Medication Assistant, Certified, Long Term Care (LTC) Good SamaritanMedication Assistant, Certified, Long Term Care (LTC)Colman, SD$21–$28Provides assistance with basic health care needs including daily living activities that may include, but are not limited to, bathing, toileting, grooming, dressing/undressing, obtaining and recording vital signs, and providing psycho-social support and other personal care to assigned resident. The Medication Assistant (MA) serves as caregiver who provides resident-centered nursing care and daily living assistance to assigned residents under the supervision of a charge nurse.
Medication Assistant, Certified, Long Term Care (LTC), Local Traveler Good SamaritanMedication Assistant, Certified, Long Term Care (LTC), Local TravelerTulare, SD$18.50–$28Provides assistance with basic health care needs including daily living activities that may include, but are not limited to, bathing, toileting, grooming, dressing/undressing, obtaining and recording vital signs, and providing psycho-social support and other personal care to assigned resident. The Medication Assistant (MA) serves as caregiver who provides resident-centered nursing care and daily living assistance to assigned residents under the supervision of a charge nurse.
Restorative Nursing Aide, Long Term Care (LTC) Good SamaritanRestorative Nursing Aide, Long Term Care (LTC)Tyndall, SD$19–$25.50Completion of a C.NA training program, training if required by state and at least 40 hours of specific training related to restorative care procedures (may be provided by licensed therapists providing service within the organization). Assists with training and implementation of special programs designed to improve resident's quality of life, ability to perform daily activities and maintain their highest functional level of independence.
CNA - Restorative Nursing Aide - FT Days - SF Village Good SamaritanCNA - Restorative Nursing Aide - FT Days - SF VillageColman, SD$18.50–$25.50Completion of a C.NA training program, training if required by state and at least 40 hours of specific training related to restorative care procedures (may be provided by licensed therapists providing service within the organization). Assists with training and implementation of special programs designed to improve resident's quality of life, ability to perform daily activities and maintain their highest functional level of independence.
Nursing Assistant, Certified, Long Term Care (LTC) Good SamaritanNursing Assistant, Certified, Long Term Care (LTC)Mitchell, SD$20–$25.50Provides assistance with basic health care needs including daily living activities that may include, but are not limited to, bathing, toileting, grooming, dressing/undressing, obtaining and recording vital signs, and providing psychosocial support and other personal care to assigned resident. Required Certified Nursing Assistant (CNA) certification with the State Board of Nursing, or state certified CNA within four months of date into the position by being enrolled in a training program or in the process of obtaining certification through Endorsement.
NewNursing Assistant, Certified, Long Term Care (LTC), Float Good SamaritanNursing Assistant, Certified, Long Term Care (LTC), FloatTyndall, SD$17–$25.50Provides assistance with basic health care needs including daily living activities that may include, but are not limited to, bathing, toileting, grooming, dressing/undressing, obtaining and recording vital signs, and providing psychosocial support and other personal care to assigned resident. Required Certified Nursing Assistant (CNA) certification with the State Board of Nursing, or state certified CNA within four months of date into the position by being enrolled in a training program or in the process of obtaining certification through Endorsement.
Certified Medication Assistant - PRN Good SamaritanCertified Medication Assistant - PRNCrooks, SD$19.50–$28Provides assistance with basic health care needs including daily living activities that may include, but are not limited to, bathing, toileting, grooming, dressing/undressing, obtaining and recording vital signs, and providing psycho-social support and other personal care to assigned resident. The Medication Assistant (MA) serves as caregiver who provides resident-centered nursing care and daily living assistance to assigned residents under the supervision of a charge nurse.
Certified Medication Assistant - Part Time Evening Good SamaritanCertified Medication Assistant - Part Time EveningDavis, SD$19.50–$28Provides assistance with basic health care needs including daily living activities that may include, but are not limited to, bathing, toileting, grooming, dressing/undressing, obtaining and recording vital signs, and providing psycho-social support and other personal care to assigned resident. The Medication Assistant (MA) serves as caregiver who provides resident-centered nursing care and daily living assistance to assigned residents under the supervision of a charge nurse.
NewCMA - Certified Medication Assistant - FT - Nights Good SamaritanCMA - Certified Medication Assistant - FT - NightsScotland, SD$21–$28Provides assistance with basic health care needs including daily living activities that may include, but are not limited to, bathing, toileting, grooming, dressing/undressing, obtaining and recording vital signs, and providing psycho-social support and other personal care to assigned resident. The Medication Assistant (MA) serves as caregiver who provides resident-centered nursing care and daily living assistance to assigned residents under the supervision of a charge nurse.
CNA / Certified Nursing Assistant - FT Nights Good SamaritanCNA / Certified Nursing Assistant - FT NightsBrookings, SD$19–$25.50Provides assistance with basic health care needs including daily living activities that may include, but are not limited to, bathing, toileting, grooming, dressing/undressing, obtaining and recording vital signs, and providing psychosocial support and other personal care to assigned resident. Required Certified Nursing Assistant (CNA) certification with the State Board of Nursing, or state certified CNA within four months of date into the position by being enrolled in a training program or in the process of obtaining certification through Endorsement.
CNA / Certified Nursing Assistant - FT Evenings Good SamaritanCNA / Certified Nursing Assistant - FT EveningsTyndall, SD$19–$25.50Provides assistance with basic health care needs including daily living activities that may include, but are not limited to, bathing, toileting, grooming, dressing/undressing, obtaining and recording vital signs, and providing psychosocial support and other personal care to assigned resident. Required Certified Nursing Assistant (CNA) certification with the State Board of Nursing, or state certified CNA within four months of date into the position by being enrolled in a training program or in the process of obtaining certification through Endorsement.
NewCNA - Certified Nursing Assistant - FT - Days Good SamaritanCNA - Certified Nursing Assistant - FT - DaysScotland, SD$19–$25.50Provides assistance with basic health care needs including daily living activities that may include, but are not limited to, bathing, toileting, grooming, dressing/undressing, obtaining and recording vital signs, and providing psychosocial support and other personal care to assigned resident. Required Certified Nursing Assistant (CNA) certification with the State Board of Nursing, or state certified CNA within four months of date into the position by being enrolled in a training program or in the process of obtaining certification through Endorsement.
CNA / Certified Nursing Assistant - FT FLEX Good SamaritanCNA / Certified Nursing Assistant - FT FLEXTyndall, SD$19–$25.50Provides assistance with basic health care needs including daily living activities that may include, but are not limited to, bathing, toileting, grooming, dressing/undressing, obtaining and recording vital signs, and providing psychosocial support and other personal care to assigned resident. Required Certified Nursing Assistant (CNA) certification with the State Board of Nursing, or state certified CNA within four months of date into the position by being enrolled in a training program or in the process of obtaining certification through Endorsement.
NewCNA - Certified Nursing Assistant - PRN Good SamaritanCNA - Certified Nursing Assistant - PRNScotland, SD$19–$25.50Provides assistance with basic health care needs including daily living activities that may include, but are not limited to, bathing, toileting, grooming, dressing/undressing, obtaining and recording vital signs, and providing psychosocial support and other personal care to assigned resident. Required Certified Nursing Assistant (CNA) certification with the State Board of Nursing, or state certified CNA within four months of date into the position by being enrolled in a training program or in the process of obtaining certification through Endorsement.
CNA - Certified Nursing Assistant - FT Evenings (LTC) Good SamaritanCNA - Certified Nursing Assistant - FT Evenings (LTC)Tyndall, SD$19–$25Provides assistance with basic health care needs including daily living activities that may include, but are not limited to, bathing, toileting, grooming, dressing/undressing, obtaining and recording vital signs, and providing psychosocial support and other personal care to assigned resident. Required Certified Nursing Assistant (CNA) certification with the State Board of Nursing, or state certified CNA within four months of date into the position by being enrolled in a training program or in the process of obtaining certification through Endorsement.
NewCNA - Certified Nursing Assistant - FT - Nights Good SamaritanCNA - Certified Nursing Assistant - FT - NightsScotland, SD$19–$25.50Provides assistance with basic health care needs including daily living activities that may include, but are not limited to, bathing, toileting, grooming, dressing/undressing, obtaining and recording vital signs, and providing psychosocial support and other personal care to assigned resident. Required Certified Nursing Assistant (CNA) certification with the State Board of Nursing, or state certified CNA within four months of date into the position by being enrolled in a training program or in the process of obtaining certification through Endorsement.
NewCNA - Certified Nursing Assistant - FT - FLEX Good SamaritanCNA - Certified Nursing Assistant - FT - FLEXScotland, SD$19–$25.50Provides assistance with basic health care needs including daily living activities that may include, but are not limited to, bathing, toileting, grooming, dressing/undressing, obtaining and recording vital signs, and providing psychosocial support and other personal care to assigned resident. Required Certified Nursing Assistant (CNA) certification with the State Board of Nursing, or state certified CNA within four months of date into the position by being enrolled in a training program or in the process of obtaining certification through Endorsement.
Certified Nursing Assistant - Miller - FT - Evenings Good SamaritanCertified Nursing Assistant - Miller - FT - EveningsFaulkton, SD$17–$25.50Provides assistance with basic health care needs including daily living activities that may include, but are not limited to, bathing, toileting, grooming, dressing/undressing, obtaining and recording vital signs, and providing psychosocial support and other personal care to assigned resident. Required Certified Nursing Assistant (CNA) certification with the State Board of Nursing, or state certified CNA within four months of date into the position by being enrolled in a training program or in the process of obtaining certification through Endorsement.
Certified Medication Assistant - CMA - Local Traveler Good SamaritanCertified Medication Assistant - CMA - Local TravelerDakota Dunes, SDProvides assistance with basic health care needs including daily living activities that may include, but are not limited to, bathing, toileting, grooming, dressing/undressing, obtaining and recording vital signs, and providing psycho-social support and other personal care to assigned resident. The Medication Assistant (MA) serves as caregiver who provides resident-centered nursing care and daily living assistance to assigned residents under the supervision of a charge nurse.
Senior CNA - FT (Straight Nights) Good SamaritanSenior CNA - FT (Straight Nights)Woonsocket, SD$21–$29.50Provides assistance with basic health care needs including daily living activities that may include, but are not limited to, bathing, toileting, grooming, dressing/undressing, obtaining and recording vital signs, and providing psychosocial support and other personal care to assigned resident. Join our not-for-profit organization that has provided over 100 years of housing and services to seniors with a commitment to quality care and service in a Christian environment.
Senior CNA - FT Evenings Good SamaritanSenior CNA - FT EveningsTyndall, SD$21–$29.50Provides assistance with basic health care needs including daily living activities that may include, but are not limited to, bathing, toileting, grooming, dressing/undressing, obtaining and recording vital signs, and providing psychosocial support and other personal care to assigned resident. Join our not-for-profit organization that has provided over 100 years of housing and services to seniors with a commitment to quality care and service in a Christian environment.
CNA - Full Time Evenings Good SamaritanCNA - Full Time EveningsMenno, SD$18.50–$25.50Provides assistance with basic health care needs including daily living activities that may include, but are not limited to, bathing, toileting, grooming, dressing/undressing, obtaining and recording vital signs, and providing psychosocial support and other personal care to assigned resident. Required Certified Nursing Assistant (CNA) certification with the State Board of Nursing, or state certified CNA within four months of date into the position by being enrolled in a training program or in the process of obtaining certification through Endorsement.
CNA - Full Time Days Good SamaritanCNA - Full Time DaysFreeman, SD$18.50–$25.50Provides assistance with basic health care needs including daily living activities that may include, but are not limited to, bathing, toileting, grooming, dressing/undressing, obtaining and recording vital signs, and providing psychosocial support and other personal care to assigned resident. Required Certified Nursing Assistant (CNA) certification with the State Board of Nursing, or state certified CNA within four months of date into the position by being enrolled in a training program or in the process of obtaining certification through Endorsement.
CNA - Full Time Varies Good SamaritanCNA - Full Time VariesCanton, SD$18.50–$25.50Provides assistance with basic health care needs including daily living activities that may include, but are not limited to, bathing, toileting, grooming, dressing/undressing, obtaining and recording vital signs, and providing psychosocial support and other personal care to assigned resident. Required Certified Nursing Assistant (CNA) certification with the State Board of Nursing, or state certified CNA within four months of date into the position by being enrolled in a training program or in the process of obtaining certification through Endorsement.
CNA - Full Time Nights Good SamaritanCNA - Full Time NightsBrandon, SD$18.50–$25.50Provides assistance with basic health care needs including daily living activities that may include, but are not limited to, bathing, toileting, grooming, dressing/undressing, obtaining and recording vital signs, and providing psychosocial support and other personal care to assigned resident. Required Certified Nursing Assistant (CNA) certification with the State Board of Nursing, or state certified CNA within four months of date into the position by being enrolled in a training program or in the process of obtaining certification through Endorsement.
CNA - Full Time FLEX Good SamaritanCNA - Full Time FLEXOlivet, SD$18.50–$25.50Provides assistance with basic health care needs including daily living activities that may include, but are not limited to, bathing, toileting, grooming, dressing/undressing, obtaining and recording vital signs, and providing psychosocial support and other personal care to assigned resident. Required Certified Nursing Assistant (CNA) certification with the State Board of Nursing, or state certified CNA within four months of date into the position by being enrolled in a training program or in the process of obtaining certification through Endorsement.
CNA - Full Time Varied Good SamaritanCNA - Full Time VariedCanton, SD$18.50–$25.50Provides assistance with basic health care needs including daily living activities that may include, but are not limited to, bathing, toileting, grooming, dressing/undressing, obtaining and recording vital signs, and providing psychosocial support and other personal care to assigned resident. Required Certified Nursing Assistant (CNA) certification with the State Board of Nursing, or state certified CNA within four months of date into the position by being enrolled in a training program or in the process of obtaining certification through Endorsement.
CNA - Full Time Days/Evenings Good SamaritanCNA - Full Time Days/EveningsCanton, SD$18.50–$25.50Provides assistance with basic health care needs including daily living activities that may include, but are not limited to, bathing, toileting, grooming, dressing/undressing, obtaining and recording vital signs, and providing psychosocial support and other personal care to assigned resident. Required Certified Nursing Assistant (CNA) certification with the State Board of Nursing, or state certified CNA within four months of date into the position by being enrolled in a training program or in the process of obtaining certification through Endorsement.
NewCNA, Nursing Home, Day shift, Part-time GS HospitalsCNA, Nursing Home, Day shift, Part-timeEstelline, SDThe successful candidate will be instrumental in delivering high-quality patient care, supporting our nursing staff, and enhancing patient outcomes. Good Samaritan Health Center seeks a dedicated Senior Certified Nursing Assistant (CNA) to join our vibrant team.
NewRN/LPN Straight Nights Good SamaritanRN/LPN Straight NightsNew Underwood, SDProvides assistance with basic health care needs including daily living activities that may include, but are not limited to, bathing, toileting, grooming, dressing/undressing, obtaining and recording vital signs, and providing psychosocial support and other personal care to assigned resident. Required Certified Nursing Assistant (CNA) certification with the State Board of Nursing, or state certified CNA within four months of date into the position by being enrolled in a training program or in the process of obtaining certification through Endorsement.
NewLicensed Practical Nurse (LPN) Essex CenterLicensed Practical Nurse (LPN)Rapid City, SDEssex Center for Rehabilitation and Healthcare is a 100-bed rehabilitation and skilled nursing facility located in Elizabethtown, New York. Our staff is committed to ensuring the highest quality of life for all our residents, by maintaining each resident’s dignity and independence.
CNA - Full Time Evenings/Nights Good SamaritanCNA - Full Time Evenings/NightsCanton, SD$18.50–$25.50Provides assistance with basic health care needs including daily living activities that may include, but are not limited to, bathing, toileting, grooming, dressing/undressing, obtaining and recording vital signs, and providing psychosocial support and other personal care to assigned resident. Required Certified Nursing Assistant (CNA) certification with the State Board of Nursing, or state certified CNA within four months of date into the position by being enrolled in a training program or in the process of obtaining certification through Endorsement.
NewTravel Certified Occupational Therapist Assistant (COTA) in Belle Fourche, SD AlliedTravelCareersTravel Certified Occupational Therapist Assistant (COTA) in Belle Fourche, SDBelle Fourche, SDTherapists work collaboratively with physicians, nurses, caregivers, and other healthcare professionals in settings such as hospitals, outpatient clinics, rehabilitation centers, schools, and home health. AlliedTravelCareers is working with HealthCare Pros, Inc. to find a qualified Certified Occupational Therapist Assistant (COTA) in Belle Fourche, South Dakota, 57717!
NewSenior CNA GS HospitalsSenior CNALane, SDThe successful candidate will be instrumental in delivering high-quality patient care, supporting our nursing staff, and enhancing patient outcomes. Good Samaritan Health Center seeks a dedicated Senior Certified Nursing Assistant (CNA) to join our vibrant team.
Dialysis Patient Care Technician-PCT Dialysis Clinic, Inc.Dialysis Patient Care Technician-PCTRapid City, SDDCI’s Differentiator:Since opening the first clinic 50 years ago in Nashville, Tenn., our Dialysis Clinic, Inc. family has grown to be the nation’s largest nonprofit dialysis provider with more than 270 locations in 30 states, serving nearly 14,000 patients each day. The Patient Care Technician (PCT) provides care to patients with end-stage renal disease, supporting clinical staff throughout the dialysis treatment process to deliver prescribed treatments.
Home Health Aide and Certified Nursing Assistant Interim HealthCare IncHome Health Aide and Certified Nursing AssistantSioux Falls, SDWe strive to hire caring and compassionate individuals who wish to make a difference in their community, through strong leadership and dedication to the health care field! Home Health Aide (HHA) / Certified Nursing Assistant (CNA) job duties may include: May assist with daily activities for clients of all ages in the clients home.
Certified Nurse Aide | Long Term Care Monument Health.Certified Nurse Aide | Long Term CareSturgis, SD$18.99–$21.83 / hourProvides direct patient care needs to patients with supervised personal/rehabilitative cares as outlined in their individualized care plan to assist with maintaining or improving functional abilities, comfort, independence, and safety. Primary Location: Sturgis, SD USA Department: MHSC-ST Long Term Care-Skilled Nursing Scheduled Weekly Hours: 40 Starting Pay Rate Range: $18.99 - $21.83 (Determined by the knowledge, skills, and experience of the applicant.).
Certified Nurse Aide/Medication Aide Bethany Lutheran HomeCertified Nurse Aide/Medication AideSioux Falls, SD$19–$23 / hourAttend to all resident personal hygiene and personal care needs, including but not limited to grooming, hygiene, dining and nutritional needs, mobility, elimination, psychosocial and safety needs. This policy applies to all employment practices within our organization, including hiring, recruiting, promotion, termination, layoff, recall, leave of absence, compensation, benefits, training, and apprenticeship.
Certified or Non-Certified Nurse Aide | Long Term Care Monument Health Rapid City HospitalCertified or Non-Certified Nurse Aide | Long Term CareSturgis, South DakotaAssesses and provides direct resident care needs to residents with supervised personal/rehabilitative cares as outlined in their individualized care plan to assist with maintaining or improving functional abilities, comfort, independence and safety. Current Employees: If you are a current Monument Health employee, please apply via the internal career site by logging into your Workday Account and clicking the "Career" icon on your homepage.
Certified Nurse Aide (CNA) Bethany Lutheran HomeCertified Nurse Aide (CNA)Sioux Falls, SD$18.50–$23 / hourAttend to all resident personal hygiene and personal care needs, including but not limited to grooming, hygiene, dining and nutritional needs, mobility, elimination, psychosocial and safety needs. Starting Pay: $18.50-$23 per hour + shift differentials, (Compensation will be determined by a set wage scale based on skill set and years of experience).
Certified Nursing Assistant + Certified Medication Aide (CNA + CMA) EdgewoodCertified Nursing Assistant + Certified Medication Aide (CNA + CMA)Watertown, South DakotaHelp with personal cares such as dressing, assisting with showers and baths, and other activities of daily living (ADLs) . You will provide resident care that helps foster independence & confidence throughout their golden years.
Certified Nurse Aide | Long Term Care | Temporary Monument HealthCertified Nurse Aide | Long Term Care | TemporarySturgis, South DakotaAssesses and provides direct resident care needs to residents with supervised personal/rehabilitative cares as outlined in their individualized care plan to assist with maintaining or improving functional abilities, comfort, independence and safety. Current Employees: If you are a current Monument Health employee, please apply via the internal career site by logging into your Workday Account and clicking the "Career" icon on your homepage.
Certified or Non-Certified Nurse Aide | Long Term Care Monument Health.Certified or Non-Certified Nurse Aide | Long Term CareSturgis, SD$18.20–$20.92 / hourAssesses and provides direct resident care needs to residents with supervised personal/rehabilitative cares as outlined in their individualized care plan to assist with maintaining or improving functional abilities, comfort, independence and safety. Required: Certification - In accordance with SD 44:74:02:03 Exception for employment of unqualified nurse aides, will obtain Certified Nurse Aide (CNA) - SD Board of Nursing within 120 days if hire.
Certified Nursing Assistant CNA Interim HealthCare IncCertified Nursing Assistant CNAWatertown, SD$23–$26 / hourCertified Nursing Assistant (CNA) qualifications: Active Certified Nursing Assistant (CNA) within South Dakota, or ability to apply for reciprocity/endorsement. Serving staffing partners in the Sioux Falls, Brookings, Yankton, Mitchell, Watertown, Aberdeen, Pierre, Sioux City, and numerous other rural locations.
Certified Nurse Aide - Bath Aide Bethesda Home of AberdeenCertified Nurse Aide - Bath AideAberdeen, SDPerforms direct resident cares including but not limited to dental care, dressing/undressing, hair, and nail care, shaving functions, bowel and bladder functions, catheter care, repositioning, transporting, bathing functions, specimen collection, special treatments as instructed, etc. Bethesda Aberdeen offers a full benefits package including health insurance, dental insurance, vision insurance, life insurance, vacation, sick and holiday pay, discounted on-site meals, flexible spending plans, pension plan and on-site childcare/pre-school with reduced employee rates.
CNA Certified Nursing Assistant Interim HealthCare IncCNA Certified Nursing AssistantMitchell, SD$23–$26 / hourCertified Nursing Assistant (CNA) qualifications: Active Certified Nursing Assistant (CNA) within South Dakota, or ability to apply for reciprocity/endorsement. Serving staffing partners in the Sioux Falls, Brookings, Yankton, Mitchell, Watertown, Aberdeen, Pierre, Sioux City, and numerous other rural locations.
CNA | Certified Nursing Assistant Interim HealthCare IncCNA | Certified Nursing AssistantWagner, SD$23–$26 / hourCertified Nursing Assistant (CNA) qualifications: Active Certified Nursing Assistant (CNA) within South Dakota, or ability to apply for reciprocity/endorsement. Serving staffing partners in the Sioux Falls, Brookings, Yankton, Mitchell, Watertown, Aberdeen, Pierre, Sioux City, and numerous other rural locations.
Nursing Assistant or Certified Nurse Assistant (CNA) | Long Term Care AveraNursing Assistant or Certified Nurse Assistant (CNA) | Long Term CareParkston, South DakotaThis may include but not limited to assisting patients with bathing and dressing needs, shaving, oral hygiene, bed making, transfers into and out of bed, repositioning, toileting needs, serving and collecting food trays, encouraging and/or assisting with feeding, answering call lights, insuring a clean environment, transporting patients upon admission and dismissal, assisting with ambulation and orienting/reorienting of resident to the facility environment to insure resident safety. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds.
Certified Medication Aide - Chamberlain Care Center - PRN Sanford HealthCertified Medication Aide - Chamberlain Care Center - PRNChamberlain, SD$17–$25.50 / hourProvides assistance with basic health care needs including daily living activities that may include, but are not limited to, bathing, toileting, grooming, dressing/undressing, obtaining and recording vital signs, and providing psycho-social support and other personal care to assigned resident. The Medication Assistant (MA) serves as caregiver who provides resident-centered nursing care and daily living assistance to assigned residents under the supervision of a charge nurse.
Certified Nurse Assistant (CNA) | Long Term Care Avera HealthCertified Nurse Assistant (CNA) | Long Term CareMitchell, SD$19.75–$26 / hourThis may includes but not limited to assisting patients with bathing and dressing needs, shaving, oral hygiene, bed making, transfers into and out of bed, repositioning, toileting needs, serving and collecting food trays, encouraging and/or assisting with feeding, answering call lights, insuring a clean environment, transporting patients upon admission and dismissal, assisting with ambulation and orienting/reorienting of resident to the facility environment to insure resident safety. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds.