Publications

• Rupa Kotecha LNC CV 2025.docx

Actively Practicing Emergency Room Nurse 25+ Years

Specialties & Experience of this Expert Witness

Additional Information

Expert Witness & Legal Nurse Consulting Services: • Expert opinions on standard of care, causation, and damages • Medical record review and case merit analysis • Reports, chronologies, timelines, and literature review • Expert Testimony Experience • Plaintiff & defense experience Actively Practicing at the Bedside Rupa Kotecha is a Registered Nurse with over 25 years of hands-on clinical experience. Unlike "career witnesses," Ms. Kotecha maintains active bedside practice and works as a Charge Nurse in a high-volume Emergency Department. This ensures her expert opinions are grounded in current 2026 Standards of Care, modern Electronic Medical Record (EMR) systems, and evolving hospital protocols. Emergency Department Leadership & Operations As a Charge Nurse, Ms. Kotecha manages departmental throughput, staffing ratios, and the Scope of Practice for multidisciplinary teams. Her administrative oversight makes her uniquely qualified to testify on: • Triage & Acuity Errors: Expert in ESI (Emergency Severity Index) and failure to recognize deteriorating patients. • EMTALA Compliance: Analysis of "patient dumping," medical screening exams (MSE), and stabilization requirements for transfer. • Departmental Operations: Staffing adequacy, supervision, and resource allocation. • Patient Safety: Failure to monitor, delayed treatment, and communication/documentation breaches. • Resuscitation Failures: Analyzing "Failure to Rescue" and events leading to cardiac or respiratory arrest. • High-Acuity Care: Sepsis protocols, Stroke (TNK/tPA administration), STEMI, and Trauma resuscitation. Clinical Experience with all of the following, and more: Sepsis, Septic Shock, SIRS, Stroke, CVA, NIHSS, TNK, tPA, Thrombolytics, STEMI, NSTEMI, Myocardial Infarction, Angina, Chest Pain, Cardiac Arrest, Arrhythmia, V-Tach, A-Fib, CHF, Pulmonary Edema, PE, DVT, Respiratory Failure, COPD, Asthma, Pneumothorax, Pneumonia, ARDS, DKA, Hypoglycemia, Electrolyte Imbalance, Hyperkalemia, Renal Failure, AKI, GI Bleed, Appendicitis, Ectopic Pregnancy, Preeclampsia, SIDS, Meningitis, Seizures, Status Epilepticus, Overdose, Toxicology, Narcan, Alcohol Withdrawal, 5150 Holds, Suicide Risk, Anaphylaxis, Stevens-Johnson, Level I Trauma, Blunt Trauma, Penetrating Trauma, TBI, Concussion, Subdural Hematoma, Spinal Cord Injury, Compartment Syndrome, Fractures, Amputation, Burns, Pressure Ulcers, Decubitus, Wound Vac, Surgical Site Infection, Necrotizing Fasciitis, Standard of Care, Scope of Practice, Malpractice, Negligence, Failure to Monitor, Failure to Rescue, Medication Errors, IV Infiltration, Extravasation, Fall Risk, Bedside Shift Report, Sentinel Events, Root Cause Analysis, JCAHO, Title 22, Staffing Ratios, Informed Consent, DNR, Audit Trails, EMR, EPIC, Cerner, Meditech, Pyxis, ESI Triage, EMTALA, MSE, Patient Dumping, Diversion, Boarding, MICN, ACLS, PALS, BLS, CPR, Defibrillation, Cardioversion, Pacing, RSI, Airway Management, Ventilator, ABG, Central Line, Arterial Line, Intraosseous, IO, IV Start, Blood Transfusion, Chest Tube, Foley, Splinting, Charting by Exception, Ketamine, Propofol, Rocuronium, Etomidate, Fentanyl, Versed, Norepinephrine, Levophed, Epinephrine, Amiodarone, Heparin, Insulin GTT, Zofran, Toradol, Morphine, Norco, Dilaudid