Nancy Ann Fisher
Santa Monica,CA
Summary
Registered nurse focused on palliative consultation, serious-illness communication, and interdisciplinary care planning. Led consultation services and fellowship support, coordinated symptom management and treatment goals, and educated clinicians, patients, and families to strengthen decision-making and improve care across hospice, hospital, and outpatient settings.
Overview
8
8
years of post-secondary education
32
32
years of professional experience
Work History
Per Diem / Independent Contracting RN
Affiliated Monitors, Inc.
Boston, MA
06.2023 - Current
- Supports Affiliated Monitors, Inc. case analysts to complete California Medical Board biannual mandatory physician office site assessments.
- Reviews Southern California physician office practices for compliance with state standards during probationary periods.
Emeritus RN / Palliative Simulation Education
Kaiser Permanente Bernard J. Tyson Medical School
Pasadena, CA
09.2022 - Current
- Participates with Kaiser Permanente interdisciplinary faculty and care-actor simulation education to enhance compassionate palliative extubation training for palliative medicine fellows and residents.
In-Patient Palliative Care RN
Kaiser Permanente West Los Angeles Medical Center
Los Angeles, CA
01.2007 - 07.2022
- Supported RN case management for West Los Angeles inpatient palliative medicine consultation service and palliative medicine fellowship.
- Partnered with interdisciplinary medical teams to manage inpatient palliative care referrals, guide serious illness conversations, support goals-of-care planning, and assess and manage symptoms for patients and families.
- Adjusted communication and care planning as clinical status and patient and family priorities changed.
Hospice Liaison
Kaiser Permanente West Los Angeles and Los Angeles Medical Centers
Los Angeles, CA
10.1999 - 01.2007
- Served as hospice liasion for KP Los Angeles and West Los Angeles Medical Centers.
- Reviewed hospice referrals against Medicare clinical criteria, educated patients and families on hospice Medicare benefits, and guided emotional and practical family decisions.
- Facilitated care coordination with RN discharge case management, physicians and clinical staff to ensure a seamless transition into hospice services.
- Occasionally provided as needed weekend RN coverage at Kaiser Permanente Central Hospice Triage Center to maintain continuity of support.
RN — Home Hospice Program
Queen of Angels / Hollywood Presbyterian Hospital
Los Angeles, CA
01.1995 - 01.1998
- Partnered with hospice medical director to serve as liaison and educator for physicians, clinical staff, patients, and families regarding hospice Medicare benefit and hospice enrollment criteria.
- Supported care coordination for transition from hospital into hospice enrollment.
- Provided after-hours on-call RN triage support for patients and families.
Education
Master of Arts - Bioethics
Loyola Marymount University
Los Angeles, CA 01.2007 - 05.2010
Bachelor of Science - Nursing / Public Health Nursing
University of Phoenix
Pasadena, CA 09.1999 - 01.2002
Associate of Science - Registered Nursing
Merced College
Merced, CA 09.1984 - 12.1986
Skills
- Palliative care consultation
- Goals-of-care facilitation
- Interdisciplinary collaboration
- Complex care coordination
- Advanced directive /POLST completion
- Pain and symptom management
- Patient/Family advocacy
- Bioethics decision-making
- Hospice Triage
Professional Affiliations Recognition
- Hospice and Palliative Care Nurses Association
- American Society for Bioethics and Humanities
- American Holistic Nurses Association
- Southern California Cancer Pain Initiative (SCCPI) Award of Excellence in Recognition of Contribution to Cancer Pain Relief, 2008
Earlier Clinical Experience
- Hospice and Palliative Care Nurses Association
- American Society for Bioethics and Humanities
- American Holistic Nurses Association
- Southern California Cancer Pain Initiative (SCCPI) Award of Excellence in Recognition of Contribution to Cancer Pain Relief, 2008
Personal Information
Title: RN, BSN, PHN, MA
Education Credentials
- Hospice and Palliative Care Nurses Association
- American Society for Bioethics and Humanities
- American Holistic Nurses Association
- Southern California Cancer Pain Initiative (SCCPI) Award of Excellence in Recognition of Contribution to Cancer Pain Relief, 2008
Care Coordination Bioethics Leadership
- Hospice and Palliative Care Nurses Association
- American Society for Bioethics and Humanities
- American Holistic Nurses Association
- Southern California Cancer Pain Initiative (SCCPI) Award of Excellence in Recognition of Contribution to Cancer Pain Relief, 2008
Timeline
Per Diem / Independent Contracting RN
Affiliated Monitors, Inc.
06.2023 - Current
Emeritus RN / Palliative Simulation Education
Kaiser Permanente Bernard J. Tyson Medical School
09.2022 - Current
Master of Arts - Bioethics
Loyola Marymount University
01.2007 - 05.2010
In-Patient Palliative Care RN
Kaiser Permanente West Los Angeles Medical Center
01.2007 - 07.2022
Hospice Liaison
Kaiser Permanente West Los Angeles and Los Angeles Medical Centers
10.1999 - 01.2007
Bachelor of Science - Nursing / Public Health Nursing
University of Phoenix
09.1999 - 01.2002
RN — Home Hospice Program
Queen of Angels / Hollywood Presbyterian Hospital
01.1995 - 01.1998
Associate of Science - Registered Nursing
Merced College
09.1984 - 12.1986