Leader in neonatal intensive care and healthcare simulation with extensive experience in high-risk delivery response, advanced neonatal procedures, faculty training, and interprofessional education. Brings quality improvement and patient safety focus to the neonatal intensive care and university nursing simulation program. Recent leadership experience in re-accreditation and program development for the University of Hawaii at Manoa Translational Health Science Simulation Center (THSSC).
Overview
1
1
Certification
39
39
years of professional experience
Work History
Associate Director of Pediatrics and Women’s Health
University of Hawaii at Manoa Translational Health Science Simulation Center School of Nursing and Dental Hygiene
06.2011 - Current
Contributed expertise in integrating pediatric and women’s health concepts into undergraduate, graduate, and community simulation development and activities, evaluated effects of simulation activities through quality improvement initiatives, and assisted with program development and implementation at the community level, including hospitals and air ambulance services, focusing on transitions and quality improvements such as single-room NICU and air transport of high-risk mothers and infants. Trained faculty from the School of Nursing and Dental Hygiene, interprofessional groups, and Hawai’i Keiki programs.
Lead THSSC through successful re-accreditation in 2024.
Facilitated simulation training to enhance nursing skills in collaboration with international nursing groups from Japan and Saipan, serving as an invited presenter at Yokohama City University School of Nursing in March 2025.
Neonatal Nurse Practitioner
Kapi’olani Center for Women and Children
Honolulu, Hawaii
01.2005 - Current
Assisted with resuscitation during high-risk deliveries and neonatal emergencies across labor and delivery and NICU.
Joined daily NICU rounds with attending neonatologist and nursing staff to review patient care plans.
Completed advanced procedures, including endotracheal intubation, umbilical catheterization, central line placement, ventricular access device taps, thoracentesis, chest tube insertion, and lumbar puncture.
Served on organization committees, including Advanced Practice Providers Collaborative, Developmental Care Committee, Transition to Single-Room NICU, ELGAN Practice Committee, and Vermont Oxford Hospital Collaborative.
Provided education to rural health centers on neonatal resuscitation and stabilization protocols, including NRP and STABLE, to support care delivery.
Coordinated resuscitation at high-risk deliveries and neonatal emergencies in Labor and Delivery and NICU, collaborating with neonatologists and pediatricians to ensure comprehensive care. Joined daily rounds on all patients in the NICU with the attending neonatologist and nursing staff. Performs necessary advance practice procedures which include, but are not limited to the following: endotracheal tube intubation, umbilical catheterizations, central lines, ventricular access device taps, thoracentesis, chest tube insertion, and lumbar punctures. Lead family care conferences and interdisciplinary rounds. Educated staff and initiated, monitored, and evaluated quality improvement projects to enhance neonatal care standards. Participated in organizational committees, contributing to the Perinatal Committee and developing neonatal templates for computerized charting to streamline documentation. Special interest in Care of the Late Preterm Infant, Developmentally Supportive Care of the Newborn, Kangaroo Care, Skin Care, Multiple gestations, and Infant Massage
Lead Clinical Faculty-Hawaii Cohort NeoRISK Program (Neonatal Nurse Practitioner)
University of Hawaii at Manoa School of Nursing and Dental Hygiene
08.2008 - 01.2011
Coordinated clinical placements for Neonatal Nurse Practitioner students, ensuring alignment with program objectives. Led recruitment efforts for nurses from Hawaii, enhancing program's local engagement and support. Presented at local and national conferences, contributing to knowledge sharing and fulfilling grant publication requirements.
Guided nursing students in neonatal simulation and practicum to enhance their clinical skills and understanding.
Supervised nursing students during neonatal simulation and practicum.
Casual Hire-Neonatal Nurse Practitioner
University of Hawaii at Manoa School of Nursing & Dental Hygiene
06.2007 - 12.2007
Collected data for HRSA grant proposal, contributing to funding for neonatal nurse practitioner (NNP) program at University of Hawaii, School of Nursing. Recruited candidates for NNP program, enhancing diversity and expertise within the cohort.
Laser Technician
Laser Aesthetic
Honolulu, HI
01.2004 - 01.2005
Delivered laser hair removal, vein therapy, and non-ablative skin therapy to enhance client satisfaction and skin health.
Clinical Nurse Specialist
Kaiser Permanente Medical Center
Honolulu, HI
01.1999 - 01.2003
Trained nursing staff to ensure competencies and enhance patient care in Labor and Delivery, Mother-Baby, and Neonatal Intensive Care Units. Assisted in the management of complex patients and families. Monitored and evaluated Quality Improvement initiatives to enhance clinical outcomes. Implemented New Graduate Programs for the NICU and Labor and Delivery unit. Coordinated Infant CPR Program, equipping families of newborns in the NICU with essential life-saving skills. Hospital-based certified to insert peripherally inserted central catheters and instructor for Neonatal Resuscitation Program.
Reviewed and analyzed complex patient cases within Kaiser Permanente facilities.
Provided guidance to nurses regarding clinical decisions and patient care techniques.
Staff Nurse (Level IV)
Kaiser Permanente Medical Center
Honolulu, HI
01.1996 - 01.1999
Coordinated and provided nursing care for high-risk and healthy newborns and families, ensuring comprehensive support and care continuity. Monitored and evaluated quality improvement programs, including newborn screening, kangaroo care, care of newborns of HIV+ mothers, and management of expressed breastmilk. Certified to insert peripherally inserted central catheters and instructed on neonatal resuscitation, enhancing team readiness and care delivery. Member of Perinatal Committee.
Staff Nurse (Level II)
Kaiser Permanente Medical Center
Honolulu, HI
01.1992 - 01.1996
Coordinated nursing care for high-risk and healthy newborns and families, ensuring comprehensive support during critical early stages. Led quality improvement projects that implemented caremaps, primary nursing, Neonatal Code, and Developmental Care of the Newborn, enhancing patient outcomes and care delivery.
Provided compassionate bedside care to patients in a hospital setting. at Kaiser Permanente Medical Center using electronic health records.
Assessed patient conditions and documented changes in care plans.
Administered medications and monitored responses per physician orders.
Staff Nurse
Queen’s Medical Center
Honolulu, HI
01.1992 - 01.1992
Transitioned from Nursery/Mother-Baby Unit to Neonatal Intensive Care Unit at Kaiser, seeking to enhance care for critically ill newborns.
Neonatal Intensive Care Nurse Intern
Parkland Memorial
Dallas, TX
01.1991 - 01.1991
Delivered nursing care to high-risk newborns, ensuring adherence to best practices as a new graduate. Engaged in weekly didactic classes to improve clinical knowledge and skills. BLS Instructor. Received 3 graduate credits for the didactic portion from University of Texas at Arlington.
Graduate Nurse Newborn Nursery
Kapi’olani Medical Center for Women and Children
Honolulu, HI
01.1991 - 01.1991
Provided nursing care to healthy newborns, enhancing their well-being and comfort during the initial days of life.
Student Nurse Technician III
Kuakini Medical Center
Honolulu, HI
01.1989 - 01.1989
Supported registered nurses (RN) in delivering patient care in an adult Medical-Surgical unit, contributing to optimal patient outcomes. Performed registered nurse duties under supervision, ensuring adherence to care protocols and enhancing patient safety.
Monitored patient vital signs for Kuakini Medical Center nursing staff.
Assisted patients with bathing, dressing, and daily hygiene care.
Positioned patients and supported safe mobility and transfers.
Nurse’s Aide II
Straub Medical Center
Honolulu, HI
01.1988 - 01.1988
Collaborated with RNs to support the care of adults in a medical-surgical environment.
• Advanced Practice Registered Nurse License, State of Hawaii • Advanced Practice Prescriptive Authority Recognition, State of Hawaii • Registered Nurse Hawaii License, State of Hawaii • Certified Healthcare Simulation Educator (CHSE) with Society for Simulation in Health Care (SSH) • Certificate in Artificial Intelligence in Health Care, Massachusetts Institute of Technology (MIT), 2025 • Root Cause Analysis Facilitator (Queen’s Medical Center) • Developmental Care Specialist Designation (National Association of Neonatal Nurses) • National Certification Corporation as Neonatal Nurse Practitioner & ELBW (Extremely Low Birth Weight), Neonatal Neuro-Intensive Care, and Obstetric and Neonatal Quality and Safety Certifications • Certified Kangaroo Caregiver • Hospital-Based Peripherally Inserted Central Catheter Inserter • Neonatal Resuscitation Program Instructor-Mentor • Resolve Through Sharing Counselor • STABLE Program (Post Resuscitation and Stabilization) Lead Instructor • Certified Educator of Infant Massage (International)
Affiliations
Society for Simulation in HealthcarActivities and Honorse
International Nursing Association for Clinical Simulation and Learning
National Association of Neonatal Nurses
Academy of Neonatal Nursing
American Academy of Pediatrics, District VIII Section on Perinatal Pediatrics
Sigma Theta Tau, Gamma Psi Chapter-At-Large and Kappa Gamma Chapter
Accomplishments
• Maternal and Child Health Leadership Education in Neurodevelopmental Disabilities (LEND Program) 2021-2022 • 2003 Sigma Theta Tau International Honor Society of Nursing, Kappa Gamma Chapter • 2002 Recipient of 1st Kaiser Permanente Nursing Scholarship • 1996 Hawaii Nurses Association Maternal-Child Nurse of the Year • Sigma Theta Tau International Honor Society of Nursing, Gamma Psi Chapter • 1989-1991 Minority Access to Research (MARC) Scholar • 1989 Recipient of 1st Kuakini Medical Center Nursing Scholarship
Publications
Wada, R.K., Wong, L., Flohr, A., Arndt, R.G., Ing, D., Loos, J.R., Kaneshige,L., Teruya, K., Peterman, K., Albright, C.L., Masaki, K. (2023). Simulation-Based Pediatric Interprofessional Team Training to Facilitate End-of-Life Discussions, Clinical Simulation in Nursing, Volume 78, 2023, Pages 27-33, ISSN 1876-1399
Wada, R.K., Wong, L.C., Flohr, A., Kurahara, D., Arndt, R., Deutsch, M.J., Ing, D., Richardson, K., Munro, A., Kaneshige, L., Mullis, M., Hatae, M., Albright, C. (2019). Engaging a community chaplaincy resource for interprofessional health care provider training in facilitating family decision making for children at end-of-life. Hawaii Journal of Medicine & Public Health, 78(6 Supplement 1), 37–40.
Ing, D. (2007). Core Review for Primary Care Pediatric Nurse Practitioner, First Edition. Niederhauser, V.P. (Eds.) Chapter 18: Care of the Newborn Before Hospital Discharge. National Association of Pediatric Nurse Practitioners (Napnap) and the Association of Faculties of Pediatric Nurse Practitioners (Afnpn). ISBN 13: 9780323027571
Professional Activities
University of Hawaii, John A. Burns School of Medicine, Dept of Pediatrics Non-Compensated Faculty 2011 – current
International -
Northern Mariana School of Nursing Speaker (June 2026)
Hirosaki University School of Nursing Speaker (March 2026)
Seitoku University Nursing Program Speaker (Feb 2024, 2026)
Yokohama City University Invited Speaker (March 2025)
Poster Presentation, Evidenced-Based Practices to Implement and Sustain Kangaroo Care in the NICU at Kapi’olani Medical Center for Women and Children, American Academy of Pediatrics, District 8, Perinatal Section, Annual Conference, June 2018
Poster Presentation, Evidenced-Based Practices to Implement and Sustain Kangaroo Care in the NICU at Kapi’olani Medical Center for Women and Children, American Organization of Nurse Leaders, Annual Conference, November 2017
Bridge to Leadership Program (2016). Hawaii Pacific Health.
Co-chairperson and presenter. Planning Committee. Academy of Neonatal Nurses, Advance Practice Conference, April 2011, 2013, 2017, 2021, 2023. Honolulu, HI.
March 29, 2010: Abstract Presentation. An Innovative Collaborative Model for Nurse Practitioner Education Across State Lines, Universities, and the Pacific Ocean: The NeoRISK Neonatal Nurse Practitioner Program.
February 25, 2010: Poster Presenter. American Association of Colleges’ of Nursing, Master’s Education Conference. An Innovative Collaborative Model for Nurse Practitioner Education Across State Lines, Universities, and the Pacific Ocean: The NeoRISK Neonatal Nurse Practitioner Program.
November 9, 2007: Speaker. “Don’t Worry the Baby is Almost Term,” Breaking the myth about the infant born between 34-36 weeks. AWHONN, Hawaii Chapter Annual Conference, Honolulu, HI.
September 20, 2007: Speaker. “My experience as a nurse.” Health Services Career Pathway Partnership Workshop. Honolulu, HI.
September 2007: Planning Committee Member, Teaming Up for Hawaii’s Future: Third Collaborative Neonatal/Pediatric Nurses Conference, Honolulu, HI.
April 12, 2007: Speaker. 2nd Annual Spring Conference-Hawaii Chapter of the National Association of Neonatal Nurses. “Bringing Out the Best in Our NICU Parents.” Honolulu, HI.
April 4, 2007: Speaker. Health Occupations Students of America Conference (HOSA), Honolulu, HI.
March 2007: Speaker. Wilson Career Day. Honolulu, HI.
September 14-15, 2006: Speaker and Planning Committee Member, Teaming Up for Hawaii’s Future: Second Collaborative Neonatal Nurses Conference. Organized the STABLE Program educational offering on September 15, 2006. Honolulu, HI.
February 2006: Speaker. First Annual Hawaii Health Occupations Students of America (HOSA) State Leadership Conference, Honolulu, HI.
September 8, 2005: Speaker and Planning Committee Member, Teaming Up for Hawaii’s Future: First Collaborative Neonatal Nurses Conference, “The Significance of Circadian Rhythms in the NICU,” Honolulu, HI.
2000-2003: Speaker at various Career Day events at Nanaikapono Elementary School, Moanalua Middle School, and Wilson Elementary School. Honolulu, HI
2000: Speaker, “The 5 Rights of Feeding Expressed Breastmilk,” Hawaii Perinatal Managers Meeting. Honolulu, HI
2000: Organizer, “Premie for a Day.” Children’s Medical Ventures. Honolulu, HI
1999: Speaker, “Kangaroo Care: A Parent’s Perspective.” National Association of Neonatal Nurses (NANN) Clinical Update. Honolulu, HI
1999: Co-chairperson for local planning committee for NANN Clinical Update Conference
1997: Speaker, “Kangaroo Care, Not Only For Premies.” Lactation Update. Kaiser Permanente Medical Center. Honolulu, HI
1997: Speaker, “Developmental Care in the NICU” and “Care Maps”. Calabash of Perinatal Issues. Kaiser Permanente Medical Center. Honolulu, HI
1996: Speaker, “Kangaroo Care in the NICU.” 6th Annual Maternal-Child Nursing Conference. Edu-Center for Nurses. Honolulu, HI
1995: Student, “Newborn Individualized Developmental Care and Assessment Program (NIDCAP).” Level I Training. Brigham Women’s and Children’s Medical Center.
1994: Speaker, “Kangaroo Care: The Kaiser Experience.” Hawaii Association of Neonatal Nurses Meeting. Honolulu, HI
Community Involvement
Assets High School, Mentor to high school student in healthcare occupations, 2026, 2027
HOSA, Mentor to high school student, 2025, 2026, Kalani High School
Hawaii Technology Academy, Mentor to middle school student, 2023
Kaimuki Middle School Parent-Teacher Organization, President and Founding member, 2018, 2022
Senior Consultant and Head, Dept. of Pediatrics & Neonatology at Apollo HospitalsSenior Consultant and Head, Dept. of Pediatrics & Neonatology at Apollo Hospitals