparaiso La Mesilla, Huehuetenengo, Guatemala, Central America December 1975 to December 1976: Served and studied as a lay medical worker and emergency relief worker during the Guatemalan earthquake of January 1976. Instituto Naturista Adventista Lon Cummings, director Casilla 228 Antigua, Guatemala, C.A Special Skills: Full scope nurse midwifery practice, including freestanding birth center and home birth experience, gynecology and hospital experience with co-management of high risk obstetrics. More than 1000 + deliveries as a CNM. First assistant for C-sections. Basic obstetrical ultrasonography. Course work completed through the University of Arizona, 1993. Computer literacy Experience as a consultant for MD/CNM collaborative practice in Florida and Virginia: The CNM Group, Baltimore, MD. Fluent in both conversational and written Spanish. I have spent a total of 20 years living in South and Central America. Certified Legal Nurse Consultant
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