LEGAL NURSE CONSULTING • IME / DME OBSERVATION
de Bruyn Legal Nurse Consultant bridges clinical reality and litigation strategy. Providing experienced, objective nurse observation and comprehensive reporting for Defense and Independent Medical Examinations (DME/IME).
LEAD LEGAL NURSE CONSULTANT
Sacramento & Bay Area
Extensive acute care, clinical assessment & nursing rehabilitation depth.
Objective presence protecting client dignity & preserving factual legal records.
Unbiased record synthesis, test correlation & chronological discrepancy detection.
Well-versed in California statutory guidelines and Federal Rule 35 examinations.
THE CRITICAL DIFFERENCE
Medical examinations can be stressful, unfamiliar, and inherently adversarial. An experienced nurse observer provides an objective, calm presence ensuring procedural fairness, client security, and meticulous factual verification.
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 lawful verbatim audio recordings of all examiner inquiries, client responses, and verbal declarations.
Contemporaneous Evidence
Delivering an organized, comprehensive written report within 48–72 hours detailing physical tests performed versus omitted, patient demeanor, and exam timeline.
Delivered in 48-72 Hours
“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 California personal injury attorneys, defense firms, workers’ compensation practitioners, and claimants.
PRIMARY SPECIALIZATION
Active, objective attendance at Defense Medical Examinations and Independent Medical Examinations. From complex orthopedic trauma and spinal injuries to neurological and psychiatric evaluations.
Serving Northern CA & Beyond
Direct plaintiff preparation before the doctor walks into the room. We demystify physical exam techniques, clarify the examiner’s role, and address fears so clients present accurately, calmly, and truthfully without misrepresentation.
Conducted via phone or video prior to exam day.
Rigorous comparative review contrasting the examining doctor’s formal written report against our live observed notes. We pinpoint discrepancies, unperformed tests claimed as complete, and misquoted statements for trial counsel.
CROSS-EXAMINATION READY
Converting voluminous, unorganized medical records into concise chronological timelines. We spotlight pre-existing conditions, causation milestones, future treatment projections, and medical bill audit support.
LITIGATION SUPPORT
STREAMLINED LEGAL WORKFLOW
From the first phone call to post-examination deliverables, our intake is engineered for
fast-moving legal practices.
Same-day confirmation
Client anxiety mitigation
Prompt, professional attendance
Includes lawful audio file
FOUNDER & PRINCIPAL CONSULTANT
Bettie de Bruyn is a seasoned California Registered Nurse and the driving force behind de Bruyn Legal Nurse Consulting. Having built extensive experience in acute care hospitals, healthcare facilities, and complex medical case management, she understands both the physical reality of an injury and the evidentiary requirements of litigation.
Her approach balances compassionate client demeanor with firm procedural awareness under California Code of Civil Procedure § 2032 and Federal Rule 35. When trial counsel sends Bettie to an exam, they know their client will be treated with dignity, the examining physician will remain within lawful boundaries, and counsel will receive a clear, courtroom- ready factual record.
100%
OBJECTIVE STANCE
48–72h
REPORT TURNAROUND
NorCal
FULL REGIONAL COVERAGE
ATTORNEY & CLIENT FEEDBACK
Feedback from personal injury litigators, paralegals, and plaintiffs who count on
Bettie’s presence.
IMMEDIATE AVAILABILITY & SHORT-NOTICE COVERAGE
Legal nurse consulting is my dedicated calling. Defense or plaintiff, short- notice emergency coverage or examinations scheduled months in advance I always return messages promptly.
Examinations observed pursuant to California Code of Civil Procedure § 2032.510 and Federal Rule of Civil Procedure 35.
