Penny Patterson is an Emergency Clinical Nurse Consultant with the Murrumbidgee Local Health District, where she provides clinical leadership, education and service planning across 31 rural Emergency Departments. Penny is a Chief Investigator on an NHMRC-funded project examining acute coronary syndrome pathway use in NSW emergency departments, in collaboration with Agency for Clinical Innovation and Charles Sturt University. Penny has co-led practice changes arising from this work, embedding ACS pathway guidance into ED orientation and Advanced Life Support training. She is an active member of the ACI Emergency Care Institute