She has worked as a clinician and an administrator in acute care settings, nursing home venues and residential treatment facilities. She currently is the SPH Coordinator at the Dayton, Ohio VA Medical Center. She has held that position for 4 years. Charlotte has chaired the VHA Bariatric Workgroup and is revising the Bariatric toolkit for the VHA. She was an active member in developing and presenting the First Annual, 2012, Unit Peer Leader National conference in Orlando. She presented several classes on SPH and the bariatric patient. She is currently participating in the NIOSH study “Best Practices for Bariatric Patient Handling”. She is an active member in an Expert Panel that is evaluating patient safety issues related to SPHM.