Details Department:Ped Rehab Services (Outpatient)Schedule:Mon - Fri, schedule can be 4 10sHospital:Ascension Seton WilliamsonLocation:Round Rock, TXBenefits Paid time off (PTO)Various health insurance options & wellness plansRetirement benefits including employer match plansLong-term & short-term disabilityEmployee assistance programs (EAP)Parental leave & adoption assistanceTuition reimbursementWays to give back to your communityBenefit options and eligibility vary by position. Compensation varies based on factors including, but not limited to, experience, skills, education, performance, location and salary range at the time of the offer.Responsibilities Evaluate and treat patients requiring speech-language therapy.Performtherapy interventions utilizing standard therapy techniques and skills as appropriate for the condition of the patient.Educate and counsel patient and family regarding treatment plans.Maintain clinical records and follow performance improvement recommendations.Plan and/or assist with patient discharge from speech therapy services. Provide information regarding appropriate support programs.Requirements Licensure / Certification / Registration:BLS Provider obtained within 1 Month (30 days) of hire date or job transfer date required. American Heart Association or American Red Cross accepted.Speech-Language Pathologist credentialed from the Texas State Board of Examiners for Speech-Language Pathology and Audiology obtained prior to hire date or job transfer date required. Will also accept Texas-Speech Language Pathologist - InternEducation:High School diploma equivalency with 2 years of cumulative experience OR Associate'sdegree/Technical degree OR 4 years of applicable cumulative job specific experience required.Additional Preferences No additional preferences.Why Join Our Team Ascension Seton, based in Austin, Texas, has provided thousands of associates and caregivers a rewarding career in healthcare since 1902. Ascension Seton operates more than 100 clinical locations in Central Texas and four teaching hospitals, including Dell Seton Medical Center at The University of Texas and Dell Children's Medical Center. Join us and create a career path you will love.Ascension is a leading non-profit, faith-based national health system made up of over 134,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states.Our Mission, Vision and Values encompass everything we do at Ascension. Every associate is empowered to give back, volunteer and make a positive impact in their community. Ascension careers are more than jobs; they are opportunities to enhance your life and the lives of the people around you.Equal Employment Opportunity Employer Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws.For further information, view the EEO Know Your Rights (English) poster or EEO Know Your Rights (Spanish)poster.As a military friendly organization, Ascension promotes career flexibility and offers many benefits to help support the well-being of our military families, spouses, veterans and reservists. Our associates are empowered to apply their military experience and unique perspective to their civilian career with Ascension.Pay Non-Discrimination NoticePlease note that Ascension will make an offer of employment only to individuals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. Ascension will not solicit money or banking information from applicants.This Ministry does not participate in E-Verify and therefore cannot employ STEM OPT candidates.

DescriptionSummary: All pharmacists fill orders for drugs, monitor patient drug therapies and provide drug information. Pharmacists provide pharmacy services with compassion, excellence and efficiency. In addition, level II pharmacists participate in management of patient pharmacotherapy and quality medication management within assigned service lines. CHRISTUS Santa Rosa is proud to bring more than 145 years of Catholic, faith-based, health care excellence to Alamo Heights, an area known for its rich history and quality. Overlooking the Quarry Golf Course, the 36-bed short stay surgical hospital provides state-of-the-art technology including electronic medical records complemented by highly specialized services, physicians, and clinical care teams. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Operational Duties and Responsibilities Prepares and dispenses drug orders per physician request according to established policies, procedures and protocols. Interprets drug orders (verbal and written) and transcribes/verifies into computerized patient medication record accurately. Maintains, accurate, complete patient drug record. Compounds and dispenses pharmaceuticals including non-sterile and sterile products, chemotherapy and parenteral nutrition products accurately. Issues controlled substances to patient care areas and maintains records as required by law and institutional policies. Provides services efficiently and in a timely fashion. Supervises and directs pharmacy support personnel. Verifies the daily activities of pharmacy techniciansMaintains competency required for current job title/positionMaintains current pharmacist license. Ensures applicable CE records and licensure are maintained in department files. Attends staff meetings. Completes all competency/skills assessment requirements. Provides analysis of medication use processes and contributes at least one related project per year. Ambulatory care PharmacistProvides ambulatory pharmaceutical care services utilizing approved protocols and/or collaborative agreement with other providers, including managing patient drug therapy, anticoagulation management, providing patient education, and preparing and/or overseeing the preparation and dispensing of medications. Performs duties in the clinical areas assigned such as but not limited to: anticoagulation clinics, intensive medical home, transition of care, Discharge Medication reconciliation, etc. Clinical Duties and Responsibilities Ensures safe, appropriate, cost effective drug therapies for patients according to established policies, procedures, and protocols. Monitors drug therapy regimens for contraindications, drug-drug interactions, drug-food interactions, allergies and appropriateness of drug and dose. Assists with pharmacokinetics consult service and renal drug dosing per hospital protocol. Reads, extracts and interprets information in patient medical records accurately. Detects and reports suspected adverse drug reactions accurately and in a timely manner. Sustains the hospital drug formulary, minimizing non-formulary procurements, utilizing therapeutic substitution protocols and promoting rational drug therapy selection. Provides clinical consultation and clarification to practitioners as appropriate. Provides accurate, adequate and timely drug information to the hospital’s professional staff. Provides drug education to patients and their families per institutional protocol. Participates in the quality improvement and medication use review activities of the department. Collects data, conducts monitors and inspections and maintains logs, records and other documentation as assigned. Conducts designated interventions as defined in department Clinical Intervention activities (IV to PO, Renal Dosing, Pharmacokinetic dosing support, Anticoagulation)Baseline departmental standards for reporting interventions for clinical productivity as defined by departmental goals. Participates in antibiotic stewardship, opioid stewardship, and shortage management activities as assignedAttends interdisciplinary rounds when assignedProvides services efficiently and in a timely fashionContributes to the advancement of the pharmacy department and medication management of the organization through (minimum):Precepting of pharmacy residents and studentsAssessment of new and ongoing pharmacist competenciesIn-service of pharmacy and/or nursing staff (1 per year)Participates in departmental or sub-committees as assignedCompletes 1 clinical project per year Occupational Hazards Potential for exposure to hazardous and toxic substances (including chemotherapeutic, cytotoxic drugs and cleaning solutions), sticks or cuts by needles and other sharp items. Risk 0 exposure category. Potential for musculoskeletal injuries if proper lifting and carrying techniques are not used. Potential exposure to biologic material when participating in direct patient care activities (e. g. patient education, code attendance). Job Requirements: Education/Skills Doctor of Pharmacy or BS Pharmacy degree requiredOne of the following required: BPS Board Certification, Residency, Fellowship or at least 5 years of hospital experience Experience PGY-1 and PGY-2 residency completion, Board certification, or 5 years hospital experience required at hire Licenses, Registrations, or Certifications Pharmacy state licensure required within 60 days of start datePharmacist preceptor required within 90 daysBLS or ACLS requiredPALS (for pediatric practice) requiredASHP Residency Preceptor status required within 180 days of hire (for Ministries with Residency programs) In accordance with the CHRISTUS Health License, Certification and Registration Verification Policy, all Associates are required to obtain the required certifications for their respective positions within the designated time frame. Work Schedule: Varies Work Type: Per Diem As Needed

Description IntroductionSt. David's South Austin Medical Center is committed to investing in the latest technology enabling nurses to work more efficiently. Are you passionate about delivering patient-centered care Submit your application for Float Pool Clinical Nurse Coordinator position and spend more time at the bedside with the patient.BenefitsSt. David's South Austin Medical Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.Additional 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.Free counseling services and resources for emotional, physical and financial wellbeing401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)Employee Stock Purchase Plan with 10% off HCA Healthcare stockFamily support through fertility and family building benefits with Progyny and adoption assistance.Referral services for child, elder and pet care, home and auto repair, event planning and moreConsumer discounts through Abenity and Consumer DiscountsRetirement readiness, rollover assistance services and preferred banking partnershipsEducation assistance (tuition, student loan, certification support, dependent scholarships)Colleague recognition programTime Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.Learn more about Employee BenefitsNote: Eligibility for benefits may vary by location.You contribute to our success let us contribute to yours! Whether you choose to focus on bedside care, a leadership or C-suite role, shape business and operational outcomes, or work to deliver clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at St. David's South Austin Medical Center!Job Summary and QualificationsAs a Clinical Nurse Coordinator, you will serve as the primary decision maker for clinical and managerial operations and workflow during a given shift. As a Registered Nurse, you may assume care responsibilities for patients on the unit if needed. Unlock the possibilities in your nursing career by joining a team that cares like family.You will collaborate with the multidisciplinary team to coordinate, evaluate, customize, and deliver high quality, patient-centered care.You will continuously assess the quality of nursing care services provided and operationalize evidenced-based practices to enhance patient safety and quality outcomes.You will assume leadership responsibility within the unit in support of the RN manager/director, including direct supervision of a portion of the staff, education and coaching, payroll editing, annual performance reviews, and employee recognition.You will have designated responsibilities that may rotate within one or more of the following core areas:Quality, Safety, and Regulatory PreparednessPatient ExperienceEmployee Engagement, Physician Satisfaction, and CultureFiscal Responsibility including scheduling, overtime review, and supply managementStaff Development including education / clinical competencies and Graduate Nurse Residency / Preceptor supportWhat qualifications you will need:Experience1+ year experience in healthcareEducationAssociate Degree in Nursing - RequiredBachelor's Degree in Nursing - preferredLicense and CertificationsCurrently licensed as a registered professional nurse in the state(s) of practice and/or has an active compact license, in accordance with law and regulation.Basic Life Support (BLS) required as per St. David’s Healthcare policyAdvanced Cardiovascular Life Support (ACLS) certification - preferredSt. David's South Austin Medical Center, which is part of St. David's HealthCare. We are a 368-bed acute care facility offering a range of complex specialties and sub-specialties. Our services include a nationally accredited oncology program with the area's only adult Transplant and Cellular Therapy Program; advanced trauma care with a Level II trauma center; comprehensive cardiac, stroke and orthopedic programs; full-service maternity and newborn care; and two full-service emergency centers in the communities of Bee Cave and Bastrop. St. David's South Austin Medical Center is affiliated with the Texas Institute for Robotic Surgery. We offer advanced robotic services for orthopedics, open heart and lung surgery, complex GI surgery, surgical oncology, general surgery, colorectal surgery, and urology. It was one of the first hospitals in Central Texas to combine the use of CT imaging and robotics to detect early stage lung cancer. HCA Healthcare has been recognized as one of the World's Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses."Across HCA Healthcare’s more than 2,000 sites of care, our nurses and colleagues have a positive impact on patients, communities and healthcare. Together, we uplift and elevate our purpose to give people a healthier tomorrow."- Jane Englebright, PhD, RN CENP, FAAN Senior Vice President and Chief Nursing Executive Join a family that cares about every stage in your career! We are interviewing candidates for our Float Pool Clinical Nurse Coordinator opening. Apply today and a member of our Talent Acquisition team will reach out.We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

Occupational Therapist Career Opportunity PRN Rate: $55 an hour Your Calling, Close to Home and HeartAre you in pursuit of a career that's more than a job, one that aligns with your heart and community We believe in the power of creating positive change within local communities through exceptional Occupational Therapy services, empowering individuals toward independence and an improved quality of life. Envision the opportunity to profoundly impact patients' lives, providing vital care and support, and contributing to inspiring outcomes. If this resonates, you're in the right place. As an Occupational Therapist, your role thrives on recognizing the significance of small victories in driving substantial change. Utilize your specialized skills to deliver top-tier, compassionate, and personalized care to our rehabilitation patients. Embrace a supportive team environment infused with motivation and joy in their work, granting access to cutting-edge technology. Start a rewarding career with comprehensive benefits, ensuring your peace of mind and professional growth from day one. Welcome to a fulfilling career journey where your care brings lasting impact and personal fulfillment. A Glimpse into Our WorldWhether you're laying the foundation of your career or a seasoned Occupational Therapist in search of a nurturing environment to call home, we are confident you'll feel the difference the moment you join our team. Being at Encompass Health means being a part of a growing national inpatient rehabilitation leader. We take pride in our career growth opportunities and the collaborative spirit of our team members, united for the greater good of our patients. Our recognitions, including being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For® Award, make us immensely proud. Benefits That Begin With YouOur benefits are designed to support your well-being and start on day one:• Affordable medical, dental, and vision plans for both full-time and part-time employees and their families.• Generous paid time off that accrues over time.• Tuition reimbursement and continuous education opportunities for your professional growth.• Company-matching 401(k) and employee stock purchase plans, securing your financial future.• Flexible spending and health savings accounts tailored to your unique needs.• A vibrant community of individuals who are passionate about what they do. Be the Occupational Therapist You've Always Aspired to BeYour impactful journey involves:• Providing direct care to patients in need of occupational therapy.• Guiding patients by supervising care and treatments, leading patient assessments, creating personalized care plans, and targeting and resolving patient concerns.• Building meaningful relationships with patients by dedicating time to understand their physical, mental, and emotional needs for a successful recovery.• Celebrating patient victories along the way. Qualifications• Current licensure or certification required by state regulations.• CPR certification.• Master's Degree preferred, or Bachelor's Degree plus sufficient experience in the field. The Encompass Health WayWe proudly set the standard in care by leading with empathy, doing what's right, focusing on the positive, and standing stronger together. Encompass Health is a trusted leader in post-acute care with over 150 nationwide locations and a team of 36,000 exceptional individuals and growing!At Encompass Health, we celebrate and welcome diversity in our inclusive culture. We provide equal employment opportunities regardless of race, ethnicity, gender, sexual orientation, gender identity or expression, religion, national origin, color, creed, age, mental or physical disability, or any other protected classification.We're looking forward to meeting you, and we truly mean that. Join our family, and let's make a positive impact together.

DescriptionSummary: Responsible for the pulmonary care of critical, non-critical, and chronically ill adult, pediatric, and neonatal patients under the direction of a physician with minimal supervision. Performs patient assessments and institutes respiratory care plans. Performs various technical and diagnostic respiratory therapy procedures in all areas of the hospital. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Include, but are not limited to: Emergency (Code Blue and White) response;Airway management including nasotracheal & endotracheal suctioning;Delivery of aerosolized drugs;Ventilator management (i. e. setup and operation);Oral hygiene;Airway retaining device placement and maintenance;Airway support device management including BiPAP and CPAP devices;Oxygen delivery devices and therapeutic monitoring;Chest film analysis;Bloodgas collection and analysis;EKG analysis;Accurate and complete documentation;Cleaning and stocking of equipment and supplies as necessary;Participate in CAP and JC surveys. RRTs may function as Shift Leader or serve in the capacity of Team LeaderAdvanced practice skills may include: Therapeutic gas management and monitoring, including INO and HeO2;Pulmonary Function Testing;Bronchoscopy assist;Hemodynamic Monitoring;Waveform analysis;Nocturnal SpO2 evaluation (Desaturation Studies);Polysomnography;Transport duties. Job Requirements: Education/Skills See licensure and/or certification requirements Experience 1 - 3 years of experience preferred Licenses, Registrations, or Certifications RT or RCP License in state of employment required BLS required Registered Respiratory Therapist (RRT) by NBRC required In accordance with the CHRISTUS Health License, Certification and Registration Verification Policy, all Associates are required to obtain the required certifications for their respective positions within the designated time frame. Position Requirements: Education/Skills None Experience None Licenses, Registrations, or Certifications Current ACLS certification requiredCurrent PALS certification requiredCurrent NRP certification required Work Schedule: 7AM - 7PM Work Type: Per Diem As Needed

Description Specialization:Emergency MedicineJob Summary:TeamHealth at St. David’s South Austin Medical Center would like to recruit a GME Program Director of Emergency Medicine. This is a hybrid role consisting of GME program director and emergency medicine at a level II Trauma emergency department.The GME Program Director is responsible for the leadership, organization, operation and the general administration of the program. Establishes the strategic direction of the program and is responsible for the standards, quality and reputation of the Emergency Medicine residency program.The Program Director will integrate the Emergency Medicine residency program with physician practices and hospital clinical services in a manner that enhances value and quality, andpromotes an optimal environment for graduate medical education.Qualifications:Minimum of three years’ experience as physician faculty in an ACGME accredited Emergency Medicine residency programThe Program Director must possess the required specialty expertise, as well as documented educational and administrative abilities, to carry out the responsibilities of the role and to achieve the goals and objectives of the programCurrent Certification by the American Board of Emergency MedicineDemonstrate clinical competency as a practicing emergency medicine physicianDemonstrated experience in a leadership role (APD, core faculty, residency committee chair, or site director) in the most recent three yearsMust participate in ongoing scholarly activity, including peer-reviewed publicationsSchedule: 50% clinical (some night and weekend coverage) and 50% GME focusedED Volume: 80,000 per year, 2.3 patients per hourIncentive/Benefits Package:W2 employee modelCompetitive salaryFull benefits including health, dental, vision, life insurance, long and short term disability and 401k availableCME/Dues and SubscriptionsOccurrence based malpractice coverageAbout St. David’s South Austin Medical Center:St. David’s South Austin Medical Center is an acute care facility with 368-bed multi-specialty (36 emergency beds), acute care hospital serving the ever-expanding South Austin community for 40 years.Sarah Cannon Transplant and Cellular Therapy Program, a nationally accredited oncology program with the area’s only adult bone marrow transplant programA Level II Trauma CenterSt. David's Graduate Medical Education ProgramsA comprehensive cardiac program"Best Hospital" by US News and World Report and Leapfrog "Grade A" Hospital Safety scoresAustin has earned a reputation as one of the best places to live in the nation. Among Texas towns, Austin has been named “Best Place for Business and Careers,” “Live Music Capital of the World,” and “Best Town for Relocation of Families.” Austin has a lot to offer singles as well as families, from downtown loft living to quieter neighborhoods by the lake or in the hill country. Austin has around 300 days of sunshine each year with excellent schools, fine arts, lakes, limitless outdoor activities, and year-round festival.

DescriptionSummary: Responsible for the pulmonary care of critical, non-critical, and chronically ill adult, pediatric, and neonatal patients under the direction of a physician with minimal supervision. Performs patient assessments and institutes respiratory care plans. Performs various technical and diagnostic respiratory therapy procedures in all areas of the hospital. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Include, but are not limited to: Emergency (Code Blue and White) response;Airway management including nasotracheal & endotracheal suctioning;Delivery of aerosolized drugs;Ventilator management (i. e. setup and operation);Oral hygiene;Airway retaining device placement and maintenance;Airway support device management including BiPAP and CPAP devices;Oxygen delivery devices and therapeutic monitoring;Chest film analysis;Bloodgas collection and analysis;EKG analysis;Accurate and complete documentation;Cleaning and stocking of equipment and supplies as necessary;Participate in CAP and JC surveys. RRTs may function as Shift Leader or serve in the capacity of Team LeaderAdvanced practice skills may include: Therapeutic gas management and monitoring, including INO and HeO2;Pulmonary Function Testing;Bronchoscopy assist;Hemodynamic Monitoring;Waveform analysis;Nocturnal SpO2 evaluation (Desaturation Studies);Polysomnography;Transport duties. Job Requirements: Education/Skills See licensure and/or certification requirements Experience 1 - 3 years of experience preferred Licenses, Registrations, or Certifications RT or RCP License in state of employment required BLS required Registered Respiratory Therapist (RRT) by NBRC required Position Requirements: Education/Skills None Experience None Licenses, Registrations, or Certifications Current ACLS certification requiredCurrent PALS certification requiredCurrent NRP certification required In accordance with the CHRISTUS Health License, Certification and Registration Verification Policy, all Associates are required to obtain required certifications for their respective positions within the designated time frame. Credential Grace Periods: If additional credentials are required per the Position Requirements section, a grace period to obtain the certification will apply, dependent on your experience level. Any Candidate/Associate with at least one year of acute care clinical experience in a similar service line within the past three years is considered anExperienced Associate. Any Candidate/Associatewho doesnothave at least one year of full-time acute care clinical experience in the same service line within the past three years is considered anExperienced Associate New to the Specialty. CredentialGrace Periods forExperienced AssociatesGrace Periods forNew Graduates & Experienced Associates New to the SpecialtyBasic Life Support (BLS)No grace period. AHA or Red Cross accepted at time of hire. No grace period. AHA or Red Cross accepted at time of hire. Advanced Cardiac Life Support (ACLS)Within 30 days of hire. Within 90 days of hire. Pediatric Life Support (PALS)Within 30 days of hire. Within 90 days of hire. Trauma Nurse Core Curriculum (TNCC)Within 60 days of hire. Within 18 months of hire. Trauma Care After Resuscitation (TCAR)Within 60 days of hire. Within 18 months of hire. Neonatal Resuscitation Program (NRP)Within 30 days of hire. Within 60 days of hire. AWHONN INTERMEDIATE FHM (Fetal Heart Monitoring)Within 30 days of hire. Within 60 days of hire. STABLE (Neonatal Education)Within 30 days of hire. Within 60 days of hire. Work Schedule: 7PM - 7AM Work Type: Per Diem As Needed

Description Sign-on Bonusup to$7500 for New Gradsand up to$10K for Experienced RRTsIntroductionDo you have the career opportunities as a(an) Registered Respiratory Therapist RRT you want with your current employer We have an exciting opportunity for you to join St. David's South Austin Medical Center which is part of the nation's leading provider of healthcare services, HCA Healthcare.BenefitsSt. David's South Austin Medical Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as telemedicine services and free AirMed medical transportation.Additional 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.Fertility and family building benefits through ProgynyFree counseling services and resources for emotional, physical and financial wellbeingFamily support, including adoption assistance, child and elder care resources and consumer discounts401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)Employee Stock Purchase PlanRetirement readiness and rollover services and preferred banking partnershipsEducation assistance (tuition, student loan, certification support, dependent scholarships)Colleague recognition programTime Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)Learn more about Employee BenefitsNote: Eligibility for benefits may vary by location.Our teams are a committed, caring group of colleagues. Do you want to work as a(an) Registered Respiratory Therapist RRT where your passion for creating positive patient interactions are valued If you are dedicated to caring for the well-being of others, this could be your next opportunity. We want your knowledge and expertise!Job Summary and QualificationsAs a Registered Respiratory Therapist (RRT) you will perform the critical care and diagnostic procedures utilized in the diagnosis and treatment of cardiopulmonary diseases on patients of all ages. As a member of the patient focused care team you will be responsible for performing basic respiratory equipment maintenance, quality control measures and other administrative or technical tasks.You will be responsible for setting up and operating various types of respiratory care equipmentYou will be perform a range of technical procedures related to cardiopulmonary hemodynamicsYou will demonstrate competency in proper airway careYou will be able to assess patients appropriately, interpret results accurately, and suggest alternative respiratory treatmentYou will exhibit competency in the performance of routine patient assessment and in the ability to correctly recognize and interpret respiratory dysfunctionYou will function as a respiratory care protocol assessor by delivering therapy and reassessing patients in a timely manner and maintaining proper and accurate documentationYou will communicate regularly with physicians and nurses about patient care plans and updatesJob QualificationsExperienceAcute Care Hospital experience preferredEducationGraduate of an American Medical Association accredited Respiratory Therapy programLicenses and CertificationsRegistered Respiratory Therapist credential by the National Board for Respiratory Care (NBRC)Current Texas Respiratory Care Practitioner licenseCurrent certification as Basic Life Support (BLS) providerCurrent Neonatal Resuscitation Program (NRP) certification required for NICU RRT StaffCurrent Advanced Cardiovascular Life Support (ACLS) certification required for ICU RRT staffSt. David’s South Austin Medical Center is an acute-care facility in central Texas with more than 300 patient beds. The hospital is known in the community for its nationally accredited oncology program – the Sarah Cannon Blood Cancer Center, home to the area’s only adult bone marrow transplant program – and Level II trauma center. The facility’s full range of specialized services includes cardiovascular care and rehabilitation, imaging services, women’s services, joint replacement and orthopedics, surgical services including weight loss surgery, wound care, emergency care, cancer care, nutrition services, and a sleep disorder center. The hospital operates three full-service emergency centers. St. David’s South Austin Medical Center is part of St. David’s HealthCare, which is one of the largest healthcare systems in Texas and the third-largest employer in the Austin area. St. David’s HealthCare was formed through a unique partnership between HCA Healthcare and two local non-profits St. David’s Foundation and Georgetown Health Foundation. HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. "Bricks and mortar do not make a hospital. People do."- Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for ourRegistered Respiratory Therapist RRT opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews.Unlock the possibilities and apply today!We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

DescriptionSummary: Responsible for the pulmonary care of critical, non-critical, and chronically ill adult, pediatric, and neonatal patients under the direction of a physician with minimal supervision. Performs patient assessments and institutes respiratory care plans. Performs various technical and diagnostic respiratory therapy procedures in all areas of the hospital. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Include, but are not limited to: Emergency (Code Blue and White) response;Airway management including nasotracheal & endotracheal suctioning;Delivery of aerosolized drugs;Ventilator management (i. e. setup and operation);Oral hygiene;Airway retaining device placement and maintenance;Airway support device management including BiPAP and CPAP devices;Oxygen delivery devices and therapeutic monitoring;Chest film analysis;Bloodgas collection and analysis;EKG analysis;Accurate and complete documentation;Cleaning and stocking of equipment and supplies as necessary;Participate in CAP and JC surveys. RRTs may function as Shift Leader or serve in the capacity of Team LeaderAdvanced practice skills may include: Therapeutic gas management and monitoring, including INO and HeO2;Pulmonary Function Testing;Bronchoscopy assist;Hemodynamic Monitoring;Waveform analysis;Nocturnal SpO2 evaluation (Desaturation Studies);Polysomnography;Transport duties. Job Requirements: Education/Skills See licensure and/or certification requirements Experience 1 - 3 years of experience preferred Licenses, Registrations, or Certifications RT or RCP License in state of employment required BLS required Registered Respiratory Therapist (RRT) by NBRC required Position Requirements: Education/Skills None Experience None Licenses, Registrations, or Certifications Current ACLS certification requiredCurrent PALS certification requiredCurrent NRP certification required Credential Grace Periods: If additional credentials are required per the Position Requirements section, a grace period to obtain the certification will apply, dependent on your experience level. Any Candidate/Associate with at least one year of acute care clinical experience in a similar service line within the past three years is considered anExperienced Associate. Any Candidate/Associatewho doesnothave at least one year of full-time acute care clinical experience in the same service line within the past three years is considered anExperienced Associate New to the Specialty. CredentialGrace Periods forExperienced AssociatesGrace Periods forNew Graduates & Experienced Associates New to the SpecialtyBasic Life Support (BLS)No grace period. AHA or Red Cross accepted at time of hire. No grace period. AHA or Red Cross accepted at time of hire. Advanced Cardiac Life Support (ACLS)Within 30 days of hire. Within 90 days of hire. Pediatric Life Support (PALS)Within 30 days of hire. Within 90 days of hire. Trauma Nurse Core Curriculum (TNCC)Within 60 days of hire. Within 18 months of hire. Trauma Care After Resuscitation (TCAR)Within 60 days of hire. Within 18 months of hire. Neonatal Resuscitation Program (NRP)Within 30 days of hire. Within 60 days of hire. AWHONN INTERMEDIATE FHM (Fetal Heart Monitoring)Within 30 days of hire. Within 60 days of hire. STABLE (Neonatal Education)Within 30 days of hire. Within 60 days of hire. Work Schedule: Varies Work Type: Full Time

Description IntroductionDo you have the PRN career opportunities as a(an) Registered Respiratory Therapist PRN you want with your current employer We have an exciting opportunity for you to join St. David's South Austin Medical Center which is part of the nation's leading provider of healthcare services, HCA Healthcare.BenefitsSt. David's South Austin Medical Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as telemedicine services and free AirMed medical transportation.Additional 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.Fertility and family building benefits through ProgynyFree counseling services and resources for emotional, physical and financial wellbeingFamily support, including adoption assistance, child and elder care resources and consumer discounts401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)Employee Stock Purchase PlanRetirement readiness and rollover services and preferred banking partnershipsEducation assistance (tuition, student loan, certification support, dependent scholarships)Colleague recognition programTime Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)Learn more about Employee BenefitsNote: Eligibility for benefits may vary by location.Our teams are a committed, caring group of colleagues. Do you want to work as a(an) Registered Respiratory Therapist PRN where your passion for creating positive patient interactions is valued If you are dedicated to caring for the well-being of others, this could be your next opportunity. We want your knowledge and expertise!Job Summary and QualificationsThe Respiratory Therapist coordinates and delivers high-quality, patient-centered respiratory care in accordance with the nature and specific requirements of the department, and consistent with the scope and standards of practice for the relevant state and specialty. As a vital part of the patient care team, the Respiratory Therapist performs a variety of diagnostic tests and therapeutic procedures and monitors patients receiving invasive and noninvasive mechanical ventilation.What you will do in this role:You will perform and document patient assessment, including breath sounds, airway patency, and cuff pressure. You will conduct diagnostic procedures to evaluate the need for, and response to, respiratory therapy.You will administer respiratory care therapies, including oxygen delivery, aerosol medication delivery, and chest physiotherapy.You will assist with placement of artificial airways. You will initiate, monitor, and maintain mechanical ventilation.You will monitor patient for therapeutic response. You will notify provider and intervene as appropriate in the event of an unintended response.You will assist with transportation of ventilator-dependent patients.You will respond to emergent patient situations and ensure airway integrity and adequate ventilation during resuscitation as required.What qualifications you will need:Advanced Cardiac Life Spt must be obtained within 90 days of employment start dateBasic Cardiac Life SupportState Registered Respiratory TherapistRRT/Respiratory Care Practitioner (RRT / RCP)Associate DegreeSt. David's South Austin Medical Center, which is part of St. David's HealthCare. We are a 368-bed acute care facility offering a range of complex specialties and sub-specialties. Our services include a nationally accredited oncology program with the area's only adult Transplant and Cellular Therapy Program; advanced trauma care with a Level II trauma center; comprehensive cardiac, stroke and orthopedic programs; full-service maternity and newborn care; and two full-service emergency centers in the communities of Bee Cave and Bastrop. St. David's South Austin Medical Center is affiliated with the Texas Institute for Robotic Surgery. We offer advanced robotic services for orthopedics, open heart and lung surgery, complex GI surgery, surgical oncology, general surgery, colorectal surgery, and urology. It was one of the first hospitals in Central Texas to combine the use of CT imaging and robotics to detect early stage lung cancer. HCA Healthcare has been recognized as one of the World's Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses."Bricks and mortar do not make a hospital. People do."- Dr. Thomas Frist, Sr.HCA Healthcare Co-Founder If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Registered Respiratory Therapist PRN opening. We review all applications. Qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status

DescriptionSummary: Responsible for the pulmonary care of critical, non-critical, and chronically ill adult, pediatric, and neonatal patients under the direction of a physician with minimal supervision. Performs patient assessments and institutes respiratory care plans. Performs various technical and diagnostic respiratory therapy procedures in all areas of the hospital. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Include, but are not limited to: Emergency (Code Blue and White) response;Airway management including nasotracheal & endotracheal suctioning;Delivery of aerosolized drugs;Ventilator management (i. e. setup and operation);Oral hygiene;Airway retaining device placement and maintenance;Airway support device management including BiPAP and CPAP devices;Oxygen delivery devices and therapeutic monitoring;Chest film analysis;Bloodgas collection and analysis;EKG analysis;Accurate and complete documentation;Cleaning and stocking of equipment and supplies as necessary;Participate in CAP and JC surveys. RRTs may function as Shift Leader or serve in the capacity of Team LeaderAdvanced practice skills may include: Therapeutic gas management and monitoring, including INO and HeO2;Pulmonary Function Testing;Bronchoscopy assist;Hemodynamic Monitoring;Waveform analysis;Nocturnal SpO2 evaluation (Desaturation Studies);Polysomnography;Transport duties. Job Requirements: Education/Skills See licensure and/or certification requirements Experience 1 - 3 years of experience preferred Licenses, Registrations, or Certifications RT or RCP License in state of employment required BLS required Registered Respiratory Therapist (RRT) by NBRC required Position Requirements: Education/Skills None Experience None Licenses, Registrations, or Certifications Current ACLS certification requiredCurrent PALS certification requiredCurrent NRP certification required In accordance with the CHRISTUS Health License, Certification and Registration Verification Policy, all Associates are required to obtain required certifications for their respective positions within the designated time frame. Credential Grace Periods: If additional credentials are required per the Position Requirements section, a grace period to obtain the certification will apply, dependent on your experience level. Any Candidate/Associate with at least one year of acute care clinical experience in a similar service line within the past three years is considered anExperienced Associate. Any Candidate/Associatewho doesnothave at least one year of full-time acute care clinical experience in the same service line within the past three years is considered anExperienced Associate New to the Specialty. CredentialGrace Periods forExperienced AssociatesGrace Periods forNew Graduates & Experienced Associates New to the SpecialtyBasic Life Support (BLS)No grace period. AHA or Red Cross accepted at time of hire. No grace period. AHA or Red Cross accepted at time of hire. Advanced Cardiac Life Support (ACLS)Within 30 days of hire. Within 90 days of hire. Pediatric Life Support (PALS)Within 30 days of hire. Within 90 days of hire. Trauma Nurse Core Curriculum (TNCC)Within 60 days of hire. Within 18 months of hire. Trauma Care After Resuscitation (TCAR)Within 60 days of hire. Within 18 months of hire. Neonatal Resuscitation Program (NRP)Within 30 days of hire. Within 60 days of hire. AWHONN INTERMEDIATE FHM (Fetal Heart Monitoring)Within 30 days of hire. Within 60 days of hire. STABLE (Neonatal Education)Within 30 days of hire. Within 60 days of hire. Work Schedule: MULTIPLE SHIFTS AVAILABLE Work Type: Full Time

DescriptionSummary: All pharmacists fill orders for drugs, monitor patient drug therapies and provide drug information. Pharmacists provide pharmacy services with compassion, excellence and efficiency. In addition, level II pharmacists participate in management of patient pharmacotherapy and quality medication management within assigned service lines. CHRISTUS Santa Rosa Hospital - Westover Hills (CSRH-WH) is a 150-bed hospital serving the fastest growing area of San Antonio. Specialized care includes orthopedic and surgical services, ICU, women’s services, a newborn nursery, comprehensive cardiovascular care from diagnostics to open heart surgery, vascular lab, sleep center, emergency services, the CHRISTUS Weight Loss Institute, wound care, rehabilitation, and more. The campus also boasts an Outpatient Imaging Center and three medical plazas, one of which houses our CHRISTUS Santa Rosa Family Medicine Residency Program and CHRISTUS Santa Rosa Family Health Center. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Operational Duties and Responsibilities Prepares and dispenses drug orders per physician request according to established policies, procedures and protocols. Interprets drug orders (verbal and written) and transcribes/verifies into computerized patient medication record accurately. Maintains, accurate, complete patient drug record. Compounds and dispenses pharmaceuticals including non-sterile and sterile products, chemotherapy and parenteral nutrition products accurately. Issues controlled substances to patient care areas and maintains records as required by law and institutional policies. Provides services efficiently and in a timely fashion. Supervises and directs pharmacy support personnel. Verifies the daily activities of pharmacy techniciansMaintains competency required for current job title/positionMaintains current pharmacist license. Ensures applicable CE records and licensure are maintained in department files. Attends staff meetings. Completes all competency/skills assessment requirements. Provides analysis of medication use processes and contributes at least one related project per year. Ambulatory care PharmacistProvides ambulatory pharmaceutical care services utilizing approved protocols and/or collaborative agreement with other providers, including managing patient drug therapy, anticoagulation management, providing patient education, and preparing and/or overseeing the preparation and dispensing of medications. Performs duties in the clinical areas assigned such as but not limited to: anticoagulation clinics, intensive medical home, transition of care, Discharge Medication reconciliation, etc. Clinical Duties and Responsibilities Ensures safe, appropriate, cost effective drug therapies for patients according to established policies, procedures, and protocols. Monitors drug therapy regimens for contraindications, drug-drug interactions, drug-food interactions, allergies and appropriateness of drug and dose. Assists with pharmacokinetics consult service and renal drug dosing per hospital protocol. Reads, extracts and interprets information in patient medical records accurately. Detects and reports suspected adverse drug reactions accurately and in a timely manner. Sustains the hospital drug formulary, minimizing non-formulary procurements, utilizing therapeutic substitution protocols and promoting rational drug therapy selection. Provides clinical consultation and clarification to practitioners as appropriate. Provides accurate, adequate and timely drug information to the hospital’s professional staff. Provides drug education to patients and their families per institutional protocol. Participates in the quality improvement and medication use review activities of the department. Collects data, conducts monitors and inspections and maintains logs, records and other documentation as assigned. Conducts designated interventions as defined in department Clinical Intervention activities (IV to PO, Renal Dosing, Pharmacokinetic dosing support, Anticoagulation)Baseline departmental standards for reporting interventions for clinical productivity as defined by departmental goals. Participates in antibiotic stewardship, opioid stewardship, and shortage management activities as assignedAttends interdisciplinary rounds when assignedProvides services efficiently and in a timely fashionContributes to the advancement of the pharmacy department and medication management of the organization through (minimum):Precepting of pharmacy residents and studentsAssessment of new and ongoing pharmacist competenciesIn-service of pharmacy and/or nursing staff (1 per year)Participates in departmental or sub-committees as assignedCompletes 1 clinical project per year Occupational Hazards Potential for exposure to hazardous and toxic substances (including chemotherapeutic, cytotoxic drugs and cleaning solutions), sticks or cuts by needles and other sharp items. Risk 0 exposure category. Potential for musculoskeletal injuries if proper lifting and carrying techniques are not used. Potential exposure to biologic material when participating in direct patient care activities (e. g. patient education, code attendance). Job Requirements: Education/Skills Doctor of Pharmacy or BS Pharmacy degree required. One of the following required: BPS Board Certification, Residency, Fellowship or at least 5 years of hospital experience. Experience PGY-1 and PGY-2 residency completion, Board certification, or 5 years hospital experience required at hire. Licenses, Registrations, or Certifications Pharmacy registration in the State of practice. Must have pharmacy State licensure within 60 days of start date. Pharmacist preceptor within 90 days. BLS or ACLS and PALS (pediatric practice) within 180 days of start date. Must accrue ASHP Residency Preceptor status within 180 days of hire (for Ministries with Residency programs). Work Schedule: Varies Work Type: Full Time EEO is the law - click below for more information: https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdf We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at .

DescriptionSummary: Responsible for the direct oversight of daily operations and testing of assigned section including staffing, procedures, policies, and quality improvement. Collaborates with other section team leaders to meet departmental goals. CHRISTUS Santa Rosa Hospital - Westover Hills (CSRH-WH) is a 150-bed hospital serving the fastest growing area of San Antonio. Specialized care includes orthopedic and surgical services, ICU, women’s services, a newborn nursery, comprehensive cardiovascular care from diagnostics to open heart surgery, vascular lab, sleep center, emergency services, the CHRISTUS Weight Loss Institute, wound care, rehabilitation, and more. The campus also boasts an Outpatient Imaging Center and three medical plazas, one of which houses our CHRISTUS Santa Rosa Family Medicine Residency Program and CHRISTUS Santa Rosa Family Health Center. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Responsible for organizing, planning, directing, evaluating, and providing general oversight for all laboratory operations within designated section which includes outreach services, computer operations, pre and post analytic testing, associate safety and equipment / supply inventory expense control. Provide essential leadership and administrative support to laboratory associates. Ensures standards of care are consistent with the CHRISTUS Health Mission and all regulatory requirements. Work closely with hospital administration to facilitate the achievement of the departmental goals. Promote the development of associates and process improvement initiatives to maintain quality, cost-effective services and patient, physician, and associate satisfaction. Supports CHRISTUS Health by assuming any other responsibilities that are mutually agreed upon to ensure the effective functioning of the CHRISTUS Health ministry. Job Requirements: Education/Skills Bachelor’s Degree or higher in a chemical, physical, biological, or clinical laboratory science or medical technology from an accredited institution or equivalent laboratory training and experience meeting the requirements defined in the CLIA regulation 42CFR493.1489 (includes U. S. Military laboratory training courses of at least 50 weeks).OR Education that has been evaluated by an acceptable credentialing agency and deemed equivalent to a US Bachelor’s degree in a chemical, physical, biological, or clinical laboratory science or medical technology.ORMeets the educational requirements of a Medical Laboratory Technician II (MLT-II). Experience 3 years of full-time primary laboratory experience as a Clinical Laboratory Scientist (CLS) in moderate/high complexity testing for the specific section/area of responsibility required.5 years of full-time primary laboratory experience as a Clinical Laboratory Scientist (CLS) in moderate/high complexity testing for the specific section/area of responsibility preferred. Licenses, Registrations, or Certifications Must possess Certification for MT, MLS, CLS, or MLT from ASCP, AMT, AAB, or HEW/HHS.If certification with an expiration date is held, the certification must be maintained and kept current.Louisiana requires State Licensure. Work Schedule: 3PM - 11PM Work Type: Full Time

DescriptionSummary: This Job performs all routine and complicated laboratory procedures including specimen processing and handling, testing of patient specimens, calculating, and reporting of results, performance of quality control procedures, operation and maintenance of instruments and equipment, assisting in the development of new procedures and protocols, may perform phlebotomy and other patient-oriented tasks, and may perform other related duties as requested or directed. CHRISTUS Santa Rosa Hospital - Westover Hills (CSRH-WH) is a 150-bed hospital serving the fastest growing area of San Antonio. Specialized care includes orthopedic and surgical services, ICU, women’s services, a newborn nursery, comprehensive cardiovascular care from diagnostics to open heart surgery, vascular lab, sleep center, emergency services, the CHRISTUS Weight Loss Institute, wound care, rehabilitation, and more. The campus also boasts an Outpatient Imaging Center and three medical plazas, one of which houses our CHRISTUS Santa Rosa Family Medicine Residency Program and CHRISTUS Santa Rosa Family Health Center. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Performs all routine and complicated laboratory procedures in the primary section to which assigned about age or sex specific values. Operates, maintains, and troubleshoots laboratory instrumentation and equipment and makes minor repairs as necessary or notifies Bio-med as needed. Must cross-train to other laboratory sections as needed. Assures that the laboratory's quality control program is properly followed. Calculates, enters, and/or verifies results of laboratory procedures. Utilizes the Laboratory Information System. Provides notification and documentation of critical laboratory values obtained. Processes patient specimens, including collection, handling, and distribution always cognizant of minimal pediatric specimen volumes (when required). Participates in the evaluation, development, and implementation of new or updated testing procedures and protocols. Demonstrates competence to perform assigned patient care responsibilities in a manner that meets the population-specific and developmental needs of patients served by the department. Appropriately adapts assigned patient assessment, treatment, and/or care methods to accommodate the unique physical, psychosocial, cultural, age specific and other developmental needs of each patient served. Demonstrates adherence to the CORE values of CHRISTUS Health. Must complete all required compliance and regulatory tasks and follow all applicable policies and procedures. Performs other duties as assigned. Job Requirements: Education/Skills Bachelor’s Degree or higher in a chemical, physical, biological or clinical laboratory science or medical technology from an accredited institution or equivalent laboratory training and experience meeting the requirements defined in the CLIA regulation 42CFR493.1489 (includes U. S. Military laboratory training courses of at least 50 weeks)OREducation that has been evaluated by an acceptable credentialing agency and deemed equivalent to a US Bachelor’s degree in a chemical, physical, biological or clinical laboratory science or medical technology. Experience No experience required for graduates of a clinical laboratory training program approved or accredited by NAACLS, or other organizations approved by HHS. OROne year of approved clinical laboratory experience, which must include a clinical rotation through the following sections of the laboratory: Blood Banking, Microbiology, Chemistry, and Hematology, Immunology, and Urinalysis/Body Fluids in the U. S. or with an accredited laboratory within the last 5 years. Licenses, Registrations, or Certifications Must possess Certification for MT, MLS, CLS, or MLT from ASCP, AMT, AAB, or HEW/HHSIf certification with an expiration date is held, the certification must be maintained and kept currentLouisiana requires State LicensureNew Graduate that is Board Certified or eligible (must complete Board Certification in 1 year of hire, Louisiana excluded) Work Schedule: PRN Work Type: Per Diem As Needed