NewTravel Medical-Surgical RN - $1,808 per week Fastaff Travel NursingTravel Medical-Surgical RN - $1,808 per weekNashville, TNIn partnering with many of the nation’s largest and most prestigious healthcare facilities as well as small community hospitals, Fastaff provides enriching employment opportunities to RNs while also providing the highest pay in the industry to meet acute staffing needs and provide unparalleled patient care. Since then, the company has grown to become the leading provider of urgent and crucial temporary registered nurses to help hospitals provide continuous, high-quality patient care, while offering premium pay to registered nurses.
NewLocal Contract Medical-Surgical RN - $34-40 per hour Medical SolutionsLocal Contract Medical-Surgical RN - $34-40 per hourNashville, TN$34–$40 / hourMedical Solutions is one of the nation’s largest providers of total workforce solutions in the healthcare industry, connecting nurses and allied health clinicians with hospitals and healthcare systems across the country and around the corner. Some of the industry-leading benefits enjoyed by Medical Solutions travel nurses and travel allied healthcare professionals include: Day One Medical, Dental, and Vision with low premiums.
NewTravel Medical-Surgical RN - $1,714 per week Medical SolutionsTravel Medical-Surgical RN - $1,714 per weekNashville, TNMedical Solutions is one of the nation’s largest providers of total workforce solutions in the healthcare industry, connecting nurses and allied health clinicians with hospitals and healthcare systems across the country and around the corner. Some of the industry-leading benefits enjoyed by Medical Solutions travel nurses and travel allied healthcare professionals include: Day One Medical, Dental, and Vision with low premiums.
NewTravel Medical-Surgical RN - $1,904 per week Lucid Staffing SolutionsTravel Medical-Surgical RN - $1,904 per weekSpringfield, TNWhether you're chasing freedom, flexible schedules, bigger paychecks, or your next adventure, Lucid helps you get there—with real support, real respect , and real healthcare experts. Lucid Staffing Solutions was created by former healthcare workers who lived the short staffing, the chaotic workflows, and the nonstop pressure that comes with patient care.
NewTravel Medical-Surgical RN - $1,921 per week HCS 247Travel Medical-Surgical RN - $1,921 per weekSpringfield, TNOur clinical coverage includes Registered Nurse specialties such as ER, ICU, Med-Surg, Telemetry, Step-Down, OR, PACU, L&D, Mother/Baby, NICU, Cath Lab, Endoscopy, and more along with a full range of allied and imaging professionals, including Respiratory Therapists, Surgical Technicians, X-Ray Techs, CT Techs, MRI Techs, Interventional Radiology (IR) Techs, Cath Lab Techs, Ultrasound/Sonographers, Mammography Techs, and Nuclear Medicine Techs. HCS 24/7 is a national healthcare staffing organization specializing in the placement of Registered Nurses and Allied health professionals across acute care and other clinical settings.
NewTravel Medical-Surgical RN - $2,270 per week Cross Country NursesTravel Medical-Surgical RN - $2,270 per weekClarksville, TNRequired Qualifications: Two or more years of relevant experience, prior travel experience, Tennessee license or compact license on file at time of submission, and BLS certification. This position involves working in a Med/Surg float pool, providing care across multiple units with a focus on adult patients.
NewTravel Medical-Surgical RN - $1,840 per week VyTalent SolutionsTravel Medical-Surgical RN - $1,840 per weekNashville, TNBuilt on more than three decades of experience, VyTalent Solutions partners with hospitals, surgical centers, behavioral health facilities, schools, correctional healthcare environments, and community-based organizations nationwide. At VyTalent Solutions, support starts with benefits that work for you, an uncapped referral program, and a recruiter who’s with you every step of the assignment.
NewTravel Medical Surgical RN - $2,977 per week American TravelerTravel Medical Surgical RN - $2,977 per weekKingsport, TNAmerican Traveler is seeking an experienced RN for a Medical/Surgical night shift position requiring a TN or compact RN license and a minimum of 2 years of Med/Surg experience. With thousands of travel nursing and allied jobs nationwide, our attentive and approachable recruiters find positions that align perfectly with your career aspirations and personal requirements.
NewTravel Medical-Surgical Orthopedic Floor RN - $1,970 per week Cross Country NursesTravel Medical-Surgical Orthopedic Floor RN - $1,970 per weekGallatin, TNRequired Qualifications: RN license in Tennessee; Certifications including ACLS, BLS, PALS; 1+ years of clinical experience; Ability to work in the specified geographic location. Job Summary: The hospital in Gallatin, Tennessee is seeking a registered nurse (RN) specialized in Medical Surgical Orthopedic care for a night shift position.
NewTravel Medical-Surgical RN - $2,079 per week BesticaTravel Medical-Surgical RN - $2,079 per weekNashville, TNOur guiding principle and core values help us care for our people and the community; and build a culture of excellence which in turn helps us achieve our organizational objective of exceeding customer’s expectations in each and every project. We are a trusted provider of solutions in Information Technology and Healthcare sectors to the DoD, Federal and Commercial markets.
NewLocal Contract Medical-Surgical Registered Nurse - $25-30 per hour Medical SolutionsLocal Contract Medical-Surgical Registered Nurse - $25-30 per hourWinchester, TN$25–$30 / hourMedical Solutions is one of the nation’s largest providers of total workforce solutions in the healthcare industry, connecting nurses and allied health clinicians with hospitals and healthcare systems across the country and around the corner. Some of the industry-leading benefits enjoyed by Medical Solutions travel nurses and travel allied healthcare professionals include: Day One Medical, Dental, and Vision with low premiums.
NewTravel Medical-Surgical Registered Nurse - $1,829 per week Medical SolutionsTravel Medical-Surgical Registered Nurse - $1,829 per weekGallatin, TNMedical Solutions is one of the nation’s largest providers of total workforce solutions in the healthcare industry, connecting nurses and allied health clinicians with hospitals and healthcare systems across the country and around the corner. Some of the industry-leading benefits enjoyed by Medical Solutions travel nurses and travel allied healthcare professionals include: Day One Medical, Dental, and Vision with low premiums.
NewLocal Contract Medical-Surgical Registered Nurse - $42-49 per hour Medical SolutionsLocal Contract Medical-Surgical Registered Nurse - $42-49 per hourClarksville, TN$42–$49 / hourMedical Solutions is one of the nation’s largest providers of total workforce solutions in the healthcare industry, connecting nurses and allied health clinicians with hospitals and healthcare systems across the country and around the corner. Some of the industry-leading benefits enjoyed by Medical Solutions travel nurses and travel allied healthcare professionals include: Day One Medical, Dental, and Vision with low premiums.
NewTravel Medical-Surgical RN - $1,847 per week Supplemental Health CareTravel Medical-Surgical RN - $1,847 per weekWinchester, TN$1,692–$1,847 / weekSHC has also earned The Joint Commission’s Gold Seal of Approval and is named among the Largest Health Care Staffing companies in the United States by Staffing Industry Analysts. As recipients of the Best in Staffing Awards for both Client and Talent, Supplemental Health Care is proud to be among only 2% of staffing companies singled out for the distinction based on the real feedback of our employees and the clients we serve.
NewTravel Medical-Surgical RN - $1,609 per week Supplemental Health CareTravel Medical-Surgical RN - $1,609 per weekDickson, TN$1,476–$1,609 / weekSHC has also earned The Joint Commission’s Gold Seal of Approval and is named among the Largest Health Care Staffing companies in the United States by Staffing Industry Analysts. As recipients of the Best in Staffing Awards for both Client and Talent, Supplemental Health Care is proud to be among only 2% of staffing companies singled out for the distinction based on the real feedback of our employees and the clients we serve.
NewTravel Medical-Surgical RN - $1,707 per week Supplemental Health CareTravel Medical-Surgical RN - $1,707 per weekNashville, TN$1,566–$1,707 / weekSHC has also earned The Joint Commission’s Gold Seal of Approval and is named among the Largest Health Care Staffing companies in the United States by Staffing Industry Analysts. As recipients of the Best in Staffing Awards for both Client and Talent, Supplemental Health Care is proud to be among only 2% of staffing companies singled out for the distinction based on the real feedback of our employees and the clients we serve.
NewTravel Medical-Surgical RN - $1,903 per week Supplemental Health CareTravel Medical-Surgical RN - $1,903 per weekGallatin, TN$1,728–$1,903 / weekSHC has also earned The Joint Commission’s Gold Seal of Approval and is named among the Largest Health Care Staffing companies in the United States by Staffing Industry Analysts. As recipients of the Best in Staffing Awards for both Client and Talent, Supplemental Health Care is proud to be among only 2% of staffing companies singled out for the distinction based on the real feedback of our employees and the clients we serve.
NewTravel Medical-Surgical RN - $1,788 per week PRN HealthcareTravel Medical-Surgical RN - $1,788 per weekSpringfield, TNOver the years Nurses PRN grew and evolved as a nationwide healthcare staffing company, and therefore wanted to be more inclusive to all valued healthcare professionals: nurses, allied health, locum tenens, CNAs, and more. As a result, he started Nurses PRN in 1995 to become a model for the healthcare staffing industry – being competitive in the marketplace, yet still maintaining a compassionate heart.
NewTravel Medical-Surgical RN - $1,840 per week GHR Healthcare - TravelTravel Medical-Surgical RN - $1,840 per weekNashville, TNPay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined. GHR Healthcare - Travel is seeking a travel nurse RN Med Surg for a travel nursing job in Nashville, Tennessee.
NewTravel Medical-Surgical RN - $1,840 per week GHR HealthcareTravel Medical-Surgical RN - $1,840 per weekSpringfield, TNPay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined. GHR Healthcare is seeking a travel nurse RN Med Surg for a travel nursing job in Springfield, Tennessee.
Trauma Medical Surgical Nurse TriStar Skyline Medical CenterTrauma Medical Surgical NurseMurfreesboro, TNAdditional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. Collaborating with medical providers and the care team, you will provide personalized, comprehensive, and compassionate care, following established nursing models such as "Assess, Perform, Teach, and Manage."
NewTravel Medical-Surgical Orthopedic Registered Nurse - $2,479 per week Medical SolutionsTravel Medical-Surgical Orthopedic Registered Nurse - $2,479 per weekMemphis, TNMedical Solutions is one of the nation’s largest providers of total workforce solutions in the healthcare industry, connecting nurses and allied health clinicians with hospitals and healthcare systems across the country and around the corner. Some of the industry-leading benefits enjoyed by Medical Solutions travel nurses and travel allied healthcare professionals include: Day One Medical, Dental, and Vision with low premiums.
NewTravel Medical-Surgical Telemetry RN - $1,822 per week OlaroTravel Medical-Surgical Telemetry RN - $1,822 per weekMaryville, TNPay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Olaro is seeking a travel nurse RN Med Surg / Telemetry for a travel nursing job in Maryville, Tennessee.
NewTravel Medical-Surgical Telemetry RN - $1,890 per week Reliable Nurse StaffingTravel Medical-Surgical Telemetry RN - $1,890 per weekMaryville, TNPay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Reliable Nurse Staffing is seeking a travel nurse RN Med Surg / Telemetry for a travel nursing job in Maryville, Tennessee.
NewTravel Medical-Surgical Telemetry Registered Nurse - $2,604 per week OlaroTravel Medical-Surgical Telemetry Registered Nurse - $2,604 per weekMemphis, TNPay package is based on 12 hour shifts and 48 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Olaro is seeking a travel nurse RN Med Surg / Telemetry for a travel nursing job in Memphis, Tennessee.
NewTravel Medical Surgical RN - $2,430 per week HonorVet TechnologiesTravel Medical Surgical RN - $2,430 per weekKingsport, TNAs a Joint Commission-certified clinical staffing agency , we deliver unmatched expertise in placing top-tier healthcare professionals—RNs, LPNs/LVNs, CNAs/CMAs, and NPs—across diverse facilities, including hospitals, clinics, rehabilitation centers, old-age homes, schools, correctional facilities, and more. With strong delivery capabilities and rapid turnaround times, we support contract, travel, direct hire, and per-dem staffing needs across nursing, allied health, healthcare IT, and clinical support services.
NewTravel Registered Nurse, Medical-Surgical - $1,921 per week HCS 247Travel Registered Nurse, Medical-Surgical - $1,921 per weekNashville, TNOur clinical coverage includes Registered Nurse specialties such as ER, ICU, Med-Surg, Telemetry, Step-Down, OR, PACU, L&D, Mother/Baby, NICU, Cath Lab, Endoscopy, and more along with a full range of allied and imaging professionals, including Respiratory Therapists, Surgical Technicians, X-Ray Techs, CT Techs, MRI Techs, Interventional Radiology (IR) Techs, Cath Lab Techs, Ultrasound/Sonographers, Mammography Techs, and Nuclear Medicine Techs. HCS 24/7 is a national healthcare staffing organization specializing in the placement of Registered Nurses and Allied health professionals across acute care and other clinical settings.
NewLocal Contract Medical-Surgical Telemetry RN - $46 per hour Stability HealthcareLocal Contract Medical-Surgical Telemetry RN - $46 per hourMaryville, TNYou can start the year off in sunny California, spend the Spring in the Colorado Rockies, enjoy the Summer in the Mid-West, experience the change of seasons in Boston and New York, and hit the beaches of Florida in the winter. The Medical Surgical Telemetry Registered Nurse (RN) provides direct nursing care in accordance with established policies, procedures and protocols of the healthcare organization often specializing in Neuro, Ortho or Cardiac patients.
NewTravel Medical-Surgical Telemetry RN - $2,801 per week HCS 247Travel Medical-Surgical Telemetry RN - $2,801 per weekMemphis, TNOur clinical coverage includes Registered Nurse specialties such as ER, ICU, Med-Surg, Telemetry, Step-Down, OR, PACU, L&D, Mother/Baby, NICU, Cath Lab, Endoscopy, and more along with a full range of allied and imaging professionals, including Respiratory Therapists, Surgical Technicians, X-Ray Techs, CT Techs, MRI Techs, Interventional Radiology (IR) Techs, Cath Lab Techs, Ultrasound/Sonographers, Mammography Techs, and Nuclear Medicine Techs. HCS 24/7 is a national healthcare staffing organization specializing in the placement of Registered Nurses and Allied health professionals across acute care and other clinical settings.
NewTravel Medical-Surgical Oncology RN - $2,300 per week Cross Country NursesTravel Medical-Surgical Oncology RN - $2,300 per weekNashville, TNPreferred Qualifications: Experience in oncology or medical-surgical nursing; familiarity with MediTech Expanse documentation system; proficiency in sterile technique for port access and peripheral venipuncture; ability to draw labs via central venous catheter or peripheral veins. Additional Information: The unit has no unit secretaries or tech staff available; utilizes Alaris Pumps for medication administration; patient ratio is 4:1 chairs at a time; staff may perform procedures such as port access and IV hydration.
NewTravel Medical-Surgical/Telemetry Registered Nurse - $1,781 per week Stability HealthcareTravel Medical-Surgical/Telemetry Registered Nurse - $1,781 per weekNashville, TNYou can start the year off in sunny California, spend the Spring in the Colorado Rockies, enjoy the Summer in the Mid-West, experience the change of seasons in Boston and New York, and hit the beaches of Florida in the winter. Telemetry nurses care for patients by using medical equipment to monitor blood pressure, heart rate, blood oxygen level, breathing rate, and other vital signs.
NewTravel Medical-Surgical Telemetry Registered Nurse - $1,885 per week PRIDE HealthTravel Medical-Surgical Telemetry Registered Nurse - $1,885 per weekMaryville, TNPRIDE Health is the minority-owned healthcare recruitment division of Pride Global—an integrated human capital solutions and advisory firm. Pay package is based on 12 hour shifts and 36.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined.
NewTravel Medical Surgical Registered Nurse - $2,875 per week LeaderStatTravel Medical Surgical Registered Nurse - $2,875 per weekMemphis, TNPay package is based on 12 hour shifts and 48 hours per week (subject to confirmation) with tax-free stipend amount to be determined. For 20 years, LeaderStat has been dedicated to partnering with exceptional healthcare providers to find them the very best assignments throughout the country.
NewTravel Medical Surgical Registered Nurse - $2,661 per week Assured NursingTravel Medical Surgical Registered Nurse - $2,661 per weekMemphis, TNPay package is based on 12 hour shifts and 48.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Assured Nursing is seeking a travel nurse RN Med Surg for a travel nursing job in Memphis, Tennessee.
NewTravel Medical-Surgical Telemetry Registered Nurse - $2,661 per week Assured NursingTravel Medical-Surgical Telemetry Registered Nurse - $2,661 per weekMemphis, TNPay package is based on 12 hour shifts and 48.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Assured Nursing is seeking a travel nurse RN Med Surg / Telemetry for a travel nursing job in Memphis, Tennessee.
NewTravel Medical-Surgical Orthopedic Registered Nurse - $2,661 per week Assured NursingTravel Medical-Surgical Orthopedic Registered Nurse - $2,661 per weekMemphis, TNPay package is based on 12 hour shifts and 48.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Assured Nursing is seeking a travel nurse RN Med Surg for a travel nursing job in Memphis, Tennessee.
NewTravel Medical Surgical Telemetry RN - $2,218 per week Assured NursingTravel Medical Surgical Telemetry RN - $2,218 per weekKingsport, TNPay package is based on 12 hour shifts and 36.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Assured Nursing is seeking a travel nurse RN Med Surg / Telemetry for a travel nursing job in Kingsport, Tennessee.
NewTravel Medical Surgical Telemetry RN - $2,986 per week Assured NursingTravel Medical Surgical Telemetry RN - $2,986 per weekKingsport, TNPay package is based on 12 hour shifts and 48.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Assured Nursing is seeking a travel nurse RN Med Surg / Telemetry for a travel nursing job in Kingsport, Tennessee.
NewTravel Medical-Surgical RN - $1,524 per week GQR HealthcareTravel Medical-Surgical RN - $1,524 per weekNashville, TNThrough deep market specialization and a unique approach to talent acquisition, GQR Healthcare provides an unparalleled and personalized experience across all medical specialties in nursing and within diverse healthcare platforms across the industry. In the competitive healthcare market, we recognize that the industry’s common goals of improved quality of care and patient outcomes are wholly reliant upon the professionals directly supporting these initiatives.
NewTravel Medical-Surgical Orthopedic RN - $2,558 per week Anders GroupTravel Medical-Surgical Orthopedic RN - $2,558 per weekMemphis, TNFounded in 2010 by experienced healthcare recruiters, Anders Group was built on a simple idea: people come before numbers. That’s why we focus on delivering exceptional customer service, personalized support, and access to some of the best-paying travel opportunities nationwide.
NewTravel Surgical ICU Registered Nurse - $2,142 per week GHR HealthcareTravel Surgical ICU Registered Nurse - $2,142 per weekChattanooga, TNGHR Healthcare is seeking a travel nurse RN SICU - Surgical Intensive Care for a travel nursing job in Chattanooga, Tennessee. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined.
NewTravel Medical-Surgical RN - $1,905 per week Genie HealthcareTravel Medical-Surgical RN - $1,905 per weekNashville, TNGrowing from a small team of eager recruiters to a company with satisfied clients in nearly every corner of the nation, delivering excellence in patient and customer care is the key to Genie’s success. The management team has 20 years of experience in workforce solutions and staffing in medical and non-medical fields, roles ranging from Clerical job to Cardiologist to software developer to CEO.
Medical Surgical Nurse Manager TriStar Centennial Medical CenterMedical Surgical Nurse ManagerMurfreesboro, TNAdditional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. Our campus includes The Children's Hospital at TriStar Centennial, Sarah Cannon Cancer Institute at TriStar Centennial Medical Center, TriStar Centennial Advanced Joint Replacement Institute and TriStar Centennial Parthenon Pavilion.
NewTravel Nurse RN - SICU - Surgical Intensive Care - $1,854 per week PRIDE HealthTravel Nurse RN - SICU - Surgical Intensive Care - $1,854 per weekNashville, TNPRIDE Health is the minority-owned healthcare recruitment division of Pride Global—an integrated human capital solutions and advisory firm. PRIDE Health is seeking a travel nurse RN SICU - Surgical Intensive Care for a travel nursing job in Nashville, Tennessee.
NewTravel Medical-Surgical/Telemetry Registered Nurse - $1,822 per week OlaroTravel Medical-Surgical/Telemetry Registered Nurse - $1,822 per weekNashville, TNPay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Olaro is seeking a travel nurse RN Med Surg / Telemetry for a travel nursing job in Nashville, Tennessee.
NewTravel Medical-Surgical/Telemetry Registered Nurse - $1,940 per week Jackson Nurse ProfessionalsTravel Medical-Surgical/Telemetry Registered Nurse - $1,940 per weekNashville, TNAwarded Best of Staffing - Talent and Client 2024, and rated as a Top Workplace 2023 by the Orlando Sentinel, Jackson Nurse Professionals goes the extra mile to provide travel nurses the career they deserve, while providing clients with a large range of highly skilled nurses to fill short, long-term, and temporary assignments. Filling critical needs in patient care, Jackson Nurse Professionals delivers cost-effective travel nurse staffing solutions to over 500 hospitals, outpatient clinics, and home health clients nationwide.
Registered Nurse (RN) Post Surgical/Ortho Highpoint Health - Sumner with Ascension Saint ThomasRegistered Nurse (RN) Post Surgical/OrthoGallatin, TNOur diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. Highpoint Health Sumner is a 167-bed hospital located in Gallatin, TN and is part of Lifepoint Health , a diversified healthcare delivery network committed to making communities healthier ® with acute care, rehabilitation, and behavioral health facilities from coast to coast.
NewTravel Medical-Surgical Telemetry RN - $2,815 per week MedPro Healthcare StaffingTravel Medical-Surgical Telemetry RN - $2,815 per weekKingsport, TNMedPro Healthcare Staffing , a Joint Commission-certified staffing agency, is seeking a quality Med-Surg registered nurse (RN) for a travel assignment with one of our top healthcare clients. As a Joint Commission-certified leader in temporary and contract healthcare staffing since 1983, MedPro has proudly connected nursing and allied travelers with top healthcare facilities across the nation.
Registered Nurse (RN) Medical-Surgical Starr Regional Medical CenterRegistered Nurse (RN) Medical-SurgicalAthens, TNOur diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. Assists in determining staffing levels and assignments based on staff availability, staff abilities, census, patient acuity and work/patient flow.
Neuro Medical Surgical Nurse TriStar Skyline Medical CenterNeuro Medical Surgical NurseLebanon, TNAdditional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. Daily responsibilities of the Registered nurse include but are not limited to: assessments and reassessments, developing individualized plans of care, medication administration, documentation, education, proper maintenance of equipment, and communication of patient needs. . .