Signature RN does not provide hourly or private duty nursing care, diagnose medical conditions, prescribe medications, or provide emergency care. I provide nursing education, advocacy, care coordination, and healthcare problem solving to help you understand and follow your existing care plan.

I can provide education and support related to nursing care and medical equipment, such as wound and dressing care, IV therapy, diabetes care, blood pressure monitoring, medication management, weight management, and post surgical care. These are examples and not an exhaustive list. Depending on your needs, I may also be able to help you understand, organize, and coordinate other types of nursing care, treatments, or equipment that are part of your existing care plan.

I can also work alongside your physician, home health nurse, hospice team, caregivers or aides, and PT/OT providers to help keep communication clear and care coordinated.

If you are experiencing a medical emergency, call 911 or seek emergency care immediately. If you are hospitalized or in a care facility, I can provide bedside advocacy by helping communicate your questions, concerns, rights, and wishes with the care team so you and your family feel informed and supported.

No. Signature RN is a concierge private healthcare advocacy service and does not bill insurance or healthcare organizations. Services are paid directly by the client.

Because I work independently, my role is to represent your interests, needs, goals, and wishes, not those of your insurance company, hospital, or other healthcare organization. This allows me to provide personalized, client centered support focused on helping you understand your options, coordinate your care, and navigate the healthcare system.

Signature RN provides private healthcare navigation, advocacy, and care coordination. Services include Healthcare Problem Solving, Healthcare Deep Dives with medical-record review, medical appointment support, hospital advocacy, care-transition support after hospitalization, and ongoing support for aging in place or chronic illness.

Healthcare Problem Solving is a focused 60-minute consultation to clarify a concern, organize information, identify questions for your healthcare team, and create practical next steps.

A Healthcare Deep Dive is a 90-minute consultation for more complex situations and includes a review before the consult of medical records, diagnoses, medications, testing, specialist care, and outstanding recommendations.

Yes. Medical Appointment Support includes preparation before the visit, advocacy during the appointment—in person, by phone, or by video—and a plain-language written summary of what was discussed and what happens next. The fee is $500 per appointment; in-person visits may include a distance-based travel fee.

Yes. The Signature RN Membership begins with a comprehensive intake, including chart review, a health summary, healthcare binder, safety walkthrough, and care-plan meeting. Ongoing support is available as Light Support or Ongoing Support with visits available in person, by phone, or by video.

Ongoing support is designed for individuals and families who want a trusted nurse to stay involved as healthcare needs evolve. Support can include coordinating providers, appointments, services, and resources; organizing medications and follow ups; educating and supporting caregivers; helping with new treatments or equipment; addressing new healthcare needs; and adjusting the support plan as needs change.

Comprehensive Ongoing Support
For those who want ongoing help managing the moving pieces of their healthcare. Regular visits and continued coordination help keep care organized, identify concerns early, and address needs as they arise.

Light Ongoing Support
For those who are generally managing well but want a trusted nurse in their corner. Twice monthly check ins provide an opportunity to discuss current concerns and get help with needs such as appointments, medications, care coordination, new health concerns, or questions that come up between visits. Support is focused on what you need at the time rather than ongoing management of every aspect of your care.

For more than 25 years, I have worked as a nurse across hospital, outpatient, long term care, and leadership settings. Most of my career has been in the Bay Area, where I have worked across healthcare systems from Gilroy to San Francisco, including Stanford, Santa Clara County, PAMF, Kaiser, and other private hospitals. This experience has given me firsthand knowledge of how care is delivered across different settings and systems, and how to navigate the complexities between them.

I also understand healthcare from the family’s side. I spent months at my brother’s bedside after his traumatic brain injury, helped care for my father through 10 years with ALS, and brought my grandfather home from the ICU on hospice so he could be surrounded by family.

I know how overwhelming and personal these experiences can be. I listen carefully, explain clearly, and draw on both my professional expertise and lived experience to help you find practical solutions, protect what matters most, and move forward with confidence.

Start with a complimentary, private 20-minute call. We’ll discuss what you’re navigating, the support you’re looking for, and whether Signature RN is a good fit before deciding on next steps.

SCHEDULE A CALL

With more than 25 years of nursing experience across critical care, trauma, acute care, outpatient care, radiology, long term care, and hospital administration, I bring a broad understanding of how healthcare works and how the pieces connect.

I listen carefully, look at the whole picture, and find creative, practical solutions that fit your life, priorities, and goals. That might mean helping you navigate a new diagnosis, supporting you through a hospitalization or recovery, coordinating care and caregivers, managing a chronic condition, or creating a plan that allows you to remain safely and confidently at home.

I can step in when healthcare becomes complicated, take the moving pieces off your plate, and help you and your family feel informed and supported. Whether you are managing your own care or helping someone you love from near or far, you don’t have to figure it all out alone.

Your health information is private and treated as confidential. As a registered nurse, I am professionally and legally obligated to safeguard the information you share with me. I use Practice Better, a HIPAA-compliant electronic health record, for secure client records and communication. Information is accessed and shared only as needed to support your care, with your permission, or when required by law. For the greatest privacy, we will communicate through the Practice Better portal, including secure messaging, email, and text.

Your Health Information, All in One Place

Spend less time searching for medical records and more time focusing on your health. Guava helps you organize your lab results, medical history, medications, symptoms, and daily health metrics in one secure place, making it easier to spot trends, prepare for appointments, and share important information with your healthcare team.

Included with Signature Nursing Advocacy services

All clients receive 30 days of Guava Premium at no cost. Ongoing members continue to receive Premium access as part of their membership, including an AI health assistant, AI powered medical record scanning, and personalized insights into your health data.