About Treversal

About RuthAnn Lander, MSN, RN

Thirty years of work that spans skilled nursing, assisted living, rehabilitation, hospitals, and the classroom.

Across Pennsylvania and Delaware, those years have been spent in the settings where this work actually happens, with the people it depends on.

Most recently in Delaware, that has meant teaching the state’s Assisted Living Limited Lay Administration of Medication (LLAM) Nurse Instructor course for the Delaware Health Care Facilities Association (DHCFA), serving on the Healthcare-Associated Infections Advisory Committee’s legislative and stewardship subcommittees, and facilitating the AHRQ-funded national nursing home ECHO sessions in the DHCFA Training Center

It has meant presenting at the DHCFA Assisted Living Conference twice: a three-hour quality assurance seminar in 2023, taught with tool handouts and small-group case studies rather than slides alone, and a 2024 session on recent survey results and how to learn from other facilities' citations to ensure survey readiness.

And multiple engagements consulting for facilities, from the Delaware Veterans Home to Kutz Senior Living Campus, HarborChase of Wilmington, Brookdale Dover, and others.

Nurse aides. Hospital unit coordinators. LPN and ADN nursing students in clinical. Facility staff at every level. And registered nurses becoming instructors themselves.

Unbroken since 2001.

Most of it medication administration, which is where the distance between a written rule and a resident is shortest.

MSN in Community Health Nursing with a functional track in Education, West Chester University. Teaching the Educator Workshop. Curriculum development committees at Binghamton and West Chester. AHCA and CDC infection preventionist training.

Thirty years in nursing.

Twenty-five teaching.

Clinical expertise and instructional design are two different professions.

The full record, role by role, is on LinkedIn.

The Meaning Behind “Treversal”

Treversal comes from Traverse -

to move forward and make progress

combined with Reversal -

symbolizing turning things around when necessary.

The compass in the mark is there for the same reason.

Guidance is not doing the work for someone.

It is helping them find the way through and come out where they meant to be.

What we are working toward.

A day when all long-term care residents are thriving, when long-term care staff are fulfilled, and when facilities are led by vision and purpose rather than by checking compliance boxes and putting out fires.

Start with a fifteen-minute call.