Nurse • Steward • Clinical Systems Architect • Workflow Designer
Practicing RN with a systems lens, focusing on how clinical workflows, documentation, and AI tools interact with real-world constraints.
I don’t treat “experience” as a list of job titles. I treat it as a set of systems I’ve lived in: remote triage, rehabilitation, ambulatory workflows, emergency-adjacent environments, and the operational geometry that supports or breaks them. E-MyR is the chart for that work.
Patient Demographics
Professional Links
History – Systems I’ve Lived In
Systems-first view of my work across remote triage, emergency and rehab environments, experimental hardware, and real-world systems outside of healthcare.
Clinical Workflow & Documentation Systems
Most of my recent work has been inside remote and ambulatory clinical workflows, especially nurse-led triage programs and ongoing care management models.
- Mapped nurse workflows for remote triage and chronic care, clarifying decision lanes and escalation paths.
- Worked directly inside EMR/EHR documentation systems, building smart phrases, checklists, and structured templates to reduce rework.
- Helped surface friction points between nurses, providers, and admin teams where information or responsibility was “owned by nobody.”
- Observed how poorly aligned workflows amplify burnout even when tools are technically “working as designed.”
Emergency, Rehab, and High-Acuity Environments
Before remote work, I spent years in acute and post-acute settings. That work shaped how I think about failure modes, handoffs, and cognitive load when things are not stable or predictable.
- Experienced the impact of unclear lanes during code situations, rapid response dynamics, and high-stress transitions of care.
- Worked in rehabilitation environments where progress depends on consistent, reliable communication between nursing, therapy, and physicians.
- Learned how small changes in documentation or workflow geometry can dramatically change how safe and supported staff feel.
Embedded / Experimental Systems & Creative Infrastructure
In parallel with clinical work, I’ve built and experimented with small, real-world systems: from embedded-style prototypes to creative and ecommerce infrastructure. Those projects inform how I think about constraints, feedback loops, and interfaces.
- Designed and tested small, resilience-focused systems with clear inputs, outputs, safety behaviors, and state transitions.
- Engineered biological system prototypes including hydroponics, aquaponics, nutrient-flow control, and regenerative garden environments.
- Built and iterated creative and ecommerce infrastructure, including automation, content workflows, and customer-facing experiences.
- Used photography, macro videography, and visual storytelling as a way to understand attention, perception, and signal design.
Previous Employers & Clinical Context
A non-exhaustive list of organizations whose systems and workflows have shaped how I think:
Healthcare, Clinical, and EMS
- Signallamp Health / TelliHealth (remote triage and chronic care)
- Nobis Rehabilitation Partners
- Encompass Health
- Vitalounge
- Quantum Health
Creative & Systems Adjacent
- Independent work in visual media, ecommerce, and small-scale systems experiments.
Meds – Interventions I Reach For
System-level interventions I reach for when working with teams on workflow and operations.
Clinical Workflow & Documentation Interventions
- Diagramming the real workflow (not the policy version) and naming each lane so ownership is unambiguous.
- Refactoring documentation templates and smart phrases to match how clinicians actually think and speak.
- Reducing duplicate entry and unnecessary variation so the same story isn’t told three different ways in three different notes.
- Designing structured intake and triage flows that reduce back-and-forth messaging and “who owns this?” confusion.
Interface & Interaction Interventions
- Reordering fields, sections, and prompts to align with clinical reasoning instead of database schemas.
- Spotting UI patterns that create hidden friction (extra clicks, unclear states, ambiguous alerts).
- Making “next best action” more obvious so clinicians don’t have to mentally parse the whole system to move forward.
- Connecting the dots between frontline workflows and the data/analytics teams rely on downstream.
Team, Communication, and AI-Enabled Interventions
- Clarifying what gets decided by nurses, what escalates to providers, and what should be automated with safe defaults.
- Designing message routing and handoff patterns that minimize cognitive ping-pong across teams.
- Identifying where AI tools can safely compress effort (drafting, summarization, triage support) without erasing clinical judgment.
- Supporting leaders in translating “we need AI” into specific, testable workflow experiments with clear guardrails.
Labs – Signals I Watch
Signals I watch to understand whether a system is helping or hurting the people working inside it.
Friction & Rework
- Frequency of callbacks, clarifications, and “sorry, wrong team” message reroutes.
- How often nurses or providers have to re-document the same story in a different format for a different audience.
- Number of manual workarounds or shadow systems required to keep things moving.
Handoff Quality & Lane Clarity
- Are responsibilities clearly owned at each step, or is work frequently “floating” between roles?
- Do handoffs carry enough context that the next person can act confidently without starting from scratch?
- Does the workflow geometry support safe escalation and de-escalation, or does everything bottleneck in one lane?
Cognitive Load & Attention
- How much of a clinician’s attention is spent on the patient vs. on remembering how to work the system.
- Whether documentation flows feel like a story being told, or a puzzle being solved.
- Where alerts, notifications, and inboxes create noise instead of useful signal.
Operational Reliability & Change Resilience
- How the system behaves under stress – surges, staff shortages, or sudden policy changes.
- Whether small defects quietly accumulate into failure patterns, or get surfaced early and handled.
- How easy it is to safely test and iterate on workflow changes without destabilizing everything else.
Notes – Progress Notes & Reflections
Lightweight “progress notes” on how my thinking and work are evolving.
Current Learning & Active Work
- Refining a lane-based model for nurse-led workflows that makes decision ownership explicit and testable.
- Exploring how AI tools can reduce documentation load without erasing nuance or clinical judgment.
- Developing ways to visualize “workflow geometry” so leaders can see where friction and ambiguity concentrate.
- Continuing to learn and apply systems thinking, with a focus on practical, frontline implications rather than abstract theory alone.
These notes will change over time. E-MyR is intentionally a living chart, not a frozen snapshot.
Documents – Supporting Artifacts
Core credentials and verification links that ground the lab.
Associate Degree in Nursing (ADN)
License status can be verified via the Nursys QuickConfirm portal.