LifeBridge HealthNewMEDICAL ASSISTANT LifeBridge HealthMEDICAL ASSISTANTBaltimore, MD$20–$26 / 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. Under direction of the Practice Manager, the Medical Assistant (MA) provides day-to-day administrative, direct patient care and clinical support to the Ambulatory Services department through administrative and medical/nursing support.
LifeBridge HealthNewMEDICAL ASSISTANT-PHYSICIAN PRACTICES-BALTIMORE COUNTY (QUARRY LAKE) LifeBridge HealthMEDICAL ASSISTANT-PHYSICIAN PRACTICES-BALTIMORE COUNTY (QUARRY LAKE)Baltimore, MD$15–$26 / 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.”
Express Care Urgent Care CentersNewMedical Assistant Express Care Urgent Care CentersMedical AssistantWilkens, MD$17–$20An ideal applicant is a self-motivated and compassionate healthcare worker who thrives in a fast-paced environment while supporting our providers and ensuring a smooth patient experience while providing excellent care. Company Overview: ExpressCare Urgent Care Centers is a well-established and fast-growing urgent care company in Maryland, committed to providing high quality healthcare to our community.
VituityNewAssistant Medical Director - Hospital Medicine - Holy Cross Germantown Hospital VituityAssistant Medical Director - Hospital Medicine - Holy Cross Germantown HospitalGermantown, MDStrong interpersonal and leadership skills; ability to motivate physicians and non-physicians, manage multiple assignments, work successfully with a diversity of people and locations, maintain good working relationships; Supportive team member; Ability to establish effective relationships quickly with both clients and non-clients preferred. Residents enjoy a variety of outdoor activities at local parks like Black Hill Regional Park and South Germantown Recreational Park, which features hiking trails, a splash park, and the expansive Maryland SoccerPlex.
VituityNewAssistant Medical Director - Holy Cross Germantown Hospital VituityAssistant Medical Director - Holy Cross Germantown HospitalGermantown, MDStrong interpersonal and leadership skills; ability to motivate physicians and non-physicians, manage multiple assignments, work successfully with a diversity of people and locations, maintain good working relationships; Supportive team member; Ability to establish effective relationships quickly with both clients and non-clients preferred. Residents enjoy a variety of outdoor activities at local parks like Black Hill Regional Park and South Germantown Recreational Park, which features hiking trails, a splash park, and the expansive Maryland SoccerPlex.
Sterling Medical CorporationCertified Occupational Therapy Assistant (COTA) Sterling Medical CorporationCertified Occupational Therapy Assistant (COTA)Washington, DC$80,000–$88,750 / yearSterling Medical, the leading provider of health care services for large companies and government agencies, is accepting resumes for Certified Occupational Therapist Assistant that meet the Qualifications below: Provide direct and indirect physical therapy or occupational therapy services under the supervision and direction of a licensed physical therapist or registered occupational therapist.
JobotNewAssistant Project Manager-Commercial Construction JobotAssistant Project Manager-Commercial ConstructionWashington, DC$70,000–$85,000 / yearA day in the life of an Assistant Project Manager involves providing assistance to the Project Manager through construction planning, scheduling equipment deliveries, facilitation document distribution, and serving as a liaison between project team members and the community with the common goal of promoting the interests of both the firm and clients in all matters. MCN Assistant Project Managers work directly with the Project Managers, Superintendents, and Project Executives to provide technical expertise regarding cost estimates, negotiate contracts, change orders, and establish project objectives to ensure project success.
JobotNewMechanical Assistant Project Manager JobotMechanical Assistant Project ManagerDulles, VA$120,000–$160,000 / yearReporting to Project Managers and Senior Project Managers, you’ll help drive day-to-day project coordination, document control, schedule tracking, and field communication while developing the technical and leadership skills to run projects independently. Information collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal.
JobotNewLitigation Legal Assistant JobotLitigation Legal AssistantWashington, DC$80,000–$95,000 / yearInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. This position plays an integral role in our firm, providing comprehensive support to our attorneys in all aspects of litigation, including complex business disputes, antitrust law, affordable housing, and federal regulatory matters.
JobotNewLegal Administrative Assistant JobotLegal Administrative AssistantWashington, DC$60,000–$90,000 / yearInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. We are committed to fostering an environment where attorneys and professional staff can grow, contribute meaningfully, and build long-term careers while supporting high-level legal work in a collegial and fast-paced setting.
JobotNewSenior Litigation Legal Assistant JobotSenior Litigation Legal AssistantWashington, DC$85,000–$115,000 / yearInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. The successful candidate will be responsible for providing comprehensive support to our litigation team, including drafting and reviewing legal documents, conducting legal research, and ensuring legal compliance.
Endodontic SpecialistsNewDental Assistant Endodontic SpecialistsDental AssistantBrooklyn Park, MD$23–$26 / hourAt Specialized Dental Partners, its affiliates, related companies and independently owned supported clinical practices, we are committed to ensuring fair and equitable pay for all employees. Louis Privacy Policy at https://specializeddental.com/privacy-policy/ and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions.
Beacon Hill Staffing Group, LLCNewExecutive Assistant, Law Firm - $95K-$105K - DC Beacon Hill Staffing Group, LLCExecutive Assistant, Law Firm - $95K-$105K - DCWashington, DC, District of Columbia$95,000–$105,000 / yearFull timeLearn more about Beacon Hill and our specialty divisions, Beacon Hill Associates, Beacon Hill Financial, Beacon Hill HR, Beacon Hill Legal, Beacon Hill Life Sciences and Beacon Hill Technologies by visiting www.bhsg.com. Our niche brands offer a complete suite of staffing services to emerging growth companies and the Fortune 500 across market sectors, career specialties/disciplines and industries.
MedStar HealthPhysical Therapist Assistant PTA - Outpatient Ortho. / Neuro MedStar HealthPhysical Therapist Assistant PTA - Outpatient Ortho. / NeuroHarwood, MD$25.86–$46.12The ideal candidate will be a Physical Therapy Assistant with professional competency as a general practitioner in physical therapy; demonstrated independent use of varied treatment approaches; and the ability to work in a team environment. Provides patient treatment services including review of pertinent historical information, safely administering modalities, and providing interventions within the treatment plan's limits under supervision of licensed physical therapist.
MedStar HealthPhysical Therapist Assistant PTA - Outpatient Neuro MedStar HealthPhysical Therapist Assistant PTA - Outpatient NeuroSilver Spring, MD$25.86–$46.12Able to work in a team environment; organized timely detail-oriented; customer service skills for interacting with patients including communicating with patients and family members of diverse ages and backgrounds; takes initiative in following through with all procedures and policies; effective communication; must be able to utilize computer systems. Accurately and timely documents and charges for patient care activities painting a clear picture of the patient's course of care under supervision of licensed physical therapist according to the states requirement.
Shiftkey, LLCCertified Nursing Assistant (CNA) - up to $24/hr Shiftkey, LLCCertified Nursing Assistant (CNA) - up to $24/hrGlen Burnie, MD$24–$24ShiftKey enables independent Certified Nursing Aides like you to bid on per diem CNA shifts posted by a vast network of Healthcare Facilities—all based on criteria you select. ShiftKey partners with Stride Health to allow healthcare professionals who use the ShiftKey App to access Stride's portable benefits platform for affordable healthcare options such as: Health.
Shiftkey, LLCCertified Nursing Assistant (CNA) Shiftkey, LLCCertified Nursing Assistant (CNA)Clinton, MD$24–$24ShiftKey enables independent Certified Nursing Aides like you to bid on per diem CNA shifts posted by a vast network of Healthcare Facilities—all based on criteria you select. ShiftKey partners with Stride Health to allow healthcare professionals who use the ShiftKey App to access Stride's portable benefits platform for affordable healthcare options such as: Health.
Johns Hopkins Applied Physics Laboratory (APL)NewAssistant Group Supervisor - Robotics Group - Research & Exploratory Development Department Johns Hopkins Applied Physics Laboratory (APL)Assistant Group Supervisor - Robotics Group - Research & Exploratory Development DepartmentLaurel, MD$105,000–$290,000The Robotics Group is an interdisciplinary team of researchers inventing the future across the broad spectrum of robotics, with applications that strengthen national defense, advance space exploration, improve healthcare, and address critical challenges facing the nation. APL provides eligible staff with a comprehensive benefits package including retirement plans, paid time off, medical, dental, vision, life insurance, short-term disability, long-term disability, flexible spending accounts, education assistance, and training and development.
AccentCare, Inc.Geriatric Nursing Assistant, Hospice AccentCare, Inc.Geriatric Nursing Assistant, HospiceColumbia, MD$18–$22If you meet these qualifications, we would love to meet you: Certified by the state as a nurse’s aide, with completion of required training and a passing score of 85% or higher on the agency’s competency exam; additional requirements vary by state (e.g. Provide compassionate, hands-on care to hospice patients, including assistance with personal hygiene, repositioning, and mobility support for individuals who may require lifting (up to 200 lbs with assistance).
AccentCare, Inc.NewGeriatric Nursing Assistant, Hospice IPC AccentCare, Inc.Geriatric Nursing Assistant, Hospice IPCBaltimore, MD$18–$22If you meet these qualifications, we would love to meet you: Certified by the state as a nurse’s aide, with completion of required training and a passing score of 85% or higher on the agency’s competency exam; additional requirements vary by state (e.g. Support patients in their homes or care facilities through frequent movement and physical activity, such as walking, standing, reaching, and occasional driving, ensuring timely and dignified end-of-life care.
Shiftkey, LLCCertified Nursing Assistant (CNA) - up to $20/hr Shiftkey, LLCCertified Nursing Assistant (CNA) - up to $20/hrAlexandria, VA$20–$20ShiftKey enables independent Certified Nursing Aides like you to bid on per diem CNA shifts posted by a vast network of Healthcare Facilities—all based on criteria you select. ShiftKey partners with Stride Health to allow healthcare professionals who use the ShiftKey App to access Stride's portable benefits platform for affordable healthcare options such as: Health.
Beacon Hill Staffing Group, LLCData Entry Assistant - $19-$20/hr - DC Beacon Hill Staffing Group, LLCData Entry Assistant - $19-$20/hr - DCWashington, DC$19–$20 / hourFull timeLearn more about Beacon Hill and our specialty divisions, Beacon Hill Associates, Beacon Hill Financial, Beacon Hill HR, Beacon Hill Legal, Beacon Hill Life Sciences and Beacon Hill Technologies by visiting www.bhsg.com. Our niche brands offer a complete suite of staffing services to emerging growth companies and the Fortune 500 across market sectors, career specialties/disciplines and industries.
Beacon Hill Staffing Group, LLCFront Office Assistant - $20/hr - DC Beacon Hill Staffing Group, LLCFront Office Assistant - $20/hr - DCWashington, DC$20–$20 / hourTemporaryContractorFull timeLearn more about Beacon Hill and our specialty divisions, Beacon Hill Associates, Beacon Hill Financial, Beacon Hill HR, Beacon Hill Legal, Beacon Hill Life Sciences and Beacon Hill Technologies by visiting www.bhsg.com. Our niche brands offer a complete suite of staffing services to emerging growth companies and the Fortune 500 across market sectors, career specialties/disciplines and industries.
Arc of Greater Prince WilliamNewAssistant Program Manager Arc of Greater Prince WilliamAssistant Program ManagerWoodbridge, VADriving record must meet agency’s vehicle insurance carrier requirements during the past three years of continuous driving experience, the ability to attend and pass onsite training classes within the first 30 days of hire. Written, communication and computer skills, a valid Virginia Driver/s license, a licensed U.S. driver with a minimum if THREEE (3) years driving experience in the United States.
MV TransportationNewAssistant General Manager MV TransportationAssistant General ManagerBaltimore, MD$84,000–$114,000Responsibilities: MV Transportation is seeking an Assistant General Manager for proposed business to provide support, leadership and direction to assigned operating personnel to ensure delivery of the division business plan in our fast-paced transit business. Where permissible under applicable state and local law, applicants may be subject to a pre-employment drug test and background check after receiving a conditional offer of employment.
Shiftkey, LLCCertified Nursing Assistant (CNA) - up to $21/hr Shiftkey, LLCCertified Nursing Assistant (CNA) - up to $21/hrBaltimore, MD$21–$21ShiftKey enables independent Certified Nursing Aides like you to bid on per diem CNA shifts posted by a vast network of Healthcare Facilities—all based on criteria you select. ShiftKey partners with Stride Health to allow healthcare professionals who use the ShiftKey App to access Stride's portable benefits platform for affordable healthcare options such as: Health.
One MedicalNewVirtual Physician Assistant - DC Licensed One MedicalVirtual Physician Assistant - DC LicensedWashington, DC$59.10–$65.50 / hourIn the past 5 years, practiced as an Advanced Practitioner for at least: 2 years in an outpatient primary care setting seeing patients of all ages (0+), OR 2 years in an urgent care or emergency medicine setting seeing patients of all ages (0+) . The One Medical Virtual Medical Team (VMT) is a leading provider of virtual clinical care, providing world-class, convenient, evidence-based virtual medical care to One Medical patients in concert with their primary care providers.
Shiftkey, LLCGeriatric Nursing Assistant (GNA) - up to $32/hr Shiftkey, LLCGeriatric Nursing Assistant (GNA) - up to $32/hrClinton, MD$32–$32ShiftKey enables independent Geriatric Nursing Assistants like you to bid on per diem GNA shifts posted by a vast network of Healthcare Facilities—all based on criteria you select. ShiftKey partners with Stride Health to allow healthcare professionals who use the ShiftKey App to access Stride's portable benefits platform for affordable healthcare options such as: Health.
Shiftkey, LLCGeriatric Nursing Assistant (GNA) - up to $26/hr Shiftkey, LLCGeriatric Nursing Assistant (GNA) - up to $26/hrLa Plata, MD$26–$26ShiftKey enables independent Geriatric Nursing Assistants like you to bid on per diem GNA shifts posted by a vast network of Healthcare Facilities—all based on criteria you select. ShiftKey partners with Stride Health to allow healthcare professionals who use the ShiftKey App to access Stride's portable benefits platform for affordable healthcare options such as: Health.
Shiftkey, LLCGeriatric Nursing Assistant (GNA) - up to $33/hr Shiftkey, LLCGeriatric Nursing Assistant (GNA) - up to $33/hrCatonsville, MD$33–$33ShiftKey enables independent Geriatric Nursing Assistants like you to bid on per diem GNA shifts posted by a vast network of Healthcare Facilities—all based on criteria you select. ShiftKey partners with Stride Health to allow healthcare professionals who use the ShiftKey App to access Stride's portable benefits platform for affordable healthcare options such as: Health.
VituityNewPhysician Assistant or Nurse Practitioner - Nocturnist - Pediatric Emergency Medicine - Holy Cross Hospital - Silver Spring VituityPhysician Assistant or Nurse Practitioner - Nocturnist - Pediatric Emergency Medicine - Holy Cross Hospital - Silver SpringSilver Spring, MD$70–$90Sports fans are close to the action with Washington, D.C.’s major league teams—the NFL Commanders, NBA Wizards, NHL Capitals, and MLB Nationals—all just minutes away. Silver Spring, Maryland is a vibrant and diverse community located just north of Washington, D.C., offering the perfect balance of urban convenience and suburban charm.
Onelife FitnessAssistant Fitness Director Onelife FitnessAssistant Fitness DirectorDulles, VASee Onelife Fitness Terms & Conditions at https://careers.onelifefitness.com/us/en/terms-of-use and Privacy Policy at https://careers.onelifefitness.com/us/en/privacy-policy and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions. As Assistant Fitness Director you’ll run New Member Orientation, coach members and trainers, and drive personal training sales — all while creating awesome, lasting member results.
Sunrise Senior LivingWellness Nurse RN Sunrise Senior LivingWellness Nurse RNSilver Spring, MD$35.05–$48.40 / hourSee Sunrise Senior Living Terms & Conditions at https://c-5885-20221207-www-sunriseseniorliving-com.i.icims.com/terms-and-conditions and Privacy Policy at https://c-5885-20221207-www-sunriseseniorliving-com.i.icims.com/privacy-policy and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions. The unique responsibilities for this role include but are not limited to the essential functions listed as follows: Coordination of Health Needs:Identify on-going needs and services of residents in promotion of the highest quality resident services to be delivered.
Mattress FirmNewAssistant Store Manager Mattress FirmAssistant Store ManagerWashington, DC$56,000–$62,000The Assistant Store Manager assists the Senior Store Manager in driving company initiatives and achieving sales performance goals by coaching associates on selling practices and ensuring the execution of in-store merchandising in multiple store units. Assistant Store Managers will execute MFRM selling programs and support a seamless omnichannel experience to create a compelling and engaging environment that puts the customer at the center.
LifeBridge HealthNewED Critical Care Tech - Grace Medical Center - ER LifeBridge HealthED Critical Care Tech - Grace Medical Center - ERBaltimore, MD$20–$26 / 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. Unified by the core purpose of creating a healthier community one person at a time, the members of the Division of Patient Care Services commit themselves to sustaining a culture focused on achieving optimal patient outcomes.
WGK Personal Injury LawyersBilingual Personal Injury Legal Assistant WGK Personal Injury LawyersBilingual Personal Injury Legal AssistantBaltimore, MD$25–$31.50 / hourThis includes fielding inbound lead calls, conducting intake interviews in Spanish to gather key facts, assessing case qualification, and guiding eligible clients through the sign-up process in their preferred language. Lost Wage and PIP/Med Pay Claims: You will be responsible for opening and managing first-party claims on behalf of clients, including PIP, MedPay, and lost wage claims.
Charlestown by Erickson Senior LivingGeriatric Nursing Assistant Charlestown by Erickson Senior LivingGeriatric Nursing AssistantCatonsville, MD$17–$22 / hourImplementing residents personal care plans, focusing on residents strengths, preferences, and preferred routines while providing a sense of comfort, companionship, and belonging. Our GNAs support our residents in all aspects of daily living, providing person-centered care to ensure we meet all of our residents needs.
Chesterbrook AcademyNewPre-K Assistant Teacher Chesterbrook AcademyPre-K Assistant TeacherFairfax, VA$16–$18Spring Education Group’s Early Childhood Education Division includes nearly 150 schools offering services from infant care through Pre-K/K programs, as well as summer camp and after-school programs. In general, this position requires an individual to frequently walk, stand, sit, squat, stoop, reach, kneel, rise from the floor, twist, listen, read, write, and speak the English language.
Ashby Ponds by Erickson Senior LivingPhysical Therapy Assistant - PRN Ashby Ponds by Erickson Senior LivingPhysical Therapy Assistant - PRNAshburn, VALocation: Ashby Ponds by Erickson Senior LivingJoin our team as a Physical Therapist Assistants support our residents in all aspects of daily living, providing person-centered care to ensure we meet all of our resident’s needs. Ashby Ponds helps people live better lives by fulfilling our promises of a vibrant lifestyle, financial stability, and focused health and well-being services for those who live and work with us.
Spencer Gifts - Spirit HalloweenAssistant Store Manager - Spencer's Spencer Gifts - Spirit HalloweenAssistant Store Manager - Spencer'sWaldorf, MD$17–$17.25 / hourFull timeThe Assistant Manager is responsible for supporting the Store Manager in the various tasks involved in the overall operation of a store, ensuring maximum sales and profitability by developing staff, controlling expenses and shrinkage as well as all aspects of merchandising and inventory control in adherence with all Company policies and procedures. The physical demands of the job require in excess of 8 hours of standing, walking, climbing ladders and lifting up to 50 pounds.
Spencer Gifts - Spirit HalloweenSenior Assistant Store Manager Spencer Gifts - Spirit HalloweenSenior Assistant Store ManagerFairfax, VA$16.77–$17.02 / hourFull timeThe Assistant Manager is responsible for supporting the Store Manager in the various tasks involved in the overall operation of a store, ensuring maximum sales and profitability by developing staff, controlling expenses and shrinkage as well as all aspects of merchandising and inventory control in adherence with all Company policies and procedures. The physical demands of the job require in excess of 8 hours of standing, walking, climbing ladders and lifting up to 50 pounds.
Advantia HealthMaternal Fetal Medicine Physician Advantia HealthMaternal Fetal Medicine PhysicianSilver Spring, MDManage high-volume ultrasound services, including interpreting fetal echocardiograms, first-trimester screenings, fetal anatomic surveys, and performing amniocentesis (CVS experience valued but not required). Their clinical expertise is celebrated within a professional network that prioritizes positive patient outcomes, fosters knowledge-sharing, and captures the collective strength of our women’s health leaders.
Company ConfidentialAssistant Community Manager (Affordable Housing) Company ConfidentialAssistant Community Manager (Affordable Housing)Falls Church, VA$28.38–$30 / hourFull timeThis role is non-exempt and has an anticipated pay rang of $28.38 to $30 for a new employee depending on a number of relevant factors including individuals’ experience, qualifications, knowledge, skills, abilities, client/property or company budgetary limitations/guidelines, and other job-related company and market considerations. This position requires the ability to read and write English fluently, the ability to accurately perform intermediate mathematical functions and the ability to understand and perform all on-site resident management software functions.
Planned Systems International, Inc.Certified Nursing Assistant (CNA) - Emergency Room Planned Systems International, Inc.Certified Nursing Assistant (CNA) - Emergency RoomColumbia, MDFull timeQuarterLine (QL), a Planned Systems International (PSI) company, isseeking a dedicated and compassionate Certified Nursing Assistant to support patient care services in the Emergency Room at Madigan Army Medical Center, Joint Base Lewis-McChord, Tacoma, WA. HCW's work may require some physical exertion, such as long periods of standing, or recurring and considerable crouching, bending, standing, stooping, stretching, or walking, such as performing regular and recurring medical activities, inspections, or to observe healthcare operations in treatment facilities.
Forefront DermatologyCertified Medical Assistant Forefront DermatologyCertified Medical AssistantBethesda, MarylandThis role is ideal for a highly organized, patient-focused Medical Assistant who is comfortable coordinating preoperative preparation, postoperative care, and surgical patient education. The ideal candidate has prior experience in plastic surgery, dermatology, or a surgical specialty practice and understands the importance of both clinical excellence and patient experience.
Total Health Care IncMedical Assistant Total Health Care IncMedical AssistantOdenton, MDAdministrative duties involve: • Collecting demographic and payment information from Total Health Care's (THC) patients at point of service • Verifying and entering insurance information into THC's Electronic Medical Records (EMR) systems (dental, CESH, substance abuse, or medical) • Patient registration • Scheduling appointments • Processing encounters • Assisting with the reduction of unnecessary write-offs and negative adjustments for uncollectible charges. Clinical activities include performing necessary clinical assessments such as vital signs and POC testing, giving injections, performing EKG's, assisting with procedures, and documenting clinical activities in accordance with governmental and institutional guidelines and protocols.