Operating room staff nurse St. John's Hospital, St. Louis, 1962, University Missouri-Columbia Medical Center, 1967. Staff nurse Intensive Care Unit St. Mary's Hospital, St. Louis, 1964. Student health nurse Catholic University, Washington, 1964-1965.
Assistant director St. John's Hospital School Nursing, St. Louis, 1966-1967. Instructor University Missouri School Nursing, Columbia, 1967-1968, guest lecturer, 1970-1971, coordinator planned curriculum change, 1972-1977, instructor continuing education program, 1977-1980. Assistant professor nursing science department Lincoln University, Jefferson City, Missouri, 1980-1987.
Clinical instructor Sinclair School Nursing, University Missouri, Columbia, 1987-1988, clinical instructor, coordinator FNP/GNP master's areas of study, 1988-1989, assistant professor, coordinator FNP/GNP master's areas of study, 1989-1995, associate professor, assistant to dean for government affairs, since 1995. Scout camp nurse St. Peter's Scout Troops, Girl Scouts United States, 1978-1984. Nurse practitioner University Missouri Hospital and Clinica, Lenoir LTC Center, Columbia, Villa Marie Nursing Home, Jefferson City, others, since 1988, Daybreak Residential Treatment Center, since 1994.
Co-investigator Missouri Nursing 2000.
Board directors Heart of Missouri council Girl Scouts United States, 1992-1993. Member board regents St. Mary's Hospital, Jefferson City, since 1991. Member American Nurses Association (certified, member council gerontological nursing practice, member council primary care), Missouri Nurses' Association (Achievement award for special contribution toward advancement of professional nursing 1994), Coalition Missouri Nurse Practitioners, National Alliance Nurse Practitioners, National Gerontological Nursing Association, National Association Orthopaedics Nurses (nursing research funding award 1991-1992), National Organization Nurse Practitioner Faculties, Midwest Nursing Research Society, Sigma Theta Tau (president Alpha Iota chapter 1974-1976, nursing research funding award 1988), Sigma Phi Omega, Kappa Delta Pi.