NewClinical Nurse II Ambulatory - Relocation Offered! MedStar HealthClinical Nurse II Ambulatory - Relocation Offered!Silver Spring, MD$35.68–$64.71Individualizes patients plan of care focusing on short and long-range goals and effectively uses a variety of teaching resources to meet the learning needs of patients and families. C-EFM - Electronic Fetal Monitoring Perinatal nurses (labor and delivery antepartum antenatal testing) must obtain certification in Electronic Fetal Monitoring (EFM) from the National Certification within 12 months from date of hire.
NewClinical Nurse II Ambulatory Radiation Oncology - Relocation Offered! MedStar HealthClinical Nurse II Ambulatory Radiation Oncology - Relocation Offered!Baltimore, MD$35.68–$64.71Licenses and Certifications RN - Registered Nurse - State Licensure and/or Compact State Licensure Current license as a Registered Nurse in the state or jurisdiction of the facility seeking employment Upon Hire required and. Individualizes patients plan of care focusing on short and long-range goals and effectively uses a variety of teaching resources to meet the learning needs of patients and families.
NewClinical Nurse Kaiser PermanenteClinical NurseHalethorpe, MD$48.39Coordinates, implements, and evaluates patient teaching plans related to surgery, wound care, diabetes mellitus, hypertension, anticoagulant therapy, therapeutic diet instruction, weight control, and other areas as designated. Basic Qualifications: Experience At least one (1) year of current experience in HMO or ambulatory setting OR completion of an Ambulatory Care RN Transition to Practice Residency Program within the past 12 months.
NewOncology Clinical Informaticist Registered Nurse (RN) - Relocation Offered! MedStar HealthOncology Clinical Informaticist Registered Nurse (RN) - Relocation Offered!Baltimore, MD$82,617–$157,352Establishes develops and maintains effective relationships working agreements and quality partnerships within the shared decision-making model and within the model of care to ensure quality patient care across the continuum and to secure resources to support evidence based patient care. Functions as a facilitator and innovator for state-of-the-art clinical care with direct involvement in implementing and evaluating new techniques and equipment for safety cost-effectiveness and benefits related to clinical practice.
NewDialysis Clinical manager Registered Nurse - RN Fresenius Medical CareDialysis Clinical manager Registered Nurse - RNBaltimore, MDOther: • Collaborates closely with, providing oversight as needed to, the Clinical Manager/Charge RN acting as nurse manager, the Medical Director, and the physicians regarding the direct patient care responsibilities within the facility to ensure the provision of outstanding quality of patient care, as defined by the FMS quality goals, and compliance with the pertinent company policies and procedures. • Demonstrated leadership competencies and management skills for the position, including excellent communication, customer service, continuous quality improvement, relationship development, results orientation, team building, motivating employees, performance management and decision making.
NewRegistered Nurse Clinical Lead Mother Baby AscensionRegistered Nurse Clinical Lead Mother BabyLaurel, MD$47.45–$66.99 / hourLicensure / Certification / Registration: BLS Provider credentialed from the American Heart Association (AHA) obtained prior to hire date or job transfer date required. Our legitimate email communications will always come from an @ascension.org email address; do not trust other domains, and an official offer will only be extended to candidates who have completed a job application through our authorized applicant tracking system.
NewStaff Development Coordinator, RN Gettysburg CenterStaff Development Coordinator, RNGettysburg, PA$93,000–$95,000As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference. Responsibilities: The primary function of the Nurse Educator is to orient and educate all nursing personnel in the nursing center and to ensure safe effective nursing care according to the federal, state, and facility guidelines, policies and procedures.
NewRegistered Nurse LifeBridge HealthRegistered NurseRandallstown, MD$35–$54.82 / hourSupport: A culture of collaboration with resources like unit-based practice councils and advanced clinical education support — improving both workflow efficiency and patient outcomes and allowing you to work at the top of your license. If you're passionate about patient-centered care, looking to deepen your skills in cardiac care, telemetry, and peritoneal dialysis , and want to grow in a supportive clinical environment—this is the opportunity for you.
NewRegistered Nurse - Med Surg Incredible HealthRegistered Nurse - Med SurgGaithersburg, MD$61,000–$130,000Hospitals on Incredible Health are actively hiring and accepting applications in the Washington, DC area for the following position: Registered Nurse - Med Surg. Collaborate with interdisciplinary healthcare teams to ensure high-quality patient care and to facilitate discharge planning.
NewClinical Pharmacist I MedStar HealthClinical Pharmacist IBaltimore, MDPrepares IV admixtures and compounds sterile products including but not limited to: large volume parenteral mini-bags TPN solutions and hazardous agents including cytotoxic drugs. Monitors and takes appropriate action to ensure optimum patient drug therapy drug selection and minimal adverse drug reactions under the supervision of a more senior clinical pharmacist/manager.
NewClinical Pharmacist Nights - 7 on 7 off MedStar HealthClinical Pharmacist Nights - 7 on 7 offSilver Spring, MD$102,606–$196,996Prepares IV admixtures and compounds sterile products including but not limited to: large volume parenteral mini-bags TPN solutions and hazardous agents including cytotoxic drugs. Monitors and takes appropriate action to ensure optimum patient drug therapy drug selection and minimal adverse drug reactions under the supervision of a more senior clinical pharmacist/manager.
NewStaff Development Coordinator, RN Franklin Woods CenterStaff Development Coordinator, RNBaltimore, MD$45–$49As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference. Responsibilities: The primary function of the Nurse Educator is to orient and educate all nursing personnel in the nursing center and to ensure safe effective nursing care according to the federal, state, and facility guidelines, policies and procedures.
IP/Telemetry Registered Nurse/ICU/PCU WellSpan Hospitals in Carlisle, Newberry & ShrewsburyIP/Telemetry Registered Nurse/ICU/PCUNew Freedom, PAOur growing number of amazing partners includes Allegheny Health Network, Ascension, Baptist Health System, Baylor Scott & White Health, ChristianaCare, Dignity Health St. Rose Dominican, The Hospitals of Providence, INTEGRIS Health, MultiCare and WellSpan. Essential Job Functions: Plan, prioritize, and provide proficient, age-specific and developmentally/specialty appropriate nursing care by applying advanced specialty clinical nursing knowledge and skills and for ensuring the comfort and safety of patients/families.
NewTravel Cath Lab RN Fusion Medical StaffingTravel Cath Lab RNBaltimore, MD$2,411–$2,771Assist in arterial and/or venous sheath removal using closure devices, manual pressure, or mechanical compression, and transport patients to the appropriate recovery area. Technical/Motor Skills - Must have the ability to grasp, perform fine manipulation, push/pull, and move about when assisting with procedures and/or using department equipment.
NewRegistered Nurse L&D LifeBridge HealthRegistered Nurse L&DBaltimore, MD$37.15–$57.58 / hourCare for patients with high-risk pregnancies on bedrest or undergoing treatment, and provide immediate postpartum recovery care including uterine assessment, pain control, newborn bonding, and breastfeeding support. Support: A culture of collaboration with resources like unit-based practice councils and advanced clinical education support — improving both workflow efficiency and patient outcomes and allowing you to work at the top of your license.
NewRegistered Nurse - PACU LifeBridge HealthRegistered Nurse - PACUBaltimore, MD$37.15–$57.58 / hourSupport: A culture of collaboration with resources like unit-based practice councils and advanced clinical education support — improving both workflow efficiency and patient outcomes and allowing you to work at the top of your license. Pre-Anesthesia Screening Services (PASS) provide comprehensive preoperative evaluations, patient preparation, and essential education for patients and their families.
NewRN Lactation Consultant PRN LifeBridge HealthRN Lactation Consultant PRNBaltimore, MDAs a Nurse Lactation Consultant at Sinai Hospital , you will be responsible for supporting new parents by providing evidence-based education, hands-on assistance, and compassionate guidance to promote successful breastfeeding and infant nutrition. Support: A culture of collaboration with resources like unit-based practice councils and advanced clinical education support — improving both workflow efficiency and patient outcomes and allowing you to work at the top of your license.
NewRegistered Nurse Rehab TBI LifeBridge HealthRegistered Nurse Rehab TBIBaltimore, MD$37.15–$57.58 / hourSupport: A culture of collaboration with resources like unit-based practice councils and advanced clinical education support — improving both workflow efficiency and patient outcomes and allowing you to work at the top of your license. UNIT SUMMARY: 20 bed unit serves patients needing rehabilitation, post stroke, traumatic brain injury or other neurological conditions.
NewRegistered Nurse Children Services NICU LifeBridge HealthRegistered Nurse Children Services NICUBaltimore, MD$37.15–$57.58 / hourSupport: A culture of collaboration with resources like unit-based practice councils and advanced clinical education support — improving both workflow efficiency and patient outcomes and allowing you to work at the top of your license. LifeBridge Health is a dynamic, purpose-driven health system redefining care delivery across the mid-Atlantic and beyond, anchored by our mission to “improve the health of people in the communities we serve.”
NewRegistered Nurse - LTC LifeBridge HealthRegistered Nurse - LTCBaltimore, MD$34.33–$53.21 / hourWe are seeking compassionate and motivated Registered Nurses to join our Rehab Unit, where you’ll play a vital role in helping patients regain independence and improve quality of life. The Registered Nurse provides safe, age-appropriate, and patient-centered care while serving as a key advisor and resource for patients and their families.
NewER Registered Nurse (PRN Nights & Swing) WellSpan Hospitals in Carlisle, Newberry & ShrewsburyER Registered Nurse (PRN Nights & Swing)New Freedom, PAOur growing number of amazing partners includes Allegheny Health Network, Ascension, Baptist Health System, Baylor Scott & White Health, ChristianaCare, Dignity Health St. Rose Dominican, The Hospitals of Providence, INTEGRIS Health, MultiCare and WellSpan. Essential Job Functions: Plan, prioritize, and provide proficient, age-specific and developmentally/specialty appropriate nursing care by applying advanced specialty clinical nursing knowledge and skills and for ensuring the comfort and safety of patients/families.
NewER Registered Nurse (PART-TIME DAY) WellSpan Hospitals in Carlisle, Newberry & ShrewsburyER Registered Nurse (PART-TIME DAY)New Freedom, PAOur growing number of amazing partners includes Allegheny Health Network, Ascension, Baptist Health System, Baylor Scott & White Health, ChristianaCare, Dignity Health St. Rose Dominican, The Hospitals of Providence, INTEGRIS Health, MultiCare and WellSpan. Essential Job Functions: Plan, prioritize, and provide proficient, age-specific and developmentally/specialty appropriate nursing care by applying advanced specialty clinical nursing knowledge and skills and for ensuring the comfort and safety of patients/families.
NewTelemetry Registered Nurse (PRN NIGHTS) WellSpan Hospitals in Carlisle, Newberry & ShrewsburyTelemetry Registered Nurse (PRN NIGHTS)New Freedom, PAOur growing number of amazing partners includes Allegheny Health Network, Ascension, Baptist Health System, Baylor Scott & White Health, ChristianaCare, Dignity Health St. Rose Dominican, The Hospitals of Providence, INTEGRIS Health, MultiCare and WellSpan. Essential Job Functions: Plan, prioritize, and provide proficient, age-specific and developmentally/specialty appropriate nursing care by applying advanced specialty clinical nursing knowledge and skills and for ensuring the comfort and safety of patients/families.
NewRegistered Nurse - Float LifeBridge HealthRegistered Nurse - FloatRandallstown, MD$37.15–$57.58 / hourSupport: A culture of collaboration with resources like unit-based practice councils and advanced clinical education support — improving both workflow efficiency and patient outcomes and allowing you to work at the top of your license. The role is accountable to support CNO to ensure high quality, safe and appropriate nursing care, competency of clinical staff, and appropriate resource management related to patient care.
NewHospital Operations Coordinator/ED Resource RN - Grace Medical Center LifeBridge HealthHospital Operations Coordinator/ED Resource RN - Grace Medical CenterBaltimore, MD$43.33–$67.16 / hourSupport: A culture of collaboration with resources like unit-based practice councils and advanced clinical education support — improving both workflow efficiency and patient outcomes and allowing you to work at the top of your license. JOB SUMMARY: May serve as Charge Nurse and, in the absence of Hospital Administration and other members of the Leadership team, assumes responsibility for coordinating activities related to overall Hospital operations and throughput.
NewRegistered Nurse - Sinai Hospital LifeBridge HealthRegistered Nurse - Sinai HospitalBaltimore, MD$37.15–$57.58 / hourSupport: A culture of collaboration with resources like unit-based practice councils and advanced clinical education support — improving both workflow efficiency and patient outcomes and allowing you to work at the top of your license. LifeBridge Health is a dynamic, purpose-driven health system redefining care delivery across the mid-Atlantic and beyond, anchored by our mission to “improve the health of people in the communities we serve.”
NewTravel ICU RN Fusion Medical StaffingTravel ICU RNGettysburg, PA$2,018–$2,147This role encompasses assessing and monitoring critically ill patients, operating life-support equipment, administering advanced treatments, and collaborating with multidisciplinary healthcare teams. As a member of our team, you'll have the opportunity to make a positive impact on the lives of patients while enjoying competitive pay, comprehensive benefits, and the support of a dedicated clinical team.
NewTravel EP RN Fusion Medical StaffingTravel EP RNSilver Spring, MD$1,742–$2,002The Electrophysiology (EP) Lab RN plays a key role treating patients with heart failure, coronary artery disease, valvular heart disease, and cardiac arrhythmias. As a member of our team, you'll have the opportunity to make a positive impact on the lives of patients while enjoying competitive pay, comprehensive benefits, and the support of a dedicated clinical team.
NewTravel CVICU RN Fusion Medical StaffingTravel CVICU RNBaltimore, MD$2,337–$2,486This role encompasses assessing and monitoring critically ill patients, operating life-support equipment, administering advanced treatments, and collaborating with multidisciplinary healthcare teams. As a member of our team, you'll have the opportunity to make a positive impact on the lives of patients while enjoying competitive pay, comprehensive benefits, and the support of a dedicated clinical team.
NewRN - Critical Care Incredible HealthRN - Critical CareClarksburg, MD$61,000–$130,000Nurses with experience in any of the following areas are strongly encouraged to apply: Arrhythmia management, Bariatric, CODE, COVID, CRRT training, CVICU, Care of burn patients, Chest tube, ECMO, External pacemaker, High acuity, Intra aortic balloon pump, MICU, Neuro ICU, Post MI thermo care, Post cardiac surgery care, Post neuro surgery, RRT, SICU, TPA admin, Transplant, or Vascular intervention. Responsibilities: Rapidly assess a patient conditions, including vital signs and other physiological parameters, and intervene with the appropriate care.
Rapid Response (RN) - Relocation Offered! MedStar HealthRapid Response (RN) - Relocation Offered!Olney, MD$36–$54.97 / yearWe are seeking a dynamic Clinical Resource Nurse to join our team and play a key role in advancing patient outcomes through expert clinical support, collaboration, and leadership during emergent situations. Provide bedside support and guidance for procedures such as IV therapy, port access, EKG, blood cultures, chest tube set-up/maintenance, peritoneal dialysis (PD), and continuous bladder irrigation (CBI).
NewDialysis Chronic RN - Contract TalentBurst, Inc.Dialysis Chronic RN - ContractBaltimore, MD$15–$20 / hourPerforms ongoing, systematic collection and analysis of patient data pre – during – post hemodialysis treatment for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Team Leader, Charge Nurse, Supervisor or Physician as needed. SUPERVISION: Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a Team Leader or designated Nurse in Charge, after meeting all the following: Successful completion of all client education and training requirements for new employees.
NewRN - NICU Johns Hopkins MedicineRN - NICUNorth Laurel, MD$37.13–$57.87 / hourWe are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices. See Johns Hopkins Medicine Privacy Policy at https://it.johnshopkins.edu/policies-privacystatement/ and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions.
NewRN Supv Ambulatory - Relocation Offered! MedStar HealthRN Supv Ambulatory - Relocation Offered!Baltimore, MD$89,065–$162,801RN - Registered Nurse - State Licensure and/or Compact State Licensure Valid RN license in Maryland District of Columbia or Virginia or any combination as required based on work location(s). CPR - Cardiac Pulmonary Resuscitation (includes BLS) for healthcare providers from either the American heart Association (AHA) or American Red Cross within 90 Days required and.
NewRegistered Nurse (RN) Emergency Department - Relocation Offered! MedStar HealthRegistered Nurse (RN) Emergency Department - Relocation Offered!Baltimore, MD$35–$56.91Active MD RN License or Active Compact State RN and Basic Life Support for Healthcare providers required (AHA or American Red Cross). As a Clinical Nurse, you will provide skilled, compassionate care to patients and families across a spectrum of needs—from routine to highly complex.
NewRegistered Nurse (RN) Intermediate Care (IMC) - Relocation Offered! MedStar HealthRegistered Nurse (RN) Intermediate Care (IMC) - Relocation Offered!Baltimore, MD$36.50–$60.34Nurses gain experience managing advanced therapies, including BiPAP, CPAP, cardiac drips, and insulin drips, while working alongside a collaborative interdisciplinary team committed to exceptional patient care. Join the Intermediate Care (IMC) team at MedStar Good Samaritan Hospital and care for a diverse population of medically complex patients in a fast-paced, supportive environment.
Registered Nurse (RN) - Home Care - Anne Arundel County - Relocation Offered! MedStar HealthRegistered Nurse (RN) - Home Care - Anne Arundel County - Relocation Offered!Baltimore, MD$34.98–$59.26The homecare team includes nurses, physical and occupational therapists, speech and language pathologists, medical social workers, and home health aides who are dedicated to meeting patient needs 24/7/365. 1-2 years RN experience (ICU, CCU, Med-Surg, Oncology, Gerontology) within last 5 years required or 1-2 years Home health nursing experience preferred.
NewRegistered Nurse (RN) - Home Care - Northern Prince George's County - Relocation Offered! MedStar HealthRegistered Nurse (RN) - Home Care - Northern Prince George's County - Relocation Offered!Greenbelt, MD$34.98–$59.26The homecare team includes nurses, physical and occupational therapists, speech and language pathologists, medical social workers, and home health aides who are dedicated to meeting patient needs 24/7/365. 1-2 years RN experience (ICU, CCU, Med-Surg, Oncology, Gerontology) within last 5 years required or 1-2 years Home health nursing experience preferred.
Registered Nurse (RN) - Home Care - Southern Prince George's County - Relocation Offered! MedStar HealthRegistered Nurse (RN) - Home Care - Southern Prince George's County - Relocation Offered!Greenbelt, MD$34.98–$59.26The homecare team includes nurses, physical and occupational therapists, speech and language pathologists, medical social workers, and home health aides who are dedicated to meeting patient needs 24/7/365. 1-2 years RN experience (ICU, CCU, Med-Surg, Oncology, Gerontology) within last 5 years required or 1-2 years Home health nursing experience preferred.
Registered Nurse (RN) - Home Care - St. Mary's County - Relocation Offered! MedStar HealthRegistered Nurse (RN) - Home Care - St. Mary's County - Relocation Offered!Greenbelt, MD$34.98–$59.26The homecare team includes nurses, physical and occupational therapists, speech and language pathologists, medical social workers, and home health aides who are dedicated to meeting patient needs 24/7/365. 1-2 years RN experience (ICU, CCU, Med-Surg, Oncology, Gerontology) within last 5 years required or 1-2 years Home health nursing experience preferred.
Registered Nurse (RN) - Home Care - Chevy Chase, Bethesda, Potomac, Rockville areas - Relocation Offered! MedStar HealthRegistered Nurse (RN) - Home Care - Chevy Chase, Bethesda, Potomac, Rockville areas - Relocation Offered!Greenbelt, MD$34.98–$59.26The homecare team includes nurses, physical and occupational therapists, speech and language pathologists, medical social workers, and home health aides who are dedicated to meeting patient needs 24/7/365. 1-2 years RN experience (ICU, CCU, Med-Surg, Oncology, Gerontology) within last 5 years required or 1-2 years Home health nursing experience preferred.
NewRegistered Nurse (RN) Cardiovascular Recovery Room Unit - Relocation Offered! MedStar HealthRegistered Nurse (RN) Cardiovascular Recovery Room Unit - Relocation Offered!Baltimore, MD$36.50–$60.34Active MD RN License or Active Compact State RN and Basic Life Support for Healthcare providers required (AHA or American Red Cross). As a Clinical Nurse, you will provide skilled, compassionate care to patients and families across a spectrum of needs—from routine to highly complex.
NewRegistered Nurse (RN) - Vascular Surgery - Relocation Offered! MedStar HealthRegistered Nurse (RN) - Vascular Surgery - Relocation Offered!Baltimore, MD$36.50–$60.34Active MD RN License or Active Compact State RN and Basic Life Support for Healthcare providers required (AHA or American Red Cross). As a Clinical Nurse, you will provide skilled, compassionate care to patients and families across a spectrum of needs—from routine to highly complex.
NewRegistered Nurse (RN) Psychiatry Crisis - Relocation Offered! MedStar HealthRegistered Nurse (RN) Psychiatry Crisis - Relocation Offered!Baltimore, MD$37.10–$56.91Active MD RN License or Active Compact State RN and Basic Life Support for Healthcare providers required (AHA or American Red Cross). As a Clinical Nurse, you will provide skilled, compassionate care to patients and families across a spectrum of needs—from routine to highly complex.
NewRegistered Nurse (RN) Endoscopy - Relocation Offered! MedStar HealthRegistered Nurse (RN) Endoscopy - Relocation Offered!Baltimore, MD$35–$56.91 / yearActive MD RN License or Active Compact State RN and Basic Life Support for Healthcare providers required (AHA or American Red Cross). As a Clinical Nurse, you will provide skilled, compassionate care to patients and families across a spectrum of needs—from routine to highly complex.
Registered Nurse (RN) Cardiac Telemetry - Relocation Offered! MedStar HealthRegistered Nurse (RN) Cardiac Telemetry - Relocation Offered!Baltimore, MD$37.10–$56.91Active MD RN License or Active Compact State RN and Basic Life Support for Healthcare providers required (AHA or American Red Cross). As a Clinical Nurse, you will provide skilled, compassionate care to patients and families across a spectrum of needs—from routine to highly complex.
Registered Nurse (RN) Emergency Room - Relocation Offered! MedStar HealthRegistered Nurse (RN) Emergency Room - Relocation Offered!Olney, MD$36–$54.97At MedStar Montgomery Medical Center, our Emergency Department has 39 beds, and it is a fantastic place for nurses to develop their skills and expertise in handling urgent, emergent, and critical patient cases. We strongly believe in the power of teamwork, and our nurses collaborate closely with other healthcare professionals to provide the best possible outcomes for our patients.
NewRegistered Nurse (RN) Intermediate Care (IMC) Telemetry - Relocation Offered! MedStar HealthRegistered Nurse (RN) Intermediate Care (IMC) Telemetry - Relocation Offered!Baltimore, MD$36.50–$60.34Join our 48-bed IMC/Medical-Surgical unit where nurses are cross-trained to care for both telemetry and IMC patients , including those requiring chronic ventilator management and insulin drips. Active MD RN License or Active Compact State RN and Basic Life Support for Healthcare providers required (AHA or American Red Cross).
NewRegistered Nurse (RN) Cardiac Cath Lab - Relocation Offered! MedStar HealthRegistered Nurse (RN) Cardiac Cath Lab - Relocation Offered!Baltimore, MD$36.50–$60.34Active MD RN License or Active Compact State RN and Basic Life Support for Healthcare providers required (AHA or American Red Cross). As a Clinical Nurse, you will provide skilled, compassionate care to patients and families across a spectrum of needs—from routine to highly complex.
NewRegistered Nurse (RN) Operating Room (CVOR) - Relocation Offered! MedStar HealthRegistered Nurse (RN) Operating Room (CVOR) - Relocation Offered!Baltimore, MD$36.50–$60.34Our nurses work alongside experienced cardiovascular and vascular surgeons, caring for patients undergoing open heart surgery, vascular procedures, catheter-based valve procedures, thoracic surgeries, and more. This specialized team cares for patients undergoing complex cardiovascular, vascular, and thoracic procedures, providing an exciting opportunity to build advanced perioperative skills in a high-acuity environment.