Legal Review

Expert opinion, expert testimony.

As a vascular access specialist and nurse educator, Dr. Nancy Moureau provides legal medical reviews and expert witness testimony specific to PICCs, midlines and intravenous therapy issues. Her specialty is intravenous access and infusion services within the adult and pediatric populations. Nancy is considered a national and international expert on PICCs, and frequently functions as an expert witness. Consultation for defense or plaintiff cases includes record review for opinions, strategies and determination of merit.

Nancy has a wealth of knowledge and experience to apply to legal reviews. She has been a nurse for 35 years and has experience in neonatal, pediatric and adult intensive care areas, home care, home infusion, long-term care and as a hospital consultant. Key areas of specialization include: midlines, PICCs, central and peripheral venous access, ultrasound, home care, pediatrics, neonates, geriatric concentrations, education, Standards of practice, intravenous training and insertion with all populations.

As a PICC expert, educator and researcher, Nancy stays up to date in all areas of intravenous access, primary complications, etiologies, preventive measures and the standards of practice. Staying current in all areas of vascular access allows her to easily perform speaking, affidavit development, depositions and testifying services.

As a vascular access specialist and nurse educator, Nancy educates attorneys on the issues of a case with cause and effect, reviews medical records, assists in the development of approach strategies, creates a timeline of events, establishes supporting research and provides testimony. Because of her experience as a speaker, Nancy is comfortable testifying in front of groups, performing video depositions and providing general testimony. Legal review is approximately 10% or less of Nancy's overall job as a clinician, educator and consultant; the remaining percentage is spread over curriculum development, speaking as a key opinion leader and consulting with medical manufacturers.

Rates for Nancy or other clinicians associated with PICC Excellence, Inc. for legal review are structured at a flat retainer rate for the initial review. Hourly and per day rates apply after the initial review. Initial review for opinion: Flat rate of $3500 for record review, phone consultation, affidavit if needed – up to 7 hours of initial work. Following the initial review, hourly rates of $350 per hour apply to written reports, additional consultation, deposition preparation and testimony and travel time associated with any testimony. Flat day rate applies to testimony more than 80 miles from home and is billed at $3500 per day plus expenses. Travel expenses and any other expenses associated with deposition or trial testimony will be invoiced and reimbursed. Curriculum vitae and rate sheet provided upon request. Contact or email Nancy directly to determine suitability of case and which clinician would provide the best match for your needs (nancy@piccexcellence.com). Please contact us by phone or email.

Training and Education
Nancy received her training at East Carolina University in Greenville, NC and at MD Anderson Cancer Center in Houston, Texas (see bio for full resume). She received her Doctorate of Philosophy in Research at the School of Nursing Griffith Graduate Research School (GGRS) at Griffith University, Brisbane, Australia. Additional medical/clinical training includes two years at CETEC Universidad in the Dominican Republic as well as an externship in OB/GYN at Baptist Medical Center in Jacksonville, FL. Nancy received additional training at the Policlinico Gemelli Catholic University and Medical Center in Rome, Italy, at Royal Berkshire NHS Foundation Trust in Reading, England and Gartnaval Royal Hospital in Glasgow, Scotland. She holds the following certifications: Certified PICC Ultrasound Inserter (CPUI), intravenous specialist (CRNI) by the Intravenous Nurses Society (INS) and Vascular Access Board Certification (VA-BC) from the Association of Vascular Access (AVA). As an active member of both INS and AVA, past president of a local INS chapter, past Treasurer of AVA and Director at Large on the AVA Board of Directors, Nancy is a frequent national and international speaker and recognized expert in all areas of vascular access.

Nancy holds the following degrees, certifications and recognitions:

Bachelor of Science in Nursing – East Carolina University 1981, CRNI – National Intravenous
Therapy Association/Intravenous Nurses Society/Infusion Nurses Society
PICC Insertion Training – MD Anderson Cancer Center – 1990
Medical Training – CETEC Universidad
PICC Trainer Qualification – Intravenous Nurses Society – 1991
PICC Instructor for 22 years
‘Who’s Who of American Nursing’ – since 1993
‘Recognized American Business Women’ – since 1996
‘International Who’s Who of Entrepreneurs’ – since 1997
Ultrasound Certified Trainer AVA 2008
Certified PICC Ultrasound Inserter (CPUI) – since 2009
Vascular Access Board Certification (VA-BC) – since 2010
PhD - Doctorate of Philosophy in Nursing Research with Vascular Access Specialization, Griffith University, Brisbane, Australia 2017