As a Defense Medical Examination Observer
(DME Observer),
we will deliver a Detailed Report and Audio Recording.

Our role as Legal Nurse Consultants is to Evaluate and Analyze.

Schedule an IME/ DME Observer today

What we do

de Bruyn Legal Nurse Consultants helps law firms increase profits and cut costly overhead

Legal Nurse
Observer

Independent Medical Examination also know as an IME

We are Registered Nurses

Your client is already stressed. The last thing they need is an attorney at their defense medical
examination. (This is not a personal medical examination.) People, in general, are not comfortable in a doctor’s office. A registered nurse can ease their anxiety.

We Observe your Client

The legal nurse observer observes your client from the moment they arrive at the office until they depart. This includes assessing the plaintiff’s movements, expression of discomfort, and mobility before, during, and after the evaluation.
Injured people trust nurses. They talk to nurses about things they won’t tell their friends, attorneys, or even doctors.

Defense Medical Examination Observer

Independent Medical Exams case stories and blog post by Bettie de Bruyn

Client Pre-Preparation

A legal nurse consultant is a registered nurse. Having a trained nurse observer meet with a client before the assigned medical doctor’s appointment will help them understand why they must go to this doctor and not their own physician.

Informing the Physician.

We inform the physician of the “stipulations of the Response letter.” Physicians usually take full medical, surgical, medication, and social history from their patients. Usually, the response letter allows the examiner to obtain a history of the injuries sustained in the accident. We can assure you that we will assertively stop your client from answering if the examiner asks a “forbidden” question.

Independent Medical Evaluation Observer

Legal Observer is a Defense Medical Examination Observer

Avert Uncensored Deposition

Be assured that you will receive a detailed report and audio recording of everything that transpired during this evaluation.
During the physical exam, we observe and report which tests were performed, which standard tests were not, and which tests were performed incorrectly by the examiner. I also comment on the plaintiff’s responses to these tests and pain complaints of painful expressions.

What people say about us

I am pleased with my experience with deBruyn Legal Nurse Consulting. As a legal assistant, Bettie de Bruyn answered all my questions as I brought them up to her, was very detailed, and was always willing to help; however, she could. She also asked many questions so that she had an idea and know more about our client’s needs. I would recommend her legal nurse consulting service to anyone who needs a nurse observer for any medical observation. Thank you, Bettie de Bruyn, for all your help and prompt report. I hope we can work together again.
Legal Assistant
Legal AssistantCunningham & Sherman, LLP.
I am pleased with my experience with deBruyn Legal Nurse Consulting. As a legal assistant, Bettie de Bruyn answered all my questions as I brought them up to her, was very detailed, and was always willing to help; however, she could. She also asked many questions so that she had an idea and know more about our client’s needs. I would recommend her legal nurse consulting service to anyone who needs a nurse observer for any medical observation. Thank you, Bettie de Bruyn, for all your help and prompt report. I hope we can work together again.
Legal Assistant
Legal AssistantCunningham & Sherman, LLP.
I am pleased with my experience with deBruyn Legal Nurse Consulting. As a legal assistant, Bettie de Bruyn answered all my questions as I brought them up to her, was very detailed, and was always willing to help; however, she could. She also asked many questions so that she had an idea and know more about our client’s needs. I would recommend her legal nurse consulting service to anyone who needs a nurse observer for any medical observation. Thank you, Bettie de Bruyn, for all your help and prompt report. I hope we can work together again.
Legal Assistant
Legal AssistantCunningham & Sherman, LLP.
I am pleased with my experience with deBruyn Legal Nurse Consulting. As a legal assistant, Bettie de Bruyn answered all my questions as I brought them up to her, was very detailed, and was always willing to help; however, she could. She also asked many questions so that she had an idea and know more about our client’s needs. I would recommend her legal nurse consulting service to anyone who needs a nurse observer for any medical observation. Thank you, Bettie de Bruyn, for all your help and prompt report. I hope we can work together again.
Legal Assistant
Legal AssistantCunningham & Sherman, LLP.
I am pleased with my experience with deBruyn Legal Nurse Consulting. As a legal assistant, Bettie de Bruyn answered all my questions as I brought them up to her, was very detailed, and was always willing to help; however, she could. She also asked many questions so that she had an idea and know more about our client’s needs. I would recommend her legal nurse consulting service to anyone who needs a nurse observer for any medical observation. Thank you, Bettie de Bruyn, for all your help and prompt report. I hope we can work together again.
Legal Assistant
Legal AssistantCunningham & Sherman, LLP.
Bettie was instrumental in her position as a nurse observer on one of my cases. She was responsive and professional throughout my case.
IME/DME Nurse Observer
Hazel ChangAttorney, Wilshire Law firm
I was in a rush to find a nurse observer for an IME up North. My office is in Southern California. I was referred to Ms. Bettie De Bruyn. From my first conversation with her, I knew I would hire her on an ongoing basis. She is very knowledgeable, cares about the client, and very professional. Hiring her added value to my case because she was detailed in her report and very experienced in observing the doctor’s evaluation. I will certainly hire her again.
Eber Bayona
Eber BayonaAttorney, Sweet James
Betty contacted me before my appointment to let me know what to expect. She met with outside the doctor’s office to help calm me as I was very nervous. Betty went over what the appointment would entail. She was very kind, knowledgeable, and supportive. She helped put me at ease. She was right there.
Rachelle R
Rachelle RPersonal Injury Victim , Client
Having worked with Bettie for the past 10 years, I have seen first-hand her ability to navigate complex patient care records with dexterity.
Bettie has a skilled intuition guiding her focus to dive deep for answers and an ability to bring clarity to the facts. She provides a clear picture of what transpired and how it played a part in the patient’s outcome.
She is a dedicated learner that enjoys the search and research it takes to bring answers to medical mysteries.
Melinda Gardner
Melinda GardnerSenior Claims Assistant , Dignity Health
I was recently a nurse observer for my first DME. Bettie trained me and guided me through each step of the way. She was there for me when I had questions, and she provided me with helpful feedback to improve my report writing. She is knowledgeable, responsive, and she paid me for my work within hours of receiving it. Bettie continues to be a mentor and a valuable resource as I navigate new territory.
Kari Himmelstrup
Kari HimmelstrupRN-LNC
I contacted this office to have a nurse cover a DME at pretty short notice and they were very responsive and professional. There was also a quick turnaround time with providing our office with a report. I highly recommend these services!
Shirley Jiminez
Shirley JiminezParalegal
You need a nurse observer? Look no further. You need someone to put your client at ease? Look no further. Betty is our go-to every time. She keeps defense docs from cutting corners and reports when they do. A little humanity in the legal process!
Pete Clancy
Pete ClancyPlaintiff Attorney
I strongly recommend Bettie to attorneys looking for an LNC or IME/DME observer. I came to know Bettie as a student of my first course on EMR audit trail analysis. She impressed me with both her mastery of medical/legal analysis generally and how quick she picked up the course material. She is thorough, direct, and honest, and she would make a valuable addition to any team.
IME/DME Nurse Observer
Saira PashaEMR Audit Trial Expert
Bettie De Bruyn is an expert legal nurse consultant who is professional, reliable and dedicated. Her warm personality is welcoming, and her communication style is relaxed. Her legal nurse consulting business has grown, and she also trains nurses to serve as legal nurse consultants. I highly recommend her to anyone in need of this service.
IME/DME Nurse Observer
Teresa SandersonSpeaker/ Author/ Nurses feed their young
Bettie is an incredible nurse with an extensive experience in injured patients. She is knowledgeable. She is driven by quality. In fact, the quality of her DME is incredible. She fights for the patients’ rights in the exam room and beyond.
IME/DME Nurse Observer
Ana RamirezRN, Paralegal, Medical Cost Analysis

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