What we do
We translate medical records, clinical practice, and healthcare regulations into clear, defensible findings attorneys can rely on.
Our work is grounded in:
Medical standards of care
Federal and state healthcare regulations
Documented evidence, not advocacy
Every review is conducted with the understanding that it may be challenged, dissected, and defended in court.
Objective. Defensible. Litigation-Ready.
When medical facts are complex, incomplete, or contested, attorneys need more than summaries — they need clear, evidence-based analysis that withstands scrutiny.
PacWest Nursing Solutions provides independent medical and regulatory analysis to support litigation strategy, expert preparation, and case valuation for defense and plaintiff counsel.
Services
Medical Record Review & Chronologies
Clear, organized timelines that identify key events, omissions, and deviations.
Standard of Care & Regulatory Analysis
Evaluation of clinical actions against applicable standards, policies, and regulations.
Merit & Case Screening
Early identification of strengths, weaknesses, and risk exposure before litigation costs escalate.
Expert & Deposition Preparation Support
Objective analysis to support expert testimony and attorney preparation.
Grievance, Compliance, & Policy Review
Assessment of internal policies, grievance handling, and regulatory exposure.
SEE A SAMPLE REPORT BELOW
Our Methodology
Each case review follows a structured, defensible process:
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Comprehensive medical record analysis
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Identification of applicable standards and regulations
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Correlation of facts to standards
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Clear separation of observation, analysis, and opinion
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Documentation suitable for litigation and expert review
This approach supports Daubert/Frye admissibility and reduces vulnerability under cross-examination.
Why Attorneys Choose PacWest
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Courtroom mindset — Every opinion is written as if it will be challenged.
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Objective methodology — We separate facts, standards, and opinion clearly.
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Regulatory fluency — Clinical care does not exist outside regulation.
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Efficient communication — Findings attorneys can quickly act on.
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No advocacy bias — Our credibility is our value.
We do not oversell cases-We do not speculate-We do not blur opinion with fact.
About us
PacWest Nursing Solutions is a leading nurse consulting firm based in Goldendale, Washington. With years of experience in the healthcare industry, we are committed to delivering exceptional nursing solutions that drive success for our clients.