Over 10,000+ Defense Medical Examinations observed in the last 7 years. Dedicated primary coverage across California, Nevada, and Arizona with a vetted 50-state nurse observer network. I prefer direct contact from attorneys by call, text, or email. No contact forms.
LEAD LEGAL NURSE CONSULTANT
Consumer Attorneys of California
65 Years of Justice
Consumer Attorneys of California • 65 Years of Justice (1961–2026). Actively supporting and attending California's premier trial attorney convention.
35 Years of acute bedside and clinical rehabilitation nursing experience.
Extensive direct experience over 7 years across California, Nevada & Arizona.
Certified Nurse Case Manager & 17 years as a dedicated Legal Nurse Consultant.
Thorough statutory compliance, asserting objections to unpermitted inquiries.
THE CRITICAL DIFFERENCE
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.
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.
Ensuring the examining physician adheres strictly to permitted scopes, recording start and stop times, range-of-motion angles, and physical maneuvers without interference.
Factual & Non-Intrusive
Mitigating clinical anxiety. Injured workers and personal injury plaintiffs feel supported by a compassionate medical advocate who understands pain behaviors and clinical language.
Reduces Exam Stress
Maintaining contemporaneous handwritten logs and audio recordings of all examiner inquiries, client responses, and verbal declarations throughout the exam.
Contemporaneous Audio Recording
Delivering an organized, comprehensive objective report detailing physical tests performed versus omitted, patient demeanor, and complete examination timeline.
Net-30 Terms & Prompt Delivery
“Examiners alter their posture and rigor when they realize a registered nurse is taking meticulous notes beside them.”
— Bettie de Bruyn, RN
SPECIALIZED PRACTICE OFFERINGS
Tailored support for personal injury attorneys, defense firms, workers’ compensation practitioners, and claimants.
Nationwide Specialization
A legal nurse consultant is a registered nurse. Having a trained nurse observer meet with a client before the assigned doctor’s appointment helps them understand why they must attend and puts them at ease. Over 10,000+ DMEs observed.
CA, NV, AZ & All 50 States
We inform the physician of the stipulations of the Response letter. Usually, the response letter allows the examiner to obtain a history of the injuries sustained in the accident. Our nurses assertively stop forbidden or unpermitted questions.
10+ Years Acute RN Experience on Every Case
Receive an objective report and audio recording of everything that transpired during this evaluation. We avert uncensored inquiries and preserve evidence accurately.
Avert Uncensored Deposition
In addition to English, we provide dedicated Spanish, Mandarin, and Farsi speaking nurse observers who understand medical terminology, cultural nuances, and statutory examination rules.
Spanish • Mandarin • Farsi
STREAMLINED LEGAL WORKFLOW
From the first phone call to post-examination deliverables, our intake is engineered for
fast-moving legal practices.
Attorneys call, text, or email Bettie directly (no contact forms). Bettie requests and reviews the demand letter to match the right nurse observer by date, time, location, exam specialty, and examiner temperament.
Direct Attorney Contact • Fast Matching
Fee agreement is sent; objection letter, date of loss, deposition date, and claimant’s phone number secured. The case is matched to an assertive nurse observer with 10+ years acute clinical experience carrying independent liability insurance.
10+ Year RN • Insured Contractors
Nurse conducts an introductory prep call explaining exam scope, meeting time, location, and dress code. On exam day, nurse arrives early, meets claimant, asserts stipulations to physician, takes contemporaneous notes, and audio records.
Patient Reassurance • Audio Recording
Attorneys receive a detailed invoice with payment terms. As soon as invoice payment clears, the complete objective report and contemporaneous audio recording files are released immediately to counsel.
Payment Terms • Prompt Report & Audio
FOUNDER & PRINCIPAL CONSULTANT
Legal Nurse Consulting is my life’s passion. With 35 years of acute bedside nursing experience, Certified Nurse Case Manager credentials, and 17 years as a Legal Nurse Consultant, my team has observed over 10,000+ Defense Medical Examinations in the last 7 years.
Direct Attorney Contact: I prefer direct contact from attorneys by call, text, or email. No contact forms. I understand the critical importance of my availability to an attorney’s litigation, and I always return messages promptly.
Notice for Interested Nurse Observers: Email your resume, who trained you in DME observing, and a redacted sample report. All nurse observers must carry 10+ years of acute nursing experience (ER, ICU, Orthopedics, or Neurology) and maintain independent professional liability insurance. Strictly no cold calling. No contact forms.
35 Years
RN Experience
10,000+
DMEs Observed (7 Yrs)
50 States
Vetted Network (CA/NV/AZ)
What People Say About Us
Direct feedback from personal injury litigators, plaintiff attorneys, and legal assistants who count on Bettie de Bruyn.
IMMEDIATE AVAILABILITY & SHORT-NOTICE COVERAGE
Schedule an IME/DME Observer today. Call, text, or email Bettie de Bruyn directly. I prefer direct contact from attorneys and do not use contact forms. Coverage across California, Nevada, Arizona, and all 50 states.
Examinations observed pursuant to California Code of Civil Procedure § 2032.510 and Federal Rule of Civil Procedure 35.
