Continuously monitor gauges, charts, pressure/flow transmitters, temperatures, combustion, exhaust, water levels, air flow, pressures, lubricants and adjust controls and accomplish needed repairs, for proper air conditioning and steam production for a variety of cooling and steam load demands. The 499-operating bed medical center includes hospital med-surgical, acute psychiatry, a Community Living Center, hospice and palliative care, spinal cord injury, a level 1 polytrauma center, pain/rehab, multiple outpatient primary and specialty care services and two domiciliaries.