Surgery & Operating Room Audit Trail Specialist
Contact this Expert Witness
- Phone: 818-521-2783
Specialties & Experience of this Expert Witness
General Specialties:
Nurse and Health InformaticsKeywords/Search Terms:
Operating Room Nurse, Circulating Nurse, RN First Assistant, Audit Trail Analysis, Robotic Surgery, Orthopedic Surgery, Vascular, Gynecology, Spine/Neuro, Documentation Errors, Operating Room, Surgery Center, Trauma, Surgical Errors, Health Informatics, EMR Review, Intraoperative Injury, Surgical Standards of Care, Scrub NurseYears in Practice:
26Additional Information
Anna Gray, RN, CRNFA, CNOR is a Certified Registered Nurse First Assistant with over 25 years of perioperative experience across hospital-based operating rooms and ambulatory surgery center leadership. Her operating room expertise spans robotic (gynecologic oncology, urology, general surgery, hepatobiliary, vascular), complex general, vascular (bypass, carotid, endovascular), orthopedic (total joints: knee, hip, shoulder), neurological (spinal, bleed evacuation, tumor resection), & trauma. With hands-on experience in first assisting, circulating, scrubbing, and precepting. This multi-role background provides a comprehensive understanding of surgical team dynamics, role-specific responsibilities, and intraoperative decision-making. Ms. Gray is a former Clinical Director of Operations for a free-standing surgery center, where she oversaw operating room workflow, staffing, regulatory compliance, and quality assurance initiatives. She has extensive experience evaluating adherence to AORN standards, Joint Commission requirements, and perioperative patient safety protocols. She has specialized expertise in electronic medical record (EMR) documentation and audit trail analysis, including: • Reconstruction of clinical timelines • Identification of late entries and documentation inconsistencies • Correlation of charting with clinical events • Evaluation of order entry, modification history, and documentation accuracy Her approach is grounded in accepted perioperative nursing practices and supported by clinical documentation.