Shortly after becoming a staff nurse at Kuakini Medical Center, Anne realized her passion to help patients who had recently undergone a bowel or bladder diversion, however, it was not until 1989 that her dream to become an Enteral Therapy Nurse evolved while at Kapiolani Medical Center for Women & Children. She received her training at Emory University in Atlanta, Georgia, and returned home to develop an ostomy, wound, and continence program. After completing the Emory Program she also became certified in all three specialties and has maintained her certification since 1989. Over the years she advanced pediatric ostomy and wound care and also consulted at Shriners Hospital for Children to support the Tri-Agency Myelodysplagia Program and presently serves as a consultant there, assisting children with neurogenic bowel and bladder conditions as well as wound care.
Having provided supported children with special needs for over 35 years, she continues to assist these children with their internal feedings/devices, skincare, urinary and bowel issues, and developmental issues. In 2000 her dream of having an event for children with bowel and bladder conditions came to fruition as she developed the annual Special Buddy Connection Camp for teens with bowel and bladder disorders. She recognized the additional challenges faced by these adolescents with these conditions and sought to have them network, learn about their conditions, and understand the importance of adhering to their medical plan of care.
As the medical center expanded to include the OBGYN Oncology program she also tended to the needs of women and bowel and bladder diversions as well as wound care. She realized that not only did patients need education about their conditions, but nurses as well. She and Piilani Kinimaka (her mentor) were the co-founders of the E.T. Nurses of Hawaii, which has evolved into the Hawaii Association for Wound, Ostomy, and Continence Care. She is currently the Treasurer and Co-Chair of the Education Committee for the association. She strives to educate nurses about their specialty such that their conferences have grown to have over 200 nurses.