Mearns is a nurse executive whose experiences have spanned the spectrum of healthcare delivery arenas, from large teaching institutions to small community hospitals. She is currently vice president of patient care services and chief nurse executive at Seton Medical Center in Daily City, Calif., following a stint as senior vice president of patient care services and chief nursing officer for California Hospital Medical Center in Los Angeles. Throughout her career she has also been committed to mentoring and developing future nursing leaders. Mearns has been an active fundraiser and voice for nurses on legislative issues affecting the profession. She has served as a nursing leader in a number of organizations, including the Healthcare Association of Southern California, the Association of California Nurse Leaders, and the California Healthcare Association. In 1997 she was selected for the Johnson & Johnson Wharton School of Business Fellowship program, a prestigious program offered to chief nursing officers from around the world.