NewPhlebotomy - Phlebotomist II TalentBurst, Inc.Phlebotomy - Phlebotomist IIIndian River, MI$24–$25 / hourMust demonstrate Superior Customer Focus; ability to communicate openly and transparently with peers, supervisors and patients; ability to accelerate and embrace change; and knowledge of our business. Perform verification of patient demographic info / initials including patient signature post-venipuncture to verify tubes were labeled in their presence and that the name on the label is correct.
Phlebotomy - Phlebotomist III - Floater TalentBurst, Inc.Phlebotomy - Phlebotomist III - FloaterGrand Blanc, MI$27.97–$28 / hourThe PSR III has direct contact with patients and creates an atmosphere of trust and confidence while explaining procedures to patients and drawing blood specimens in a skillful, safe and accurate manner. Must demonstrate Superior Customer Focus; ability to communicate openly and transparently with peers, supervisors and patients; ability to accelerate and embrace change; and knowledge of our business.
Phlebotomy - Phlebotomist II - 1st Shift TalentBurst, Inc.Phlebotomy - Phlebotomist II - 1st ShiftAlpena, MIThe PSR II has direct contact with patients and creates an atmosphere of trust and confidence while explaining procedures to patients and drawing blood specimens in a skillful, safe and accurate manner. Must demonstrate Superior Customer Focus; ability to communicate openly and transparently with peers, supervisors and patients; ability to accelerate and embrace change; and knowledge of our business.
NewPhlebotomy - Phlebotomist III - Floater - 6 TalentBurst, Inc.Phlebotomy - Phlebotomist III - Floater - 6Dearborn, MI$27.97–$28 / hourThe PSR III has direct contact with patients and creates an atmosphere of trust and confidence while explaining procedures to patients and drawing blood specimens in a skillful, safe and accurate manner. Must demonstrate Superior Customer Focus; ability to communicate openly and transparently with peers, supervisors and patients; ability to accelerate and embrace change; and knowledge of our business.
NewPhlebotomy - Phlebotomist II - Direct Placementst Shift - 6 TalentBurst, Inc.Phlebotomy - Phlebotomist II - Direct Placementst Shift - 6Alpena, MIThe PSR II has direct contact with patients and creates an atmosphere of trust and confidence while explaining procedures to patients and drawing blood specimens in a skillful, safe and accurate manner. Must demonstrate Superior Customer Focus; ability to communicate openly and transparently with peers, supervisors and patients; ability to accelerate and embrace change; and knowledge of our business.
NewPhlebotomy - Phlebotomist II - 6 TalentBurst, Inc.Phlebotomy - Phlebotomist II - 6Indian River, MI$24–$25 / hourMust demonstrate Superior Customer Focus; ability to communicate openly and transparently with peers, supervisors and patients; ability to accelerate and embrace change; and knowledge of our business. Perform verification of patient demographic info / initials including patient signature post-venipuncture to verify tubes were labeled in their presence and that the name on the label is correct.
PRN Phlebotomy Technician Munson HealthcarePRN Phlebotomy TechnicianMIIf you want a career in healthcare and a lifestyle most people only dream about - with freshwater lakes, scenic trails, charming downtowns, a vibrant arts scene, and endless outdoor adventures - you might just be Munson Material. That's life at Munson Healthcare - northern Michigan's largest healthcare system, with eight award-winning community hospitals serving over half a million residents across 29 counties.
Phlebotomy Tech I Lake Huron Medical CenterPhlebotomy Tech IPort Huron, MichiganFull timeThe PT I; 1) performs computer data entry, filing, telephone communication and other clerical duties, 2) possesses adequate knowledge of the terminology of tests ordered in the laboratory, 3) demonstrates good communication skills and telephone etiquette in greeting patients and other visitors in a polite and friendly manner, 4) demonstrates proper phlebotomy technique and the use of equipment in collecting specimens from newborns to geriatric patients, 5) processes microbiology, immunology, hematology, coagulation, urinalysis, chemistry and blood bank specimens, 6) processes specimens for referral to reference laboratories, 7) stocks routine supplies, 8) maintains the cleanliness of storage areas, trays, centrifuges, refrigerators, freezers and work areas, 9) processes or load specimens on automated laboratory instrumentation in accordance with established policy and procedures, 10) May be assist to Pick up samples at hospital/ OR, assist lab specialty in sorting out samples for analysis and put away samples, assist pathology, inventory, replenish supplies, order supplies, mail pick up/ delivery, faxing, answering phone, product deliveries, etc. Overview: Lake Huron Medical Center is a 139-bed community hospital that provides a wide range of inpatient and outpatient health care services to residents of St. Clair and Sanilac counties including emergency services, primary stroke center, cancer care, surgical services, physical therapy and rehabilitation services, pulmonary rehabilitation, and specialized diabetes programs.
NewPhlebotomy Tech II Lake Huron Medical CenterPhlebotomy Tech IIPort Huron, MichiganThe PT I; 1) performs computer data entry, filing, telephone communication and other clerical duties, 2) possesses adequate knowledge of the terminology of tests ordered in the laboratory, 3) demonstrates good communication skills and telephone etiquette in greeting patients and other visitors in a polite and friendly manner, 4) demonstrates proper phlebotomy technique and the use of equipment in collecting specimens from newborns to geriatric patients, 5) processes microbiology, immunology, hematology, coagulation, urinalysis, chemistry and blood bank specimens, 6) processes specimens for referral to reference laboratories, 7) stocks and orders routine supplies, 8) maintains the cleanliness of storage areas, trays, centrifuges, refrigerators, freezers and work areas, 9) processes or load specimens on automated laboratory instrumentation in accordance with established policy and procedures, 10) May assist to Pick up samples at hospital/ OR, assist lab specialty in sorting out samples for analysis and put away samples, assist pathology, inventory, replenish supplies, order supplies, mail pick up/ delivery, faxing, answering phone, product deliveries, etc. Overview: Lake Huron Medical Center is a 139-bed community hospital that provides a wide range of inpatient and outpatient health care services to residents of St. Clair and Sanilac counties including emergency services, primary stroke center, cancer care, surgical services, physical therapy and rehabilitation services, pulmonary rehabilitation, and specialized diabetes programs.
Phlebotomy Tech I Prime Healthcare Services IncPhlebotomy Tech IPort Huron, MIThe PT I; 1) performs computer data entry, filing, telephone communication and other clerical duties, 2) possesses adequate knowledge of the terminology of tests ordered in the laboratory, 3) demonstrates good communication skills and telephone etiquette in greeting patients and other visitors in a polite and friendly manner, 4) demonstrates proper phlebotomy technique and the use of equipment in collecting specimens from newborns to geriatric patients, 5) processes microbiology, immunology, hematology, coagulation, urinalysis, chemistry and blood bank specimens, 6) processes specimens for referral to reference laboratories, 7) stocks routine supplies, 8) maintains the cleanliness of storage areas, trays, centrifuges, refrigerators, freezers and work areas, 9) processes or load specimens on automated laboratory instrumentation in accordance with established policy and procedures, 10) May be assist to Pick up samples at hospital/ OR, assist lab specialty in sorting out samples for analysis and put away samples, assist pathology, inventory, replenish supplies, order supplies, mail pick up/ delivery, faxing, answering phone, product deliveries, etc. Lake Huron Medical Center is a 139-bed community hospital that provides a wide range of inpatient and outpatient health care services to residents of St. Clair and Sanilac counties including emergency services, primary stroke center, cancer care, surgical services, physical therapy and rehabilitation services, pulmonary rehabilitation, and specialized diabetes programs.
Sr Phlebotomy Technician II Munson HealthcareSr Phlebotomy Technician IIMIIf you want a career in healthcare and a lifestyle most people only dream about - with freshwater lakes, scenic trails, charming downtowns, a vibrant arts scene, and endless outdoor adventures - you might just be Munson Material. That's life at Munson Healthcare - northern Michigan's largest healthcare system, with eight award-winning community hospitals serving over half a million residents across 29 counties.
Phlebotomy - Phlebotomist II eTeam Inc.Phlebotomy - Phlebotomist IIPontiac, MIThe PSR II has direct contact with patients and creates an atmosphere of trust and confidence while explaining procedures to patients and drawing blood specimens in a skillful, safe and accurate manner. Must demonstrate Superior Customer Focus; ability to communicate openly and transparently with peers, supervisors and patients; ability to accelerate and embrace change; and knowledge of our business.
Clinical Tech/Medical Assistant/Phlebotomy - Full Time - Nights - Jackson, MI Henry Ford HospitalClinical Tech/Medical Assistant/Phlebotomy - Full Time - Nights - Jackson, MIJackson, MIEDUCATION/EXPERIENCE REQUIRED: To qualify, you'll need a high school diploma or equivalent and one of the following: Current nursing student who has minimally completed two semesters or has graduated from a Registered Nurse program. WHAT YOU'LL DO: Your day-to-day impact includes: Collecting and recording essential patient data - vitals, food and fluid intake/output, and more - with precision and care.
Phlebotomy Site Coordinator Labcorp Holdings IncPhlebotomy Site CoordinatorGrosse Pointe Woods, MIIf you are an individual with a disability who needs assistance using our online tools to search and apply for jobs, or needs an accommodation, please visit our accessibility site or contact us at Labcorp Accessibility. Employees who are regularly scheduled to work a 7 on/7 off schedule are eligible to receive all the foregoing benefits except PTO or FTO.
Phlebotomy/Lab Assist (TRH) Beacon Health SystemPhlebotomy/Lab Assist (TRH)MIPerforms specimen collection, processing, accessioning and related duties necessary to ensure the efficiency of the laboratory operations and accuracy of test results by: Accessioning laboratory test requests, verifying work for accuracy and detail and resolving problem orders. Requires the physical ability and stamina (i.e., to walk/stand for prolonged periods of time, push carts/wheelchairs up to 50 pounds, to position/lift patients at a maximum of 35 pounds unassisted, over 35 pounds requires assistance, etc.) to perform the essential functions of the position.
Per Diem Phlebotomy Team Lead - Inpatient Trinity HealthPer Diem Phlebotomy Team Lead - InpatientGrand Rapids, MIRooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care.
Phlebotomy Technician I Munson HealthcarePhlebotomy Technician ITraverse City, MIIf you want a career in healthcare and a lifestyle most people only dream about - with freshwater lakes, scenic trails, charming downtowns, a vibrant arts scene, and endless outdoor adventures - you might just be Munson Material. That's life at Munson Healthcare - northern Michigan's largest healthcare system, with eight award-winning community hospitals serving over half a million residents across 29 counties.
Phlebotomy - Phlebotomist II MindlancePhlebotomy - Phlebotomist IIPontiac, MIIt is understood that any offer extended by Mindlance is contingent on meeting the requirements set forth by the client which may include but are not necessarily limited to: criminal history (including sexual crimes), verification of social security number, employment verification, motor vehicle records (sales staff or any staff receiving car allowance), verification of education, professional licensure where applicable, and debarment authorities. The PSR II has direct contact with patients and creates an atmosphere of trust and confidence while explaining procedures to patients and drawing blood specimens in a skillful, safe and accurate manner.
Phlebotomy - Phlebotomist III - Floater MindlancePhlebotomy - Phlebotomist III - FloaterGrand Blanc, MIIt is understood that any offer extended by Mindlance is contingent on meeting the requirements set forth by the client which may include but are not necessarily limited to: criminal history (including sexual crimes), verification of social security number, employment verification, motor vehicle records (sales staff or any staff receiving car allowance), verification of education, professional licensure where applicable, and debarment authorities. The PSR III has direct contact with patients and creates an atmosphere of trust and confidence while explaining procedures to patients and drawing blood specimens in a skillful, safe and accurate manner.
Supervisor Phlebotomy MyMichigan HealthSupervisor PhlebotomyMidland, MichiganFull timeDemonstrates outstanding phlebotomy skills, knowledge of laboratory tests, nursing home program protocol, and knowledge of Laboratory computer system. This position is responsible for being knowledgeable of laboratory departments and general operations remaining competent to perform the tasks required by the team members reporting to them.
NewPhlebotomist Traveler TalentBurst, Inc.Phlebotomist TravelerSaint Joseph, MI$36.25–$37.50 / hourMust demonstrate Superior Customer Focus; ability to communicate openly and transparently with peers, supervisors and patients; ability to accelerate and embrace change; and knowledge of our business. The PSR has direct contact with patients and creates an atmosphere of trust and confidence while explaining procedures to patients and drawing blood specimens in a skillful, safe and accurate manner.
NewPhlebotomist Traveler - Contract TalentBurst, Inc.Phlebotomist Traveler - ContractNiles, MI$14–$15 / hourMust demonstrate Superior Customer Focus; ability to communicate openly and transparently with peers, supervisors and patients; ability to accelerate and embrace change; and knowledge of our business. The PSR has direct contact with patients and creates an atmosphere of trust and confidence while explaining procedures to patients and drawing blood specimens in a skillful, safe and accurate manner.
Corewell Phlebotomist GTTCorewell PhlebotomistGrand Rapids, MILeveraging one of the world’s largest clinical lab databases, the organization delivers insights to improve healthcare outcomes, support disease detection, and promote wellness globally. The Patient Services Representative (Phlebotomist) serves as the face of the company to patients, delivering high-quality specimen collection and ensuring a positive patient experience.
Phlebotomist (Traveler) GTTPhlebotomist (Traveler)Grand Rapids, MIJob Summary: The Phlebotomist (Traveler) serves as a Patient Services Representative, responsible for collecting high-quality blood specimens and ensuring a safe, accurate, and professional patient experience. Must demonstrate Superior Customer Focus; ability to communicate openly and transparently with peers, supervisors and patients; ability to accelerate and embrace change; and knowledge of our business.
Phlebotomist GTTPhlebotomistIndian River, MIThe organization leverages one of the world’s largest clinical laboratory databases to provide insights that help identify and treat diseases, promote healthier behaviors, and improve healthcare outcomes. The position requires direct patient interaction and focuses on building trust and confidence with patients while explaining procedures and performing blood collection safely, accurately, and professionally.
Phlebotomist GTT, LLCPhlebotomistPontiac, MIThis client is a global leader in the diagnostic information services industry, empowering healthier lives by leveraging the world's largest clinical lab database to identify and treat diseases, promote healthy behaviors, and improve healthcare management. Serving millions of patients and healthcare providers worldwide, the organization operates across an extensive network of patient service centers and in-office phlebotomy locations throughout the U.S. and internationally.
NewLaboratory Technical Assistant-Phlebotomist McLaren Health Care CorpLaboratory Technical Assistant-PhlebotomistFlint, MIPerforms tasks in all laboratory areas under the direction of the appropriate Supervisor, Clinical Laboratory Technologists, Cytotechnologists or other designated laboratory personnel and has appropriate knowledge and training of those areas to be able to function as necessary. May be required to enter pathology specimens into various computerized information systems along with the preparation and staining of cytology specimens.
NewTraveler - Corewell Medical Laboratory Scientist - Traveler TalentBurst, Inc.Traveler - Corewell Medical Laboratory Scientist - TravelerFremont, MI$2,038–$2,110 / week1. Follow the laboratory's procedures for specimen handling and processing, test analyses, reporting and maintaining records of patient test result; 2. Maintain records that demonstrate that proficiency testing samples are tested in the same manner as patient specimens; 3. Analyze specimens using approved testing procedures (see department SOPs). Identify problems that may adversely affect test performance or reporting of test results, correct the problems encountered or immediately notify the senior technologist or supervisor.
Cytotechnologist TalentBurst, Inc.CytotechnologistGrand Rapids, MI$2,393–$2,601 / weekThese duties include, but are not limited to, the daily documenting of interpretations to include the total number of slides screened and the total number of hours spent screening. Job Responsibilities: • Microscopically examine and diagnose gynecologic and non-gynecologic slides for infectious, pre-malignant, and malignant disease processes.
Traveler - Corewell Histotechnician (Traveler) TalentBurst, Inc.Traveler - Corewell Histotechnician (Traveler)Grand Rapids, MI$2,433–$2,553 / weekdegree and one year of experience within the last 10 years, OR H.S. education or equivalent and 5 years full-time acceptable experience as a Histotechnician within the last 10 years. Phlebotomist, Phlebotomy, Phlebotomist Technician, Phlebotomy Technician, Mobile Phlebotomist, Medical Assistant, Technician, Certified Phlebotomy Technician.
NewCytotechnologist - Contract TalentBurst, Inc.Cytotechnologist - ContractGrand Rapids, MI$25–$30.20 / hourThese duties include, but are not limited to, the daily documenting of interpretations to include the total number of slides screened and the total number of hours spent screening. Job Responsibilities: • Microscopically examine and diagnose gynecologic and non-gynecologic slides for infectious, pre-malignant, and malignant disease processes.
NewTraveler - Corewell Medical Laboratory Scientist - Traveler - Contract TalentBurst, Inc.Traveler - Corewell Medical Laboratory Scientist - Traveler - ContractFremont, MI$22–$24 / hour1. Follow the laboratory's procedures for specimen handling and processing, test analyses, reporting and maintaining records of patient test result; 2. Maintain records that demonstrate that proficiency testing samples are tested in the same manner as patient specimens; 3. Analyze specimens using approved testing procedures (see department SOPs). Identify problems that may adversely affect test performance or reporting of test results, correct the problems encountered or immediately notify the senior technologist or supervisor.
NewTraveler - Corewell Histotechnician (Traveler) - Contract TalentBurst, Inc.Traveler - Corewell Histotechnician (Traveler) - ContractGrand Rapids, MI$26–$29 / hourdegree and one year of experience within the last 10 years, OR H.S. education or equivalent and 5 years full-time acceptable experience as a Histotechnician within the last 10 years. Phlebotomist, Phlebotomy, Phlebotomist Technician, Phlebotomy Technician, Mobile Phlebotomist, Medical Assistant, Technician, Certified Phlebotomy Technician.
Phlebotomist/Laboratory Technical Assistant 13:30 - 22:00 McLaren Health Care CorpPhlebotomist/Laboratory Technical Assistant 13:30 - 22:00Petoskey, MIPerforms tasks in all laboratory areas under the direction of the appropriate supervisor, clinical laboratory technologists, cytotechnologists or other designated laboratory personnel and has appropriate knowledge and training of those areas so as to be able to function as necessary. Maintains safe and clean working environment and protects patients and employees by adhering to infection-control, hazardous waste and other policies and protocols.
Phlebotomist (Traveler) GTT, LLCPhlebotomist (Traveler)Dearborn, MIWith a broad geographic footprint spanning thousands of patient service centers nationwide, the organization employs phlebotomists, patient services representatives, lab technicians, clinical support specialists, and healthcare operations professionals who are committed to empowering healthier lives through accurate, timely diagnostic insights. This client is a leading provider of diagnostic information and healthcare laboratory services , operating one of the world's largest clinical lab networks and serving millions of patients and healthcare providers across the United States and internationally.
Phlebotomist/Lab Tech Revival Research Institute, LLCPhlebotomist/Lab TechSterling Heights, MIFull timeAdditional Qualifications: Expert database and computer skills: Microsoft Office (Word, Excel), Outlook, excellent verbal and written communication skills, ability to work independently and assume responsibility, excellent organizational skills, ability to meet data deadlines and maintain confidentiality. They are also responsible for assisting the Investigators along with other clinical staff, with any study related tasks as follows but not limited to: Participates in research participant screening, recruitment and enrollment.
NewPhlebotomist Trinity HealthPhlebotomistChelsea, MIWhat you will do: Performs successful sample collection to include venipuncture blood draw, capillary puncture, infant heel sticks, and urine collection utilizing proper patient identification and customer service skills. Performs phlebotomy, specimen receipt, processing, specimen distribution, computer order entry and/or requisition completion, and other pre-analytical tasks as required.
Outpatient Phlebotomist Trinity HealthOutpatient PhlebotomistAnn Arbor, MIWhat you will do: Performs successful sample collection to include venipuncture blood draw, capillary puncture, infant heel sticks, and urine collection utilizing proper patient identification and customer service skills. Tracks specimens through appropriate computer functions when available, to ensure that all specimens are routed accurately and in a timely manner.
Traveler - Phlebotomist I (Traveler) In Ellsworth ME 04605 eTeam Inc.Traveler - Phlebotomist I (Traveler) In Ellsworth ME 04605Detroit, MI$44–$45 / hourMust demonstrate Superior Customer Focus; ability to communicate openly and transparently with peers, supervisors and patients; ability to accelerate and embrace change; and knowledge of our business. The PSR has direct contact with patients and creates an atmosphere of trust and confidence while explaining procedures to patients and drawing blood specimens in a skillful, safe and accurate manner.
Urgent Hiring Phlebotomist II in Newburgh NY 12550 eTeam Inc.Urgent Hiring Phlebotomist II in Newburgh NY 12550Detroit, MI$19–$21.70 / hourThe PSR II has direct contact with patients and creates an atmosphere of trust and confidence while explaining procedures to patients and drawing blood specimens in a skillful, safe and accurate manner. Must demonstrate Superior Customer Focus; ability to communicate openly and transparently with peers, supervisors and patients; ability to accelerate and embrace change; and knowledge of our business.
Mobile Phlebotomist - Coldwater APPS Paramedical ServicesMobile Phlebotomist - ColdwaterColdwater, MichiganAbout APPS Paramedical Services: APPS of Grand Rapids is the leader in paramedical exams across Western Michigan. We seek skilled medical professionals who are able to work independently and have outstanding phlebotomy skills and professional bedside manner.
Mobile Phlebotomist APPS Paramedical ServicesMobile PhlebotomistHolland, MichiganAbout APPS Paramedical Services: APPS of Grand Rapids is the leader in paramedical exams across Western Michigan. We seek skilled medical professionals who are able to work independently and have outstanding phlebotomy skills and professional bedside manner.
NewMobile Phlebotomist - Grand Rapids, MI APPS Paramedical ServicesMobile Phlebotomist - Grand Rapids, MIGrand Rapids, MichiganWe seek skilled medical professionals who are able to work independently and have outstanding phlebotomy skills and professional bedside manner. Essential Functions: A Phlebotomist is needed to complete the Insurance Medical Exams in Grand Rapids, Michigan and surrounding areas.
Mobile Phlebotomist - Lansing, MI APPS Paramedical ServicesMobile Phlebotomist - Lansing, MILansing, MichiganAbout APPS Paramedical Services: APPS of Grand Rapids is the leader in paramedical exams across Western Michigan. We seek skilled medical professionals who are able to work independently and have outstanding phlebotomy skills and professional bedside manner.
Mobile Phlebotomist - Portage, MI APPS Paramedical ServicesMobile Phlebotomist - Portage, MIPortage, MichiganWe seek skilled medical professionals who are able to work independently and have outstanding phlebotomy skills and professional bedside manner. About APPS Paramedical Services: APPS of Grand Rapids is the leader in paramedical exams across Western Michigan.
Mobile Phlebotomist - Mt. Pleasant, MI APPS Paramedical ServicesMobile Phlebotomist - Mt. Pleasant, MIMount Pleasant, MichiganAbout APPS Paramedical Services: APPS of Grand Rapids is the leader in paramedical exams across Western Michigan. We seek skilled medical professionals who are able to work independently and have outstanding phlebotomy skills and professional bedside manner.
Phlebotomist III - Floater Integrated Resources, IncPhlebotomist III - FloaterGrand Blanc, MIMust demonstrate Superior Customer Focus; ability to communicate openly and transparently with peers, supervisors and patients; ability to accelerate and embrace change; and knowledge of our business. The PSR III has direct contact with patients and creates an atmosphere of trust and confidence while explaining procedures to patients and drawing blood specimens in a skillful, safe and accurate manner.
Phlebotomist II - 1st Shift Integrated Resources, IncPhlebotomist II - 1st ShiftAlpena, MIJob Summary: The Phlebotomist II (Patient Services Representative II) serves as the face of the organization, providing exceptional patient care while collecting quality blood specimens for laboratory testing. This role requires strong phlebotomy skills, attention to detail, and the ability to work independently in a fast-paced environment.
Phlebotomist II Integrated Resources, IncPhlebotomist IIPontiac, MIMust demonstrate superior customer focus; ability to communicate openly and transparently with peers, supervisors, and patients; ability to accelerate and embrace change; and knowledge of our business. The PSR II has direct contact with patients and creates an atmosphere of trust and confidence while explaining procedures to patients and drawing blood specimens in a skillful, safe and accurate manner.
Phlebotomist I ManpowerPhlebotomist IColon, MIIn this role, you’ll be on the front lines of patient interaction—providing compassionate service, collecting high‑quality specimens, and supporting critical diagnostic testing that helps guide life‑changing medical decisions. Your professionalism, accuracy, and compassion directly contribute to patient trust, safety, and the quality of diagnostic results that inform critical medical decisions.