In-service instructor Pima County General Hospital, Tucson, 1973-1975. Coordinator patient education and discharge planning Kino Community Hospital, 1976-1977, program planner, 1977-1978. Instructor to assistant professor nursing Northern Arizona University, Flagstaff, 1978-1982.
Clinical instructor education department International Medical Association King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia, 1982-1984. Acting director nursing, director education Tawam Hospital Ministry of Health, Al Ain, United Arab Emirates, 1987-1989. Director patient care International Medical Association Mid-Jefferson Hospital, Nederland, Texas, 1990-1991.
Chief nursing officer Westbury Hospital, Houston, 1991-1995. Part time instructor Mercer University School Nursing, 1985-1987. Part time nurse Metropolitan Eye and Ear Hospital, Atlanta, 1985, Kennestone Hospital, Marietta, Georgia, 1987, Piedmont Hospital, 1990.