Staff and charge nurse Georgetown University Hospital, Washington, 1976. Charge nurse, obstetrics-gynecology Vanderbilt University Hospital, Nashville, 1976—1977. Charge nurse, labor and delivery service Baptist Hospital, 1977—1980.
Assistant professor, department baccalaureate nursing Austin Peay State University, Clarksville, 1981—1983. Director, nursing services Memorial Hospital, Guymon, Oklahoma, 1983—1985. Director, Women's Center/Maternal-Child Nursing McKay-Dee Hospital Center, Ogden, Utah, 1985—1987.
Director, nursing Jeff Anderson Regional Medical Center, Meridian, Mississippi, 1987—1989. Program manager, director Women's Center University Community Hospital, Tampa, Florida, 1990—1991. Administrative director, women's health services Scripps Memorial Hospital, La Jolla, California, 1991—1992.
Assistant administrative professor Hart County Hospital, Hartwell, Georgia, 1992—1994. Consultant to middle Tennessee and Northern Utah areas on health and nursing issues. Consultant quality assurance Al Hada Hospital, Taif, Saudi Arabia, 1992, associate administrative nursing Saudi Arabia, 1992—1999.
Member of National Association of Female Executives, American Nurses Association (Certified in Nursing Administration 1989), Virginia Nurses Association (Student Nurse of Year award 1975), Tennessee Nurses Association (legislation chairman district 13 1982-1983, president 1982), American College Health Care Executives (international associate), American Organization Nurse Executives, Alpha Chi, Sigma Theta Tau.