NewTravel Certified Surgical Technologist - $1,745 per week LifePointTravel Certified Surgical Technologist - $1,745 per weekHenderson, NCLifePoint is seeking a travel Certified Surgical Technologist for a travel job in Henderson, North Carolina. Specialty: Certified Surgical Technologist .
NewTravel Certified Surgical Technologist – Operating Room - $1,526 per week MedPro Healthcare Allied StaffingTravel Certified Surgical Technologist – Operating Room - $1,526 per weekAsheville, NCThe primary responsibility of the Surgical Technologist is to assist the clinical staff by performing a variety of support functions to facilitate the delivery of surgical/procedural services to the patient and provide patient care necessary for comfort, hygiene, simple treatments. 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.
NewTravel Certified Surgical Technologist (CST) - $1,569 per week in Asheville, NC AHS StaffingTravel Certified Surgical Technologist (CST) - $1,569 per week in Asheville, NCAsheville, NC$1,569AHS Staffing is looking for a CST Certified Surgical Technologist in Asheville, NC for a Long Term (Travel) position. Apply today to speak with a recruiter about the position!
Travel Certified Surgical Technologist (CST) - $1,708 per week in Asheville, NC TRS HealthcareTravel Certified Surgical Technologist (CST) - $1,708 per week in Asheville, NCAsheville, NC$1,708.50TRS Healthcare is seeking an experienced OR - Operating Room Certified Surgical Tech for a travel assignment in Asheville, NC. The Certified Surgical Tech must be certified to work in North Carolina or be able to attain certification beforehand.
Travel Certified Surgical Technologist (CST) - $2,050 per week in Hendersonville, NC TRS HealthcareTravel Certified Surgical Technologist (CST) - $2,050 per week in Hendersonville, NCHendersonville, NC$2,049.84TRS Healthcare is seeking an experienced OR - Operating Room Certified Surgical Tech for a travel assignment in Hendersonville, NC. The Certified Surgical Tech must be certified to work in North Carolina or be able to attain certification beforehand.
Travel Certified Surgical Technologist (CST) - $2,335 per week in Hendersonville, NC TRS HealthcareTravel Certified Surgical Technologist (CST) - $2,335 per week in Hendersonville, NCHendersonville, NC$2,334.54TRS Healthcare is seeking an experienced OR - Operating Room Certified Surgical Tech for a travel assignment in Hendersonville, NC. The Certified Surgical Tech must be certified to work in North Carolina or be able to attain certification beforehand.
NewTravel Certified Surgical Technologist (CST) - $1,597 per week in Asheville, NC TRS HealthcareTravel Certified Surgical Technologist (CST) - $1,597 per week in Asheville, NCAsheville, NC$1,596.60TRS Healthcare is seeking an experienced OR - Operating Room Certified Surgical Tech for a travel assignment in Asheville, NC. The Certified Surgical Tech must be certified to work in North Carolina or be able to attain certification beforehand.
NewTravel OR Surgical Technologist - $1,851 per week PRIDE HealthTravel OR Surgical Technologist - $1,851 per weekasheville, NCPRIDE Health is the minority-owned healthcare recruitment division of Pride Global—an integrated human capital solutions and advisory firm. Pay package is based on 10 hour shifts and 40.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined.
Surgical Technologist III Sightpath MedicalSurgical Technologist IIIGreenville, NCJoin Sightpath Medical, the premier provider of mobile cataract and LASIK services across the U.S. We offer an exciting opportunity to specialize in ophthalmic procedures while working with top surgeons in a fast-paced, rewarding environment. Work-life balance: With 8-10 case days per month, enjoy flexibility on non-case days when working from home or while traveling.
Surgical Technologist II - Operating Room UNC HealthSurgical Technologist II - Operating RoomClayton, NC$23.24–$33.41 / hourSummary: The Surgical Technologist II works under the supervision of a surgeon and registered nurse to facilitate the safe and effective conduct of invasive surgical procedures, ensuring that the operating room environment is safe, that equipment functions properly, and that the operative procedure is conducted under conditions that maximize patient safety. ● High School Diploma or GED Graduate of an accredited Surgical Technology or Nursing Program; or Graduate of a Military Training Program in Surgical Technology; or Formal education/training may be substituted for individuals with 5+ years of prior experience as a surgical tech.
Surgical Technologist II - Operating Room (On-Call Schedule) UNC HealthSurgical Technologist II - Operating Room (On-Call Schedule)Clayton, NC$23.24–$33.41 / hourSummary: The Surgical Technologist II works under the supervision of a surgeon and registered nurse to facilitate the safe and effective conduct of invasive surgical procedures, ensuring that the operating room environment is safe, that equipment functions properly, and that the operative procedure is conducted under conditions that maximize patient safety. ● High School Diploma or GED Graduate of an accredited Surgical Technology or Nursing Program; or Graduate of a Military Training Program in Surgical Technology; or Formal education/training may be substituted for individuals with 5+ years of prior experience as a surgical tech.
Surgical Technologist II UNC HealthSurgical Technologist IIRaleigh, NC$24.98–$35.91 / hourHigh School Diploma or GED Graduate of an accredited Surgical Technology or Nursing Program; or Graduate of a Military Training Program in Surgical Technology; or Formal education/training may be substituted for individuals with 5+ years of prior experience as a surgical tech. ● Basic Life Support (BLS) for Healthcare Provider certification Certified Surgical Technologist (CST) through The National Board of Surgical Technology and Surgical Assisting or Tech in Surgery (TS-C) through The National Center of Competency Testing.
NewTravel Surgical Tech - $1,327 to $1,412 per week in Asheville, NC AlliedTravelCareersTravel Surgical Tech - $1,327 to $1,412 per week in Asheville, NCAsheville, NC$1,327–$1,412They are responsible for preparing the operating room, maintaining sterile environments, ensuring equipment functionality, and anticipating the needs of the surgical team to maximize patient safety and procedural efficiency. As a member of our team, you'll have the opportunity to make a positive impact on the lives of patients while enjoying competitive pay, comprehensive benefits, and the support of a dedicated clinical team.
NewTravel Surgical Tech - $1,327 to $1,412 per week in Asheville, NC Fusion Medical StaffingTravel Surgical Tech - $1,327 to $1,412 per week in Asheville, NCAsheville, NC$1,327–$1,412They are responsible for preparing the operating room, maintaining sterile environments, ensuring equipment functionality, and anticipating the needs of the surgical team to maximize patient safety and procedural efficiency. As a member of our team, you'll have the opportunity to make a positive impact on the lives of patients while enjoying competitive pay, comprehensive benefits, and the support of a dedicated clinical team.
NewTravel Surgical Tech - $1,786 per week in Asheville, NC Cynet HealthTravel Surgical Tech - $1,786 per week in Asheville, NCAsheville, NC$1,786Job Title: Operating Room Certified Surgical Technologist Profession: CST/ORT Specialty: OR Duration: 13 weeks Shift: 09:00-19:00 Hours per Shift: 10 Experience: Minimum 2 years License: Required Certifications: Not specified Must-Have: Skill level of 3 or higher in joint, neuro, and ortho procedures. Requires broad surgical knowledge and experience in various service lines, including general, GYN, robotics, neuro, orthopedics, plastic surgery, urology, burn, and trauma.
Surgical Techno III-CVOR - (Per Diem) Cardiovascular Operating Room UNC HealthSurgical Techno III-CVOR - (Per Diem) Cardiovascular Operating RoomRaleigh, NC$26.85–$38.61 / hourSummary: The Surgical Technologist III provides support for surgical and interventional cardiac and/or vascular cases, facilitating the safe and effective conduct of invasive surgical procedures, ensuring that the operating room environment is safe, that equipment functions properly, and that the operative procedure is conducted under conditions that maximize patient safety. Surgical technologists possess expertise in the theory and application of sterile and aseptic technique and combine the knowledge of human anatomy, surgical procedures, and implementation tools and technologies to facilitate a physician's performance of invasive therapeutic and diagnostic procedures.
NewSurgical Tech III UNC HealthSurgical Tech IIILenoir, NC$24.98–$35.91 / hourHigh School Diploma or GED; or graduate of an accredited Surgical Technology or Nursing Program; or graduate of a Military Training Program in Surgical Technology. ● Certified Surgical Technologist (CST) through The National Board of Surgical Technology and Surgical Assisting or Tech in Surgery (TS-C) through The National Center of Competency Testing.
NewTravel Surgical Tech - $1,526 per week in Asheville, NC MedPro Healthcare StaffingTravel Surgical Tech - $1,526 per week in Asheville, NCAsheville, NC$1,526Duties Responsibilities The primary responsibility of the Surgical Technologist is to assist the clinical staff by performing a variety of support functions to facilitate the delivery of surgical/procedural services to the patient and provide patient care necessary for comfort, hygiene, simple treatments. Communicate effectively with other care providers (physicians, nurses, unit staff, business office, and medical records) to provide for continuity of patient care and to meet the needs of the customers we serve.
Surgical Technician II- Cardiovascular Operating Room UNC HealthSurgical Technician II- Cardiovascular Operating RoomRaleigh, NC$24.73–$35.56 / hourOne (1) year experience as a Surgical Technician CVOR experience in the following areas strongly preferred: Cardiac- Knowledge of Coronary Artery Bypass, Aoritc and Mitral Valve, minimally invasive heart valve surgery, ECMO, Balloon Pump insertion, circulatory arrest, aortic dissection, lead placement and removal, TAVR, Impella placement, familiar with various types of wire and catheters used for interventional cases. Summary: The Surgical Technologist II – CVOR to provides support for surgical and interventional cardiac and/or vascular cases, facilitating the safe and effective conduct of invasive surgical procedures, ensuring that the operating room environment is safe, that equipment functions properly, and that the operative procedure is conducted under conditions that maximize patient safety.
NewTravel Nurse RN - Case Management - $1,814 per week TRS HealthcareTravel Nurse RN - Case Management - $1,814 per weekChapel Hill, NCWe recruit and support registered nurses, licensed practical nurses, surgical technicians, respiratory therapists, imaging technologists, laboratory specialists, and other experienced nursing and allied healthcare professionals. TRS Healthcare has been a leader in the healthcare staffing industry for over 25 years, providing exceptional career opportunities for travel nurses and allied health professionals.
NewPost Primary Clinical Apprentice (CT) Duke HealthPost Primary Clinical Apprentice (CT)Durham, NCAt Duke University Hospital, you'll have the opportunity to work alongside a collaborative team of more than 60 full-time CT Technologists supporting a wide range of specialized services, including Trauma, Emergency Medicine, Pediatrics, Cardiac, Oncology, Transplant, Interventional Radiology, Surgical Services, and Urgent Outpatient Care. Experience : Completion of clinical rotations in an imaging department as part of an accredited radiologic technology or nuclear medicine technology educational program, including exposure to patient care and imaging department workflows.
NewTravel Respiratory Therapist - $2,146 per week TRS HealthcareTravel Respiratory Therapist - $2,146 per weekChapel Hill, NCWe recruit and support registered nurses, licensed practical nurses, surgical technicians, respiratory therapists, imaging technologists, laboratory specialists, and other experienced nursing and allied healthcare professionals. TRS Healthcare has been a leader in the healthcare staffing industry for over 25 years, providing exceptional career opportunities for travel nurses and allied health professionals.
RN Patient Services Manager III - Rex Labor and Delivery UNC HealthRN Patient Services Manager III - Rex Labor and DeliveryRaleigh, NCDuties include ensuring that appropriate care and services are available to patients and families, ensures adequate and appropriate clinic staffing on each shift, supervision of nursing staff, medical support staff and utility aide staff, assistance with annual performance reviews of staff, participation in quality improvement initiatives to address identified patient safety or quality of care issues. This is a critical leadership role responsible for guiding both the clinical and administrative operations of a fast-paced, patient-centered environment dedicated to supporting families during one of life’s most meaningful moments.
Cardiothoracic Surgery Certified Surgical Technologist Team Member ServicesCardiothoracic Surgery Certified Surgical TechnologistCharlotte, North CarolinaState Certified Surgical Technologist (CST) [Required] OR NBSTSA Certified Surgical Technologist (CST) [Required] OR Technician in Surgery - Certified (NTSC) [Required]. Supports customer and employee satisfaction activities; maintains good relationships with physicians, management, other departments, and staff; and responds to complaints in a timely manner.
Certified Surgical Technologist(CST) / Travel / Operating Room MAS Medical StaffingCertified Surgical Technologist(CST) / Travel / Operating RoomAsheville, NCMAS Medical Staffing is currently seeking a(n) Surgical Technician professional with Certified Surgical Technologist (Operating Room) experience for a 12 week contract in the Asheville NC area. If you are looking for a staffing agency that has your best interest at heart and a recruiter that will work 1 on 1 with you to find the best assignment available, please reach out to us today!
Certified Surgical Technologist FirstHealth of the Carolinas, Inc.Certified Surgical TechnologistRaeford, North CarolinaThe Surgical Tech utilizes sterile aseptic technique and combines the knowledge of human anatomy, surgical procedures, and implementation tools and technologies to facilitate the surgeon’s performance of invasive therapeutic and diagnostic procedures. Demonstrates correct and safe instrumentation passing and performs sponge, needle and instrument counts in a safe and accurate manner.
Certified Surgical Technologist Sampson Regional Medical CenterCertified Surgical TechnologistClinton, NCFull timeSampson Regional Medical Center is hiring a Surgical Technologist to join the Surgical Services team in the Operating Room! Additionally, will ensure knowledgeable and appropriate decontamination, cleaning and sterilization of surgical instrumentation.
Certified Surgical Technologist - Outpatient Surgery Center AdventHealthCertified Surgical Technologist - Outpatient Surgery CenterHendersonville, NC$20.68–$38.46 / hourState Certified Surgical Technologist (CST [Required] OR NBSTSA Certified Surgical Technologist (CST [Required] OR Technician in Surgery - Certified (NTSC [Required]. Knowledge, Skills, and Abilities: Ability to communicate by reading, writing legibly, speaking, and comprehending English effectively in order to carry out job requirements.
Certified Surgical Technologist - Open Heart- CaroMont HealthCertified Surgical Technologist - Open Heart-Gastonia, NCSatisfactory completion of accredited surgical technologist program or diploma for operating room technician from Armed Forces required. Sign on bonus up to $5,000 (depending on experience) Job Summary: Performs a variety of technical duties under the supervision of a licensed nurse.
Certified Surgical Technologist, Main OR- CaroMont HealthCertified Surgical Technologist, Main OR-Gastonia, NCSign on bonus up to $5,000 (depending on experience) Job Summary: Surgical technologists work under the direct supervision of a registered nurse / surgeon to facilitate the safe and effective conduct of invasive surgical procedures, ensuring that the operating room environment is safe, that equipment functions properly, and that the operative procedure is conducted under conditions that maximize patient safety. Surgical technologists possess expertise in the theory and application of sterile and aseptic technique and combine the knowledge of human anatomy, surgical procedures, and implementation tools and technologies to facilitate a physicians performance of invasive therapeutic and diagnostic procedures.
Certified Surgical Technologist- Matthews Surgery Center OrthoCarolinaCertified Surgical Technologist- Matthews Surgery CenterMatthews, NCThe ASC Surgical Technologist is able to function as a team member in an ASC environment through cross-training to other primary areas, assisting with turnover, and all other aspects of day-to-day ASC operations. The ASC Certified Surgical Technologist will have experience in delivering excellent service to physicians and patients and participating in high-performing teams.
Certified Surgical Technologist- CaroMont HealthCertified Surgical Technologist-Gastonia, NCSign on bonus up to $5,000 (depending on experience) Job Summary: Performs a variety of technical duties under the supervision of a licensed nurse. Participates in departmental staff meetings and performance improvement activities.
Surgical Technician, Certified LifePoint Health IncSurgical Technician, CertifiedSylva, NCHarris Regional Hospital is an 86-bed acute care facility, including orthopedics, cardiology, general surgery, women's care, and emergency medicine, as well as sports medicine, physical therapy, imaging and laboratory services, and many other areas of subspecialty care. Enjoy all the beautiful mountains of Western North Carolina have to offer; whether it be hiking on the Blue Ridge Parkway, mountain biking on one of various trails, whitewater rafting on the Nantahala, fishing in Cherokee, boating in one of our nearby mountain lakes, you name it and WNC has it!
Surgical Tech Certified, Part-Time - Blue Ridge Day Surgery Center SCA HealthSurgical Tech Certified, Part-Time - Blue Ridge Day Surgery CenterRaleigh, North CarolinaAs part of Optum, SCA Health is redefining specialty care by developing more accessible, patient-centered practice solutions for a network of more than 370 ambulatory surgical centers, over 400 specialty physician practice clinics and numerous labs and surgical hospitals. Our work spans a broad spectrum of services, all designed to support physicians, health systems and employers in delivering efficient, value-based care to patients without compromising quality or autonomy.
Surgical Tech Certified, Part-Time - Blue Ridge Day Surgery Center Surgical Care Affiliates LLCSurgical Tech Certified, Part-Time - Blue Ridge Day Surgery CenterRaleigh, NCAs part of Optum, SCA Health is redefining specialty care by developing more accessible, patient-centered practice solutions for a network of more than 370 ambulatory surgical centers, over 400 specialty physician practice clinics and numerous labs and surgical hospitals. Our work spans a broad spectrum of services, all designed to support physicians, health systems and employers in delivering efficient, value-based care to patients without compromising quality or autonomy.
Surgical Tech, Certified UNC HealthSurgical Tech, CertifiedHendersonville, NCSummary: Under the direction of a physician and/or a Registered Nurse, the Surgical Technologist, Certified handles the instruments, supplies, and equipment necessary during the surgical procedure and uses understanding of the procedure being performed to anticipate and assist with the needs of the surgeon. The ST possesses expertise in the theory and application of sterile aseptic technique and combines the knowledge of human anatomy, surgical procedures, and implementation tools and technologies to facilitate a surgeon's performance of invasive, therapeutic, and diagnostic procedures.
Certified Surgical Technician LifePoint Health IncCertified Surgical TechnicianHenderson, NCOur 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. The ideal candidate will have the ability to work in a high-stakes, fast-paced setting, ensuring patient safety through meticulous attention to sterile technique and by assisting the surgical team with the highest level of professionalism and skill.
PRN Certified Surgical Tech United Surgical Partners International IncPRN Certified Surgical TechFletcher, NCAt Western Carolina Surgery Center, we provide high-quality, patient-centered outpatient surgical care in a collaborative and efficient environment. A diverse workforce, combined with an inclusive culture, makes USPI stronger and better able to meet the needs of our diverse patient and physician population.
Certified Surgical Tech PRN - Outpatient Surgery Center AdventHealthCertified Surgical Tech PRN - Outpatient Surgery CenterHendersonville, NC$20.68–$38.46 / hourLicenses and Certifications: • Basic Life Support - CPR Cert (BLS [Required] • State Certified Surgical Technologist (CST [Required] OR NBSTSA Certified Surgical Technologist (CST [Required] OR Technician in Surgery - Certified (NTSC [Required]. Knowledge, Skills, and Abilities: • Ability to communicate by reading, writing legibly, speaking, and comprehending English effectively in order to carry out job requirements.
Travel L&D Surgical Technologist WakeMed Health & HospitalsTravel L&D Surgical TechnologistRaleigh, North CarolinaTemporaryApplies sterile and aseptic technique that combines the knowledge of human anatomy, surgical procedures, and implementation of tools and technologies to facilitate a physician's performance of invasive therapeutic and diagnostic procedures. Functions under the supervision of a surgeon or registered nurse to ensure that the operating room environment is safe, that equipment functions properly, and that the operative procedure is conducted under conditions that maximize patient safety.
Travel Surgical Technologist WakeMed Health & HospitalsTravel Surgical TechnologistRaleigh, North CarolinaTemporaryApplies sterile and aseptic technique that combines the knowledge of human anatomy, surgical procedures, and implementation of tools and technologies to facilitate a physician's performance of invasive therapeutic and diagnostic procedures. Functions under the supervision of a surgeon or registered nurse to ensure that the operating room environment is safe, that equipment functions properly, and that the operative procedure is conducted under conditions that maximize patient safety.
Surgical Technologist III, OR WakeMed Health & HospitalsSurgical Technologist III, ORRaleigh, North CarolinaLicensure: Certified Surgical Technologist Required - Or Tech In Surgery Required Education: High School Diploma or Equivalent Required - And Graduate Surgical Technology Required - Or Military - Surgical Technology Required Experience: 3 Years Clinical - Surgical Technician In Specialties Required As a Surgical Technologist, you’ll be a key player in helping our surgeons and nurses deliver safe, seamless care for patients of all ages.
Surgical Technologist-WMTS WakeMed Health & HospitalsSurgical Technologist-WMTSRaleigh, NCApplies sterile and aseptic technique that combines the knowledge of human anatomy, surgical procedures, and implementation of tools and technologies to facilitate a physicians performance of invasive therapeutic and diagnostic procedures. Functions under the supervision of a surgeon or registered nurse to ensure that the operating room environment is safe, that equipment functions properly, and that the operative procedure is conducted under conditions that maximize patient safety.
Surgical Tech Non Certified, Part-Time - Blue Ridge Day Surgery Center Surgical Care Affiliates LLCSurgical Tech Non Certified, Part-Time - Blue Ridge Day Surgery CenterRaleigh, NCAs part of Optum, SCA Health is redefining specialty care by developing more accessible, patient-centered practice solutions for a network of more than 370 ambulatory surgical centers, over 400 specialty physician practice clinics and numerous labs and surgical hospitals. Our work spans a broad spectrum of services, all designed to support physicians, health systems and employers in delivering efficient, value-based care to patients without compromising quality or autonomy.
Surgical Technologist UNC HealthSurgical TechnologistKinston, NCPerform duties and conducts interpersonal relationships with co-workers, physicians and other departments in a manner designed to project a positive image of the department and hospital. Summary: The Surgical Technologist is that part of the Operating Room team who provides and performs technical skills under the direct supervision of a physician or a registered nurse.
Surgical Tech Certified - Surgical Center of Greensboro SCA HealthSurgical Tech Certified - Surgical Center of GreensboroGreensboro, North CarolinaAs part of Optum, SCA Health is redefining specialty care by developing more accessible, patient-centered practice solutions for a network of more than 370 ambulatory surgical centers, over 400 specialty physician practice clinics and numerous labs and surgical hospitals. Our work spans a broad spectrum of services, all designed to support physicians, health systems and employers in delivering efficient, value-based care to patients without compromising quality or autonomy.
Surgical Tech Certified - Surgical Center of Greensboro Surgical Care Affiliates LLCSurgical Tech Certified - Surgical Center of GreensboroGreensboro, NCAs part of Optum, SCA Health is redefining specialty care by developing more accessible, patient-centered practice solutions for a network of more than 370 ambulatory surgical centers, over 400 specialty physician practice clinics and numerous labs and surgical hospitals. Our work spans a broad spectrum of services, all designed to support physicians, health systems and employers in delivering efficient, value-based care to patients without compromising quality or autonomy.
Surgical Tech Certified - Pinehurst Surgery Center SCA HealthSurgical Tech Certified - Pinehurst Surgery CenterPinehurst, North CarolinaAs part of Optum, SCA Health is redefining specialty care by developing more accessible, patient-centered practice solutions for a network of more than 370 ambulatory surgical centers, over 400 specialty physician practice clinics and numerous labs and surgical hospitals. Our work spans a broad spectrum of services, all designed to support physicians, health systems and employers in delivering efficient, value-based care to patients without compromising quality or autonomy.
Surgical Tech Certified - CSC Wendover SCA HealthSurgical Tech Certified - CSC WendoverCharlotte, North CarolinaAs part of Optum, SCA Health is redefining specialty care by developing more accessible, patient-centered practice solutions for a network of more than 370 ambulatory surgical centers, over 400 specialty physician practice clinics and numerous labs and surgical hospitals. Our work spans a broad spectrum of services, all designed to support physicians, health systems and employers in delivering efficient, value-based care to patients without compromising quality or autonomy.
Surgical Tech Certified - CSC Wendover Surgical Care Affiliates LLCSurgical Tech Certified - CSC WendoverCharlotte, NCAs part of Optum, SCA Health is redefining specialty care by developing more accessible, patient-centered practice solutions for a network of more than 370 ambulatory surgical centers, over 400 specialty physician practice clinics and numerous labs and surgical hospitals. Our work spans a broad spectrum of services, all designed to support physicians, health systems and employers in delivering efficient, value-based care to patients without compromising quality or autonomy.