Because you're family to us,
Meet our team!
Jeff and Beth Paul carefully selected their eight nurses and two office assistants to help aid the Vancouver, Washington area. Our team includes Annie, Ashley, Echo, Donna, Jeanne, Jenn, Julie, Lanny, Corina, and Tara. Our skilled team has provided hospice services in rural areas, treated the sick and injured in busy city emergency rooms, and run county health departments. United, we have over 200 years of nursing experience. As a family, we promise to go above and beyond for you. Welcome.
Nurse delegation Vancouver WA
Whatever challenges you are facing, we are In It Together.
Our professional team provides the highest level of care with attention to detail. In It Together RN’s provides delegation that is right for you and those you love. Whether you need a little help with scheduling and getting to a doctor’s appointment, or need full-time care in your home, we are here for you. We work with healthcare systems so you don’t have to. We are here for you every step of the way.
Nurse delegation Vancouver WA
Why choose IITRN?
Meet our team
At the age of 14, Jeff purchased his first vehicle for $412.50! Wow, can you say cheap! By age 16, he had fixed up, bought and sold and bartered his way up to a 3-year-old VW Scirocco. Jeff was certain his life career would be involved in cars; he was clearly a car guy. At first, he worked for parts supply stores but was most interested in auto painting. By the age of 30, he had worked as a regional sales rep for a major paint manufacturer and as a painter for the Boeing company. Life changes including a wife and three kids prompted him to start an auto restoration shop.
Working in healthcare was the last thing he foresaw for himself. While building the auto restoration business, his wife's grandfather chose to come to live with Jeff and his family. The two years Frank lived with them were life changing for Jeff. He assisted in caring for Frank, enjoying the time together and the stories of Frank’s life and history. Although his love for fixing up cars was still present, he realized he wanted to be a part of something more meaningful-- after all the beauty of an old car was as much in the history of the driver as it was the car – why not invest in the driver? The privilege and honor he felt in helping others were
profound and uplifting.
Beth and Jeff spent a lot of time talking, thinking and looking at what options they could pursue to provide a compassionate, caring healthcare company. From their shared commitment and vision, In It Together was born.
In It Together RN (IITRN) is a professional nursing agency located in Vancouver, Washington. Beth Paul started this agency in October of 2016. Prior to October 2016, she provided nurse delegation and other nursing services to our community as an independent RN since 2010. She was first awarded a Medicaid nurse delegation
contract in May of 2010.
Beth has been a registered nurse since 2003. She graduated from Clackamas Community College with my RN in June of 2003. She worked from 2003 until 2007 in hospital settings; first on Telemetry at Mid-Columbia Medical Center in The Dalles, Oregon and then on the Cardiac floor and the coronary care unit at St Vincent’s Medical
Center. During this time, she also taught courses leading to certification as a nursing assistant at Clackamas Community College.
In early 2007, she transitioned to a role as a hospice case manager at Community Home Health and Hospice. Beth also served as an afterhours call nurse for both hospice and home health services.
Her varied career has enabled her to develop a wide base of nursing and assessment skills. She is comfortable serving clients throughout the life span, including pediatric patients. She has experience managing a variety of acute and chronic conditions in the home, including managing wounds and catheters. She has excellent
assessment and triage skills including extensive experience with phone triage. Beth enjoys teaching clients, caregivers and family members, and she places a high priority on helping clients to reach their personal goals regarding their care.
Throughout her time working independently, she has put a high priority on maintaining her skills and awareness of best nursing practices. She regularly attends education and updates regarding the nurse delegation program. She has participated in countless webinars to increase her skill set in topics such as wound care and
diabetes, as well as local seminars on community resources, elder abuse and prevention and other nursing topics. She has also had the opportunity to share her knowledge and experience by speaking at conferences and events sponsored by the Adult Family Home Council and the Southwest Washington Elder Abuse Prevention Coalition.
Please feel free to contact Beth if you have any other questions regarding her experience or skills.
Nursing has afforded me the privilege of never being bored! I began my career just as health care was changing its emphasis on the delivery of service in the inpatient setting to more out-patient and home care settings. This change was very much in tune with my work style preferences and nursing skills. As a result, my clinicalexperience was heavily weighted in the delivery of care in these settings. Working in these settings allowed me to connect with patients where they “lived”, perform teaching, and collaborate with other caregivers to meet the patient’s total needs.
The blending of these functions in a job made every day an exciting challenge. As
my career progressed and I obtained an advanced degree, I entered into more administrative field of work. In nursing administration, I consistently worked for non-profit hospitals or organizations that incorporated the meeting of the patient’s needs as a pillar in their mission. Again as health care went through more changes, Idiscovered a field that quickly became my passion for many years and that was Quality Improvement. Now that I want to work part-time, I have come full circle. I am back in a home care setting collaborating with caregivers and performing teaching to ensure the clients receive the best possible care in a homelike setting. This is
what I love the most about working for IITRN. The clients, the caregivers, and the office staff I work with are all wonderful human beings and excellent at what they do.
When I make a visit to a home, I look at the caregivers with admiration for doing the amazing work of being a caregiver. At the same time, I see in the face ofevery client a human being who deserves the best possible care that can be given to them in this stage of their life’s journey. I feel it is an absolute privilege to serve on this great team of IITRN and to serve our community in this manner.
Has been a registered nurse since 2009. She graduated from Clark Community College with an associate degree in nursing.
This wonderful RN started working as a nurse at Fort Vancouver Convalescent Center taking care of complicated patients after discharge from the hospital. It was there that Ashley developed the practical skills. She dressed very complex wounds, including wound vacs; performed peritoneal dialysis; IV therapy; blood draws; urinary catheters; and medication management. During this time she started developing assessment skills and nursing judgement.
In 2011 Ashley started working at The Vancouver Clinic as a triage nurse. It was there that she really honed her critical thinking and assessment skills. she worked 1.5 years in the nephrology department, most of our patients had kidney disease or kidney failure. This involved close monitoring of labs and patient symptoms. Later, she became a float to all specialty’s clinic wide including gastroenterology, endocrinology, rheumatology, and urgent care. With all specialties she assessed the client’s in clinic, administered injections, and triaged patients over the phone.
In late 2012 Ashley transitioned to the Bloodless Surgery Department at Legacy Good Samaritan. Her job was to educate patients and doctors on bloodless alternatives for people who refused blood transfusions or the use of blood products. There She learned to appreciate medical research and best practices.
In 2014 she went back to the Vancouver Clinic and worked mostly in the Pulmonology and Allergy departments. There She administered IV’s and injections. Ashley also did phone triage, working closely with the doctors.
Ashley has gained a good base of nursing skills and assessment abilities. Her current role as a nurse delegator challenges Ashley to apply my assessment skills, nursing judgement and teaching skills. She enjoy getting to know the patients and their needs. And having a relationship with the caregivers where she is able to influence them in providing excellent care.
Annie Bilauca graduated with her BSN from Biola University in Los Angeles, CA in 2003. Over the course of her career she has worked in many nursing specialties, including the emergency department, labor & delivery, outpatient surgery, camp nursing, and community health. She has served as a clinical instructor for bachelor’s degree nursing students. Her nursing experience has taken her overseas to Africa and south to Central America, to clinic and street ministries serving those experiencing homelessness, and to that special and endearing group of humans called Middle Schoolers. She is experienced with clients across the continuum of life, from preborn to hospice/end-of-life care. For Annie, nursing continues to prove a fulfilling career, affording countless opportunities to learn and grow. She loves working with the dynamic team at In It Together. When not at work, Annie spends her time with family, cooking, laughing, exercising, reading, and enjoying the great outdoors...or the great indoors with a good book and a nice glass of wine.
Julie has been an RN since 1987. In her 33 years of experience she has held a multitude of nursing positions that have contributed to a diverse body of nursing knowledge and skills. She began working in California at a local community hospital when HIV exploded in the late 1980’s and early 1990’s. She then made a change, working in pediatrics at Stanford University Hospital until moving to the Pacific Northwest in 1995. Since that time, she has worked as a clinic RN, as a telephone advice nurse and at a local Assisted Living. She has a vast understanding of nursing across the life span and enjoys teaching and collaborate with other caregivers to provide and meet client’s needs. In addition to working with IITRN she enjoys working as a nursing instructor at a local high school. She reports that she loves working with IITRN because the office staff and other nurses are very supportive of each other and are willing to go the extra mile to provide excellent care to our clients.
When not working with IITRN or teaching nursing students Julie stays busy with a variety of other passions. Some of these are her family and the family cabin in Montana, quilting, reading and sailing. She has great memories of sailing around the San Juan Island and would like to go again and maybe take the inland passage to Alaska.