LPN - Full Time Days - LTC Good SamaritanLPN - Full Time Days - LTCAlvord, IA$28–$36If position requires IV therapy/management skills, the following is required in North Dakota: graduation from a Board approved AASPN program where IV therapy is part of the curriculum or completion of an IV Therapy course approved by the North Dakota Board of Nursing. The Licensed Practical Nurse (LPN) provides professional nursing care for residents of all ages in long term care, under the supervision of a registered nurse, advanced practice provider, or physician.
Director of Nursing - RN - Long Term Care Good SamaritanDirector of Nursing - RN - Long Term CareAshton, IA$41–$68Additionally for Rural Health Network facilities Good Samaritan Society (GSS) locations, for current employees, leadership may have considered acceptable qualifications and work experience equivalency based on facility size, rural market, and business need, prior to new Sanford education requirements. Graduate from a nationally accredited nursing program preferred, including, but not limited to, Commission on Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN), and National League for Nursing Commission for Nursing Education Accreditation (NLN CNEA).
NewRN Clinical Care Leader - SF Village Good SamaritanRN Clinical Care Leader - SF VillageAlvord, IA$38.50–$55Utilizes technology to enhance quality resident care, to collaborate with inter-professional team members, effectively delegate to and supervise unlicensed personnel, assume overall nursing accountability for a resident assignment and serve in leadership roles on department/organizational tasks forces and committees. Graduate from an accredited nursing program, including, but not limited to, those accredited by the Commission on Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN), or National League for Nursing Commission for Nursing Education Accreditation (NLN CNEA).
NewLPN - Full Time Nights Good SamaritanLPN - Full Time NightsDoon, IA$28–$36Utilizes technology to enhance quality patient/resident care, collaborates with inter-professional team members, effectively delegates to and supervises unlicensed personnel, assumes overall nursing accountability for a patient/resident assignment, and serves in leadership roles on department/organizational task forces and committees. The Licensed Practical Nurse (LPN) Clinical Care Leader (CCL), Long-Term Care (LTC) is responsible for utilizing the nursing process (assessment, diagnosis, outcomes/planning, implementation, and evaluation) to provide individualized care in the long-term care setting while under the supervision of a registered nurse, advanced practice provider, or physician.
NewLPN/ RN - Full Time or Part Time - Days or Nights Good SamaritanLPN/ RN - Full Time or Part Time - Days or NightsDoon, IA$28–$48Graduate from a nationally accredited nursing program preferred, including, but not limited to, Commission on Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN), and National League for Nursing Commission for Nursing Education Accreditation (NLN CNEA). Currently holds an unencumbered RN license with the State Board of Nursing where the practice of nursing is occurring and/or possess multistate licensure if in a Nurse Licensure Compact (NLC) state.
NewRN / LPN - Full Time Nights Good SamaritanRN / LPN - Full Time NightsDoon, IA$28–$48If position requires IV therapy/management skills, the following is required in North Dakota: graduation from a Board approved AASPN program where IV therapy is part of the curriculum or completion of an IV Therapy course approved by the North Dakota Board of Nursing. The Licensed Practical Nurse (LPN) provides professional nursing care for residents of all ages in long term care, under the supervision of a registered nurse, advanced practice provider, or physician.
NewRN Clinical Care Leader - Rehab - SF Village Good SamaritanRN Clinical Care Leader - Rehab - SF VillageAlvord, IA$38.50–$55Utilizes technology to enhance quality resident care, to collaborate with inter-professional team members, effectively delegate to and supervise unlicensed personnel, assume overall nursing accountability for a resident assignment and serve in leadership roles on department/organizational tasks forces and committees. Graduate from an accredited nursing program, including, but not limited to, those accredited by the Commission on Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN), or National League for Nursing Commission for Nursing Education Accreditation (NLN CNEA).
NewLPN - Full Time Days - SF Village Good SamaritanLPN - Full Time Days - SF VillageAlvord, IA$26–$36If position requires IV therapy/management skills, the following is required in North Dakota: graduation from a Board approved AASPN program where IV therapy is part of the curriculum or completion of an IV Therapy course approved by the North Dakota Board of Nursing. The Licensed Practical Nurse (LPN) provides professional nursing care for residents of all ages in long term care, under the supervision of a registered nurse, advanced practice provider, or physician.
NewLPN - Full Time PMs - SF Village Good SamaritanLPN - Full Time PMs - SF VillageAlvord, IA$26–$36If position requires IV therapy/management skills, the following is required in North Dakota: graduation from a Board approved AASPN program where IV therapy is part of the curriculum or completion of an IV Therapy course approved by the North Dakota Board of Nursing. The Licensed Practical Nurse (LPN) provides professional nursing care for residents of all ages in long term care, under the supervision of a registered nurse, advanced practice provider, or physician.
NewCNA - Restorative Nursing Aide - FT Days - SF Village Good SamaritanCNA - Restorative Nursing Aide - FT Days - SF VillageAlvord, IA$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.
NewLPN - FT PM Shift - LTC - Sioux Falls Village Good SamaritanLPN - FT PM Shift - LTC - Sioux Falls VillageAlvord, IA$26–$36If position requires IV therapy/management skills, the following is required in North Dakota: graduation from a Board approved AASPN program where IV therapy is part of the curriculum or completion of an IV Therapy course approved by the North Dakota Board of Nursing. The Licensed Practical Nurse (LPN) provides professional nursing care for residents of all ages in long term care, under the supervision of a registered nurse, advanced practice provider, or physician.
NewLPN - Full Time Nights - SF Village Good SamaritanLPN - Full Time Nights - SF VillageAlvord, IA$26–$36If position requires IV therapy/management skills, the following is required in North Dakota: graduation from a Board approved AASPN program where IV therapy is part of the curriculum or completion of an IV Therapy course approved by the North Dakota Board of Nursing. The Licensed Practical Nurse (LPN) provides professional nursing care for residents of all ages in long term care, under the supervision of a registered nurse, advanced practice provider, or physician.
NewCNA - Full Time PMs - SF Village Good SamaritanCNA - Full Time PMs - SF VillageAlvord, IA$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.
NewLPN - Sheldon Medical Center - Part Time Sanford HealthLPN - Sheldon Medical Center - Part TimeMaurice, IA$23–$31.50Demonstrates knowledge of nursing principles for the patient in the relevant clinical setting and possess the ability to perform testing to assess data reflective of the patient's status and to interpret appropriately the information needed to identify each patient's requirements relative to the age-specific needs, and to provide the care needed. If position requires IV therapy/management skills, the following is required in North Dakota: graduation from a Board approved AASPN program where IV therapy is part of the curriculum or completion of an IV Therapy course approved by the North Dakota Board of Nursing.
LPN - Licensed Practical Nurse - Local Traveler Good SamaritanLPN - Licensed Practical Nurse - Local TravelerAshton, IARemote$24–$36If position requires IV therapy/management skills, the following is required in North Dakota: graduation from a Board approved AASPN program where IV therapy is part of the curriculum or completion of an IV Therapy course approved by the North Dakota Board of Nursing. The Licensed Practical Nurse (LPN) provides professional nursing care for residents of all ages in long term care, under the supervision of a registered nurse, advanced practice provider, or physician.
NewPatient Care Tech Encompass Health Rehabilitation Hospital of Sioux FallsPatient Care TechRock Valley, IAAsaNursingAssistant,yourroleextendsbeyondsupport,allowingyoutoutilize your specialized skills to provide compassionate, personalized care, and assist RNs in guiding patients throughtheirrehabilitationjourney. Our achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For® Award, among other accolades, which is nothing short of amazing.
NewRN Case Manager, Home Health - FT Good SamaritanRN Case Manager, Home Health - FTAshton, IA$34–$51Graduate from an accredited nursing program, including, but not limited to, those accredited by the Commission on Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN), or National League for Nursing Commission for Nursing Education Accreditation (NLN CNEA). Currently holds an unencumbered RN license with the State Board of Nursing where the practice of nursing is occurring and/or possess multistate licensure if in a Nurse Licensure Compact (NLC) state.
NewDirect Support Professional SevitaDirect Support ProfessionalStorm Lake, IA$18–$18Support daily living: Assist with meal prep, medication, Personal care, and outings—helping participants enjoy life to the fullest. We provide people with quality services and individualized supports that lead to growth and independence, regardless of the physical, intellectual, or behavioral challenges they face.
LPN/LVN LTC getMed StaffingLPN/LVN LTCHartley, IAGetMed Staffing is searching for a strong LTC LPN/LVN to assist our traveler-friendly client. Traveling with GetMed Staffing offers the unique opportunity to gain diverse experiences, both personally and professionally.
Evening & Night Shift CNA Connected Health Care, LLCEvening & Night Shift CNAStorm Lake, IAThis is a great opportunity to expand your experience in a supportive environment while enjoying the charm of a close-knit Midwestern community. Assist residents with activities of daily living (ADLs), including bathing, dressing, and grooming .
LPN / RN - Licensed Nurse or Registered Nurse Aventure StaffingLPN / RN - Licensed Nurse or Registered NurseCherokee, IAOverview: Join the Aventure Healthcare Team as a Registered Nurse (RN) or Licensed Practical Nurse (LPN) and make a difference in the lives of patients across Iowa, Nebraska, and South Dakota. Experience a better way to care and join the Aventure Healthcare Team today.
Office Assistant/Receptionist Aventure StaffingOffice Assistant/ReceptionistRoyal, IA$16–$18 / hourOffice Assistant/Receptionist provides general support to ensure smooth operation of the office and facility. A brokerage Firm in Royal, IA is seeking an Office Assistant/Receptionist to join their growing team!
CNA / CMA Certified Nursing Assistant and Med Aide Aventure StaffingCNA / CMA Certified Nursing Assistant and Med AideLe Mars, IA$20–$22 / hourJoin the Aventure Healthcare Team as a Certified Nursing Assistant (CNA) or Certified Medication Aide (CMA) and provide compassionate care to patients across Iowa, Nebraska, and South Dakota. Enjoy the flexibility to choose your shifts and work locations from our pool of available jobs.
Accounting/ Office Manager Aventure StaffingAccounting/ Office ManagerCherokee, IAAventure Staffing is partnering with a well-established and highly stable manufacturing firm in the Cherokee area, seeking a dedicated Accounting & Office Manager to join their close-knit team. Full-Cycle Accounting: Manage accounts payable, approve incoming bills, and perform regular account reconciliations to ensure financial accuracy.
CNA Aventure StaffingCNACherokee, IA$20–$22 / hourJoin the Aventure Healthcare Team as a Certified Nursing Assistant (CNA) or Certified Medication Aide (CMA) and provide compassionate care to patients across Iowa, Nebraska, and South Dakota. Enjoy the flexibility to choose your shifts and work locations from our pool of available jobs.
Agronomy Support Coordinator - New Century FS - Hartley, IA Growmark IncAgronomy Support Coordinator - New Century FS - Hartley, IAIAPerforms general office duties such as, opening, dating, sorting, and distributing mail, preparing courier bags for pickup, distributing, and updating forms, address labels, mailing lists, and office materials inventory, filing all delivery and receiving paperwork daily. Work is conducted mainly in a typical office environment, with slight exposure to other warehousing or storage facilities with generally satisfactory conditions, sometimes in a noisy, open area while interacting with team members and serving customer's needs.
Patient Access Representative AveraPatient Access RepresentativeRock Valley, IAREQUIRED EDUCATION and/or EXPERIENCE:** + High school diploma or general education degree (GED); or one to three months related experience and/or training; or equivalent combination of education and experience. **Location:** Rock Valley, IA **Worker Type:** Regular **Work Shift:** Day Shift (United States of America) At Hegg Health Center, we've fostered an excellent culture!
Patient Care Technician AveraPatient Care TechnicianRock Valley, IowaHigh school diploma or general education degree (GED); or one to three months related experience and/or training; or equivalent combination of education and experience. The Patient Care Tech provides patient care under the direction and supervision of a registered nurse.
Home Health Aide - Crown Pointe Estates AveraHome Health Aide - Crown Pointe EstatesSioux Center, IowaPerforms client care tasks such as: takes vital signs, I & O, weights and reports abnormalities to the Home Health RN or Manager; provides personal care and bathing as ordered; dresses and undresses clients; provides simple rehabilitative/restorative care as instructed by the primary therapist; provides bowel/bladder care as instructed by the Home Health RN; assists client with activities of daily living, including basic range of motion in order to increase physical mobility. Facilitates the client’s self-care at home and encourages client/family participation; provides assistance with client’s self-administration of medications; provides care according to age specific needs; and maintains a clean and safe environment.
NewHealth Beauty Care Department Manager Hy Vee IncHealth Beauty Care Department ManagerIAEquipment Used to Perform Job: Telephone, fax, copier, cash register, intercom system, pallet jacks, forklift, trash compactor, cardboard compactor, box cutter, knives, computer, calculator, printer, wireless devices, internet, RPM system and Microsoft Office products. The following physical activities are necessary to perform this job: Climbing, balancing, stooping, kneeling, crawling, reaching, standing, walking, pushing, pulling, lifting, grasping, feeling, talking, hearing and repetitive motions.
Registered Nurse (RN) or Licensed Practical Nurse (LPN) - Care Center AveraRegistered Nurse (RN) or Licensed Practical Nurse (LPN) - Care CenterSioux Center, IowaRecognize and understand the legal implications of accountability including, but no limited to the following: Performing or supervising those activities and functions which require the knowledge and skill level of a registered nurse and seeking assistance when activities and functions are beyond the licensee’s scope of preparation; Using professional judgment supervising unlicensed assistant personnel; Using professional judgment in assigning and delegating activities and functions to unlicensed assistant personnel; Supervising, among other things, includes any or all the following: Direct observation of any activity or function; Assumption of overall responsibility for assessing, planning, implementing, and evaluating nursing care; Delegation of nursing tasks while retaining accountability; Determination that nursing care being provided is adequate and delivered appropriately. Refrain from performing any activity requiring the knowledge and skill of a registered nurse including: The initiation of an assessment related to procedures/therapies requiring the knowledge or skill level of a registered nurse; The initiation of intravenous solutions, intravenous solutions, intravenous medications and blood components; The administration of medicated intravenous solutions, intravenous medications and blood components; The initiation or administration of medications requiring the knowledge or skill level of a registered nurse.
Medication Aide - Assisted Living AveraMedication Aide - Assisted LivingSioux Center, IowaRotating days/evenings/nights/weekends/holidays (United States of America)Discover a Career of Faith and Healing: For over 70 years, Sioux Center Health has served patients with Jesus’ healing ministry. Sioux Center Health has been awarded a Top 100 Critical Access Hospital award, Top Workplace honor by The Des Moines Register, and won Best of the Northwest in 12 healthcare categories.
Certified Nursing Assistant - Care Center AveraCertified Nursing Assistant - Care CenterSioux Center, IowaThis includes assisting patients with bathing and dressing needs, shaving, oral, hygiene, bed making, transferring 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/reorientating of patients to the facility environment to insure patient safety. This includes assisting patients in performing restorative exercises, collecting specimens administering enemas, bowel and bladder training, assessing and documenting completed cares, intake and output, baths, dietary intake/calorie counts on flow sheets while providing important feedback to nursing staff immediately on status or changes in patient conditions, pain management, and other important concerns.
NewCare Assistant - Assisted Living AveraCare Assistant - Assisted LivingSioux Center, IowaSioux Center Health has been awarded a Top 100 Critical Access Hospital award, Top Workplace honor by The Des Moines Register, and won Best of the Northwest in 12 healthcare categories. Day Shift (United States of America)Discover a Career of Faith and Healing: For over 70 years, Sioux Center Health has served patients with Jesus’ healing ministry.
Certified Nurse Assistant - Care Center AveraCertified Nurse Assistant - Care CenterSioux Center, IowaThis includes assisting patients with bathing and dressing needs, shaving, oral, hygiene, bed making, transferring 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/reorientating of patients to the facility environment to insure patient safety. This includes assisting patients in performing restorative exercises, collecting specimens administering enemas, bowel and bladder training, assessing and documenting completed cares, intake and output, baths, dietary intake/calorie counts on flow sheets while providing important feedback to nursing staff immediately on status or changes in patient conditions, pain management, and other important concerns.
Medical Lab Scientist (MLS) or Medical Lab Technician (MLT) AveraMedical Lab Scientist (MLS) or Medical Lab Technician (MLT)Sioux Center, IowaUtilizes scientific principles as well as technical, procedural, and problem solving aptitudes for day-to-day laboratory technical operations, quality control, quality assurance, procedure/instrument maintenance and corrective action, test result correlation, and clinical laboratory related continuing education. For Medical Lab Scientist; Bachelor’s degree from four-year college or university and completion of NAACLS accredited Clinical Laboratory Scientist (MLS) program, or a Bachelors degree and one to two years of experience/training acceptable to the NCA or ASCP at the Clinical Laboratory Scientist/MT level.
Clinic RN, LPN, or Medical Assistant AveraClinic RN, LPN, or Medical AssistantLe Mars, IowaFloyd Valley Healthcare in Le Mars, IA has a position open working 32 hours per week in our Family Medicine Clinic for a Registered Nurse (RN) License Practical Nurse (LPN) or Medical Assistant (MA). Floyd Valley Healthcare is licensed by the State of Iowa, affiliated with the Avera System of Sioux Falls, South Dakota and is a member of the Iowa and American Hospital Associations.
Licensed Practical Nurse (LPN) Accura HealthCareLicensed Practical Nurse (LPN)Le Mars, IAABOUT ACCURA HEALTHCARE: Accura HealthCare is a Midwest-based healthcare company that manages and operates over 50 skilled nursing care, assisted living, independent living, and memory care communities throughout Iowa, Minnesota, South Dakota, and Nebraska. ABOUT OUR LE MARS, IA COMMUNITIES: Accura HealthCare of Le Mars, a 46-bed Skilled Nursing Facility (SNF), provides transitional care, skilled nursing care, and long-term care services.
Certified Nursing Assistant (CNA) Accura HealthCareCertified Nursing Assistant (CNA)Aurelia, IAAccura HealthCare is a Midwest-based healthcare company that manages and operates over 30 skilled nursing care, assisted living, independent living, and memory care communities throughout Iowa, Minnesota, South Dakota, and Nebraska. Built on the pillars of trust, integrity, accountability, commitment, and kindness, Accura HealthCare is a leader in the Midwest in providing high-quality care.
Certified Nurse Assistant -CNA Cherokee Regional Medical CenterCertified Nurse Assistant -CNAMarcus, IAPOSITION SUMMARY: The Certified Nursing Assistant (CNA) is responsible for a variety of tasks and services to assist in the provision of care and comfort for patients under the direct supervision of a Registered Nurse (RN) or Licensed Practical Nurse (LPN). REQUIREMENTS: • Completion of accredited Nursing Assistant program • Must be 16 years of age • License/Registration/Certification: • Required: Active Nursing Assistant certification within state of Iowa • Required: Must have or obtain active BLS within orientation period.
Greeter/Ambassador Cherokee Regional Medical CenterGreeter/AmbassadorIAThis role is responsible for creating a welcoming, safe, and helpful environment by assisting patients in and out of vehicles and wheelchairs, providing directions, escorting individuals to clinics and hospital departments, and offering information during construction or facility changes. Enjoy competitive wage and benefits offered include: paid time off, health, dental and vision insurance, life insurance, short term and long term disability, retirement program, tuition assistance, flex spending, EAP, free Fitness Center membership, health and wellness program.
Clinic RN, LPN, or CMA - Family Medicine - Storm Lake UnityPoint HealthClinic RN, LPN, or CMA - Family Medicine - Storm LakeStorm Lake, IowaWith a collective goal to champion a culture of belonging where everyone feels valued and respected, we honor the ways people are unique and embrace what brings us together. . We’re proud to be recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in a row for our commitment to our team members.
Licensed Practical Nurse (LPN) Accura HealthCare of Le MarsLicensed Practical Nurse (LPN)Le Mars, IowaABOUT ACCURA HEALTHCARE: Accura HealthCare is a Midwest-based healthcare company that manages and operates over 50 skilled nursing care, assisted living, independent living, and memory care communities throughout Iowa, Minnesota, South Dakota, and Nebraska. ABOUT OUR LE MARS, IA COMMUNITIES: Accura HealthCare of Le Mars, a 46-bed Skilled Nursing Facility (SNF), provides transitional care, skilled nursing care, and long-term care services.
RN or LPN (day shift) Cherokee Regional Medical CenterRN or LPN (day shift)IAEnjoy competitive wage and benefits offered include: • Paid time off • Health, dental and vision insurance • Life insurance • Short term and long term disability • Retirement program • Tuition assistance • Flex spending • EAP • Free Fitness Center membership • Health and wellness program. Education: Required: Licensed Practical Nurse or Registered Nurse License/Registration/Certification: Required: Current Iowa RN or LPN license.
NewCertified Nursing Assistant (CNA) - Full-Time Accura HealthCareCertified Nursing Assistant (CNA) - Full-TimeCherokee, IA$17–$21 / hourABOUT ACCURA HEALTHCARE: Accura HealthCare is a Midwest-based healthcare company that manages and operates over 30 skilled nursing care, assisted living, independent living, and memory care communities throughout Iowa, Minnesota, South Dakota, and Nebraska. ABOUT OUR COMMUNITY: Accura HealthCare of Cherokee is a campus community featuring a 48-bed Skilled Nursing Facility (SNF) and Stonebridge Suites of Cherokee, a 28-unit Assisted Living (AL) located in Cherokee, IA.
NewADON/MDS Coordinator - RN - Full-Time Accura HealthCareADON/MDS Coordinator - RN - Full-TimeIAABOUT ACCURA HEALTHCARE: Accura HealthCare is a Midwest-based healthcare company that manages and operates over 30 skilled nursing care, assisted living, independent living, and memory care communities throughout Iowa, Minnesota, South Dakota, and Nebraska. We're seeking a skilled and compassionate registered nurse to manage and oversee the MDS process and assist our Director of Nursing in leading our team of nursing professionals to ensure the delivery of high-quality care to our residents.
Certified Medication Aide (CMA) - PRN Accura HealthCareCertified Medication Aide (CMA) - PRNCherokee, IAABOUT ACCURA HEALTHCARE: Accura HealthCare is a Midwest-based healthcare company that manages and operates over 30 skilled nursing care, assisted living, independent living, and memory care communities throughout Iowa, Minnesota, South Dakota, and Nebraska. ABOUT OUR COMMUNITY: Accura HealthCare of Cherokee is a campus community featuring a 48-bed Skilled Nursing Facility (SNF) and Stonebridge Suites of Cherokee, a 28-unit Assisted Living (AL) located in Cherokee, IA.
Registered Nurse Residency - Home Health UnityPoint HealthRegistered Nurse Residency - Home HealthStorm Lake, IAThe Nurse Residency Program helps you grow along with other new RNs in your cohort, and meet regularly with experienced mentors, to offer support and socialization into your new role. You will have that and more in the UnityPoint at Home Residency Program which has been created to build on the skills you have learned in school and through clinicals while also allowing for an individualized preceptor experience.
Bottling Laboratory Technician 1 Prairie Holdings GroupBottling Laboratory Technician 1Sioux Center, IABatching and assembling of autogenous vaccines in sterile environments, using aseptic techniques learned through on-the-job training. Dispensing and bottling of autogenous vaccines in sterile environments, using aseptic techniques learned through on-the-job training.