RN - Home Health Enhabit Home Health & HospiceRN - Home HealthFranklin, TNPerforming accurate OASIS collection, ensuring the medication profile remains current, ensuring lab values have been reported to the physician timely, attending weekly case conference and monthly case manager meetings are key responsibilities of this role. By extending ongoing professional development opportunities and providing cutting-edge technology solutions, we ensure our employees are always moving their careers forward and prepared to deliver a better way to care for our patients.
NewRN Critical Care TriStar Skyline Medical CenterRN Critical CareFranklin, 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. Demonstrates knowledge of human growth and development, assessment range of treatment, and care of patients appropriate to the ages of patients served .
NewProgressive Care RN TriStar Skyline Medical CenterProgressive Care RNFranklin, TNAdditionaloptions 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, movingassistance, pet insurance and more. The available plans and programs include: Comprehensive medicalcoverage thatcovers many common services at no cost or for a lowcopay.
NewProgressive Care Trauma RN TriStar Skyline Medical CenterProgressive Care Trauma RNFranklin, TNAdditionaloptions 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, movingassistance, pet insurance and more. The available plans and programs include: Comprehensive medicalcoverage thatcovers many common services at no cost or for a lowcopay.
NewRN Critical Care Unit TriStar Southern Hills Medical CenterRN Critical Care UnitFranklin, TNDaily 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. . As a national learning health system, we're transforming care delivery, advancing clinical outcomes, and empowering our nursing teams in a collaborative effort to give people a healthier tomorrow.
NewRN Progressive Care Unit TriStar Southern Hills Medical CenterRN Progressive Care UnitFranklin, TNAs a national learning health system, we're transforming care delivery, advancing clinical outcomes, and empowering our nursing teams in a collaborative effort to give people a healthier tomorrow. Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts .
NewRN Acute Care TriStar Southern Hills Medical CenterRN Acute CareFranklin, 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. Educate patients, families, and caregivers about the patient's medical condition, treatment plan, medications, possible side effects, and follow-up measures, ensuring complete understanding by translating complex medical terminology.
NewAcute Care RN TriStar Southern Hills Medical CenterAcute Care RNFranklin, TNEducate patients, families, and caregivers about the patient's medical condition, treatment plan, medications, possible side effects, and follow-up measures, ensuring complete understanding by translating complex medical terminology. As a RN Med Surg, your voice to influence patient care is valued and empowered at every turn –whether through open, collaborative relationships with your direct manager or more formal opportunities through hospital councils and national nursing initiatives.
Home Health Registered Nurse TriStar Healthcare at HomeHome Health Registered NurseFranklin, TNWhat you will do in this role: Assesses home care patients identifying physical, psychosocial and environmental needs as evidenced by documentation, clinical records, case conferences, team reports, call-in logs and on-site evaluations. At HCA Healthcare, we are dedicated to ensuring nurses have necessary tools and resources to provide world-class patient care, advocating for the profession and helping to shape the future of nursing.".
NewAcute Care Trauma Nurse TriStar Skyline Medical CenterAcute Care Trauma NurseFranklin, 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.
NewAcute Care RN TriStar Centennial Medical CenterAcute Care RNFranklin, TNOur 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. At HCA Healthcare, we are dedicated to ensuring nurses have necessary tools and resources to provide world-class patient care, advocating for the profession and helping to shape the future of nursing.".
NewAcute Care Neuro RN TriStar Centennial Medical CenterAcute Care Neuro RNFranklin, TNOur 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. At HCA Healthcare, we are dedicated to ensuring nurses have necessary tools and resources to provide world-class patient care, advocating for the profession and helping to shape the future of nursing.".
NewCritical Care RN TriStar NorthCrest Medical CenterCritical Care RNSpringfield, 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. In collaboration with medical providers and other members of the care team, the RN provides individualized, comprehensive, and compassionate care using established nursing models such as “Assess, Perform, Teach, and Manage.”
NewAcute Care Nurse TriStar Southern Hills Medical CenterAcute Care NurseFranklin, 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. 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.
NewRegistered Nurse Acute Care TriStar Horizon Medical CenterRegistered Nurse Acute CareDickson, TNAt HCA Healthcare, we are committed to equipping nurses with the tools and resources they need to deliver exceptional patient care, championing the profession, and supporting the advancement of nursing’s future.". Educate patients, families, and caregivers about the patient's medical condition, treatment plan, medications, possible side effects, and follow-up measures, ensuring complete understanding by translating complex medical terminology.
NewRenal Acute Care Nurse TriStar Centennial Medical CenterRenal Acute Care NurseFranklin, 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.
NewCritical Care Resource Nurse TriStar Centennial Medical CenterCritical Care Resource NurseFranklin, TNOur 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. At HCA Healthcare, we are dedicated to ensuring nurses have necessary tools and resources to provide world-class patient care, advocating for the profession and helping to shape the future of nursing.".
NewCritical Care Nurse Manager TriStar Southern Hills Medical CenterCritical Care Nurse ManagerFranklin, 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. The Critical Care Nurse Manager ensures high quality, patient-centered care through oversight of the overall daily function and staffing of the unit/department.
NewCritical Care Float Pool Nurse TriStar Centennial Medical CenterCritical Care Float Pool NurseFranklin, 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. As a majority owner of Galen College of Nursing, which joins Research College of Nursing and Mercy School of Nursing as educational facilities within the HCA Healthcare family, we make it easier and more affordable to gain certifications and job skills.
NewAcute Care Neuro Spine Nurse TriStar Centennial Medical CenterAcute Care Neuro Spine NurseFranklin, TNAs a Acute Care Neuro Spine Nurse, your voice to influence patient care is valued and empowered at every turn –whether through open, collaborative relationships with your direct manager or more formal opportunities through hospital councils and national nursing initiatives. 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.
NewAcute Care Float Pool Nurse TriStar Centennial Medical CenterAcute Care Float Pool NurseFranklin, TNOur 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. 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.
NewAcute Care Neuro Nurse TriStar Centennial Medical CenterAcute Care Neuro NurseFranklin, 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. As a majority owner of Galen College of Nursing, which joins Research College of Nursing and Mercy School of Nursing as educational facilities within the HCA Healthcare family, we make it easier and more affordable to gain certifications and job skills.
NewAcute Care Orthopedic Nurse TriStar Centennial Medical CenterAcute Care Orthopedic NurseFranklin, TNOur 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. 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."
NewAcute Care Nurse TriStar Centennial Medical CenterAcute Care NurseFranklin, 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.
NewAcute Care Resource Pool Nurse TriStar Centennial Medical CenterAcute Care Resource Pool NurseFranklin, TNOur 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. 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."
NewRN Intensive Care Unit TriStar Horizon Medical CenterRN Intensive Care UnitDickson, TNDaily 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. . At HCA Healthcare, we are dedicated to ensuring nurses have necessary tools and resources to provide world-class patient care, advocating for the profession and helping to shape the future of nursing.".
NewRN Progressive Care TriStar Horizon Medical CenterRN Progressive CareDickson, TNAt HCA Healthcare, we are dedicated to ensuring nurses have necessary tools and resources to provide world-class patient care, advocating for the profession and helping to shape the future of nursing.". Educate patients, families, and caregivers about the patient's medical condition, treatment plan, medications,possible sideeffects, and follow-up measures, ensuring complete understanding by translating complex medical terminology.
NewIntensive Care Unit Nurse TriStar Horizon Medical CenterIntensive Care Unit NurseDickson, TNDaily 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. . At HCA Healthcare, we are dedicated to ensuring nurses have necessary tools and resources to provide world-class patient care, advocating for the profession and helping to shape the future of nursing.".
NewPrimary Care Provider: Nurse Practitioner or Physician Assistant Fast Pace HealthPrimary Care Provider: Nurse Practitioner or Physician AssistantSpringfield, TNLicense and DEA must be active, in good standing, and verifiable with the proper regulatory agency; Primary Care Providers must be able to treat all ages and must meet any credentialing requirements needed; and DOT certification required to be obtained within 120 days of employment and maintained during employment. They must have the ability to respond quickly and accurately to changes in condition or response to treatment and is responsible for providing outstanding patient service within the clinic and through various virtual communication channels, while maintaining a compassionate and welcome atmosphere.
NewFloat Pool Registered Nurse TriStar Skyline Medical CenterFloat Pool Registered NurseFranklin, 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 limitedto:assessments and reassessments, developing individualized plans of care, medication administration, documentation, education, proper maintenance of equipment, and communication of patient needs. .
NewNeuro-Spine Registered Nurse TriStar Skyline Medical CenterNeuro-Spine Registered NurseFranklin, 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.
NewCardiac Med Surg RN TriStar Skyline Medical CenterCardiac Med Surg RNFranklin, 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. When acting in charge nurse role, registered nurses are responsible for day-to-day activities to ensure the delivery of quality patient care in a therapeutic environment.
NewMICU RN TriStar Skyline Medical CenterMICU RNFranklin, 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. Demonstrates knowledge of human growth and development, assessment range of treatment, and care of patients appropriate to the ages of patients served .
NewRN Admission Discharge TriStar Skyline Medical CenterRN Admission DischargeFranklin, 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. The RN Admission/Discharge utilizes specialized assessment skills to ensure quality admission to the appropriate care areas, and also safe discharges of acute care patients requiring education and post hospitalization care.
NewTrauma PCU RN TriStar Skyline Medical CenterTrauma PCU RNFranklin, TNAdditionaloptions 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, movingassistance, pet insurance and more. The available plans and programs include: Comprehensive medicalcoverage thatcovers many common services at no cost or for a lowcopay.
NewObservation Unit RN TriStar Skyline Medical CenterObservation Unit RNFranklin, 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.
NewTrauma MedSurg RN TriStar Skyline Medical CenterTrauma MedSurg RNFranklin, 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. Demonstrates knowledge of human growth and development, assessment range of treatment, and care of patients appropriate to the ages of patients served .
NewClinical Decision Unit RN TriStar Skyline Medical CenterClinical Decision Unit RNFranklin, 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.
NewICU RN TriStar Skyline Medical CenterICU RNFranklin, 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 scale makes it possible for nurses to create the career path that fits their life – for life – and empowers their passion for patient care.
NewTrauma ICU RN CNC TriStar Skyline Medical CenterTrauma ICU RN CNCFranklin, 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. Demonstrates knowledge of human growth and development, assessment range of treatment, and care of patients appropriate to the ages of patients served .
NewInpatient Rehab RN TriStar Skyline Medical CenterInpatient Rehab RNFranklin, 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. The available plans and programs include: Comprehensive medical coverage that covers many common services at no cost or for a low copay.
NewRegistered Nurse TriStar Southern Hills Medical CenterRegistered NurseFranklin, TNAt HCA Healthcare, we are committed to equipping nurses with the tools and resources they need to deliver exceptional patient care, championing the profession, and supporting the advancement of nursing’s future.". Educate patients, families, and caregivers about the patient's medical condition, treatment plan, medications, possible side effects, and follow-up measures, ensuring complete understanding by translating complex medical terminology.
NewRN MedSurg Float TriStar Skyline Medical CenterRN MedSurg FloatFranklin, 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 limitedto:assessments and reassessments, developing individualized plans of care, medication administration, documentation, education, proper maintenance of equipment, and communication of patient needs. .
NewFloat Pool RN TriStar Skyline Medical CenterFloat Pool RNFranklin, 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 limitedto:assessments and reassessments, developing individualized plans of care, medication administration, documentation, education, proper maintenance of equipment, and communication of patient needs. .
NewFloat RN TriStar Skyline Medical CenterFloat RNFranklin, 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 limitedto:assessments and reassessments, developing individualized plans of care, medication administration, documentation, education, proper maintenance of equipment, and communication of patient needs. .
NewTrauma Med Surg RN TriStar Skyline Medical CenterTrauma Med Surg RNFranklin, 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.
NewRN Float MedSurg TriStar Skyline Medical CenterRN Float MedSurgFranklin, 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 limitedto:assessments and reassessments, developing individualized plans of care, medication administration, documentation, education, proper maintenance of equipment, and communication of patient needs. .
NewAcute Trauma MedSurg RN TriStar Skyline Medical CenterAcute Trauma MedSurg RNFranklin, 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.
NewNeuro Trauma MedSurg RN TriStar Skyline Medical CenterNeuro Trauma MedSurg RNFranklin, 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.
NewCardiac Nephrology MedSurg RN TriStar Skyline Medical CenterCardiac Nephrology MedSurg RNFranklin, 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.