Leadership Team

Meet the faces that make AccessRN run efficient and cost sensitive operations across the US. Our team has advanced training and experience in both clinical, management, pricing and procurement, as well as scheduling and coordination, providing you with the best service and support possible.

Joseph L. Pettee


President / CEO

Joe founded AccessRN, Inc. in 1998. He has more than 30 years of experience in both vascular access and the long term care setting. Joe currently serves as a board member for the American Red Cross and serves on many AVA committees (education, public policy). He is a member of the Infusion Nurses Society and CRNI. A former paramedic, firefighter, ER Nurse, hospital administrator, and AVA Foundation board member, Joe is one of the country’s most experienced PICC nurses.

In Joe’s spare time he enjoys using his pilot skills and flying.

Carol McElfresh

Director Operations & HR

As Director of Operations & HR for AccessRN, Carol’s responsibilities include non-clinical operations and human resources. Carol holds a BA from the University of Toledo and has experience in Human Resources; Organizational Development; Business Operations and Team Management. In addition, Carol has over 30 years of experience in Finance, Budgeting, Internal Controls, Investment Oversight, Cash Management, Employee Benefits, Liability Insurance, Capital Planning and Construction, Information Technology, Purchasing and Contracts.

Carol has been the recipient of numerous State & National Awards that include the Ohio Auditor of State’s “Making Your Tax Dollars Count” Award; the Government Finance Officers Excellence in Financial Reporting 7 consecutive years as well as the Ohio School Boards Certificate of Achievement in Financial Reporting 7 consecutive years.

Carol has volunteered for several local charities that include the United Way Income CST and Workforce Development Committees, Executive Director for the BeInstrumental Foundation, Board Member for Polly Fox Charter School, Accountant for the Re-entry Coalition of Northwest Ohio and is currently serving a 3-year term as the Lucas County Commissioners appointee to the Pathway Board.

Carol is married and has 4 children and 6 grandchildren. Besides a love of music, Carol enjoys anything Disney, boxing/mma promotion, genealogy and golf.

Scott Prephan


A native of Northwest Ohio, Scott began his accomplished business career as an auditor and consultant with Ernst and Young International. Subsequent to his years as a CPA at E&Y, Scott has made a name for himself establishing and managing a wide array of business and real estate development projects.

Scott’s current work is focused in Ohio, Florida and overseas in China. He has traveled extensively, facilitating new business ventures across the globe, as well as connecting business opportunities with investment capital. Scott’s diverse business background gives him the knowledge and experience to provide development and management services that help AccessRN continue to grow effectively and efficiently into the future.

Robin Jakovich

VP Business Development

Robin is currently working towards a Master’s degree in Business Administration. She has attended Kent State University, Ohio State University and Bowling Green State University. She also graduated from North West State with a diploma in nursing.

Her degrees and certifications include: BS. Ed, Six Sigma Green Belt, LEAN Manufacturing, Excel Analytics, Change Management, Gallup Organization Q12,  Gallup Organization Strengths Based leadership,  Ritz Carlton Customer Service, Work Place Ergonomics, Press Ganey: Analytics,  ISO 9001.

Robin’s years of experience include over 20 years in Health Care Management. Her primary focuses are on business development, Post Acute Care operations and regulations, analytics, metrics development and innovation projects.

Her favorite way to spend a day off is with her two teenagers.