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Tessa C.

Tessa C.

Nurse Paralegal | Critical Care Documentation Expert

I have over 15 years of Adult Critical Care nursing experience. My roles within healthcare include bedside nurse, charge nurse, quality/medical review nurse, clinical nurse mentor, preceptor, and published medical writer. My duties included: Analyzing standard of care, causation, and medical accuracy. I analyzed and audited voluminous electronic medical records (EMR) for high-acuity patients, cross-referencing vital signs, labs, and physician orders to ensure clinical accuracy. I utilized advanced clinical judgment (PCCN/ACLS/NIHSS) to monitor adherence to evidence-based protocols, institutional policies, and federal healthcare regulations. I maintained meticulous, legally defensible charting of complex medical events, interventions, and patient outcomes under high-pressure conditions. I monitored and documented patient responses to high-risk medications and treatments to identify, mitigate, and report adverse events. I supervised clinical operations for high-acuity units, actively identifying operational bottlenecks, safety hazards, and deviations from hospital policy to minimize institutional liability. I investigated clinical variances, medical errors, and patient complaints; documented findings and collaborated with administration to implement corrective action plans. I ensured unit-wide compliance with Joint Commission (TJC), CMS, and HIPAA regulations during high-stakes daily operations. I directed multidisciplinary teams during medical crises, managing logistics, data flow, and precise timeline tracking during critical events. I conducted retrospective and concurrent reviews of complex medical charts to evaluate the necessity, quality, and appropriateness of care. I investigated adverse clinical outcomes and sentinel events, synthesizing complex clinical data into objective, fact-based reports for administrative review. I extracted, categorized, and managed large datasets from electronic medical records to identify systemic trends in clinical compliance and patient care. I educated and evaluated incoming clinical staff on strict adherence to hospital protocols, legal documentation standards, and patient privacy laws. I audited the clinical performance of peers against standardized national metrics to certify technical competency and safe practice. I guided clinicians through the deconstruction of multifaceted patient cases, teaching them how to systematically identify subtle changes in clinical data. I drafted litigation-ready documents during my TCU paralegal education. I translated highly technical, multi-layered scientific and medical data into clear, concise, and structured written material for diverse audiences. I conducted peer-reviewed literature searches using academic databases to locate, evaluate, and cite authoritative medical evidence. I performed rigorous editorial reviews of clinical data to ensure 100% factual accuracy, logical flow, and structural integrity prior to publication. SKILLS & QUALIFICATIONS: Skills related to medical-legal analytics: I specialized in medical chart auditing, EMR forensics (EPIC Super-User), and ability to transform dense healthcare data into litigation-ready medical chronologies and timelines. I love to research, write, and organize data. Skills related to healthcare and the standard of care evaluation: I have 15+ years of adult critical care experience (Level 1 Trauma) evaluating clinical adherence to institutional policies, core measures, and regulatory guidelines (CMS, TJC). Skills related to investigative and risk mitigation: I have a proven track record in root cause analysis and proactive risk identification, evidenced by multiple administrative "Good Catch" awards for catching deviations prior to harm. Skills related to advanced medical writing: I am a published medical writer and elite freelance content developer (Top Rated Plus, top 3% ranking) adept at synthesizing multi-layered clinical data into clear, objective briefs. Skills related to leadership and crisis management: As a charge nurse I directed operations and medical emergency documentation for a 64-bed critical care unit; highly skilled at navigating complex, multifaceted legal and clinical problems. EDUCATION & CREDENTIALS: Paralegal Certificate (Magna Cum Laude) – Texas Christian University / Center for Legal Studies (2026) Master of Science in Nursing (MSN): Education (Summa Cum Laude) – Aspen University. Thesis: "How nursing documentation affects workflow on a Neurovascular Progressive Care Unit." Bachelor of Science in Nursing (BSN) – Texas Christian University (Accelerated Program) Bachelor of Arts in Psychology (Magna Cum Laude) – University of Texas at Arlington (Research Assistant) Registered Nurse (RN) License: #791521 (Texas) PROFESSIONAL CERTIFICATIONS: ACLS & BLS (Advanced Cardiac & Basic Life Support) PCCN (Progressive Care Certified Nurse) NIHSS (National Institute of Health Stroke Scale Certified) Certified Nurse Preceptor

🇺🇸Crowley, United States$100/hr90% JSS4.90 (18)Since Apr 2019

Earnings and projects

MRR
$0

Last 6 months ÷ 6

World#64,429 / 412k
🇺🇸Country#12,037 / 62.1k
Revenue, last 30 days
$0
Total earnings
$61k

Billed in all: $61k

World#64,429 / 412k
🇺🇸Country#12,037 / 62.1k
Per project
$1.9k
Projects, last 6 months
0
World#209,850 / 412k
🇺🇸Country#27,405 / 62.1k
Projects in all
32

Across 33 contracts

85% fixed15% hourly
World#92,223 / 412k
🇺🇸Country#13,791 / 62.1k

Earnings, last 30 days

$60.9kNothing earned in the last 30 daysBilled in all, before Upwork's fee · drag across the chart to see what was earned in any stretch
$59k$60k$61k$62kOct 8Oct 23Nov 7

Skills