Newstaff - Registered Nurse (RN) - Quality Assurance - $21-38 per hour Perm Staff Jobsstaff - Registered Nurse (RN) - Quality Assurance - $21-38 per hourChattanooga, TN$21–$38 / hourUpdate and maintain quality profiles and work with division Ongoing Provider Practice Evaluation (OPPE) and Focused Provider Practice Evaluation (FPPE) and for cause FPPE. Identify needs and opportunities for improvement based on data analysis and outcomes and communicates findings in a timely manner to Market VPQ / CMO.
Registered Nurse (RN) Signature HealthCARE TN, MemphisRegistered Nurse (RN)Arlington, TNOur continuum of care includes skilled nursing, rehabilitation, assisted and memory care, and home-based services supported by innovative technologies like telehealth and Care.ai-enabled solutions. As an award-winning organization recognized over the years by national outlets such as U.S. News & World Report , we take pride in fostering compassionate care environments and being an employer of choice in the healthcare industry.
NewRegistered Nurse (RN) Pickett Care and Rehab CenterRegistered Nurse (RN)Jamestown, TNAbout Us: Pickett Care & Rehabilitation Center is 69-bed facility that offers a comprehensive, integrated approach that embraces a wide spectrum of services, from expert inpatient rehabilitation programs and short-term respite care to long-term skilled nursing. As an award-winning organization recognized over the years by national outlets such as U.S. News & World Report , we take pride in fostering compassionate care environments and being an employer of choice in the healthcare industry.
Licensed Practical Nurse (LPN) Signature HealthCARE TN, MemphisLicensed Practical Nurse (LPN)Tipton, TNAbout Signature: Signature HealthCARE is a family-based healthcare company that offers integrated services in 7 states across the continuum of care: skilled nursing, rehabilitation, assisted living, memory care, home health, cognitive care, and telemedicine. Additionally, we have been awarded as a certified Great Place to Work for three years in a row and Modern Healthcare’s "Best Places to Work!" .
NewTravel Physical Therapist - $1,829 per week Fusion Medical Staffing-TherapyTravel Physical Therapist - $1,829 per weekCrossville, TNEducate patients and caregivers on home exercise programs, proper body mechanics, injury prevention strategies, and self-management techniques to promote long-term functional recovery. Working in settings such as hospitals, clinics, and rehabilitation centers, they create personalized, evidence-based treatment plans using exercise and manual therapy to help patients recover and become independent.
NewTravel Physical Therapist - $1,746 per week Fusion Medical Staffing-TherapyTravel Physical Therapist - $1,746 per weekMcMinnville, TNEducate patients and caregivers on home exercise programs, proper body mechanics, injury prevention strategies, and self-management techniques to promote long-term functional recovery. Working in settings such as hospitals, clinics, and rehabilitation centers, they create personalized, evidence-based treatment plans using exercise and manual therapy to help patients recover and become independent.
NewLicensed Practical Nurse (LPN) Pickett Care and Rehab CenterLicensed Practical Nurse (LPN)Byrdstown, TNAbout Us: Pickett Care & Rehabilitation Center is 69-bed facility that offers a comprehensive, integrated approach that embraces a wide spectrum of services, from expert inpatient rehabilitation programs and short-term respite care to long-term skilled nursing. Our continuum of care includes skilled nursing, rehabilitation, assisted and memory care, and home-based services supported by innovative technologies like telehealth and Care.ai-enabled solutions.
Licensed Practical Nurse (LPN) FT Day Shift $5k Sign On Bonus Signature HealthCARE of Monteagle Rehab & Wellness CenterLicensed Practical Nurse (LPN) FT Day Shift $5k Sign On BonusHillsboro, TNAbout Us: Signature HealthCARE of Monteagle Rehab & Wellness Center is a 150-bed skilled and intermediate nursing facility provides a safe, secure environment for those in need of medical care, and specializes in customized dementia and behavioral care for cognitively impaired residents. Our continuum of care includes skilled nursing, rehabilitation, assisted and memory care, and home-based services supported by innovative technologies like telehealth and Care.ai-enabled solutions.
Licensed Practical Nurse (LPN)- $8,000 Sign On Bonus Westmoreland Care & Rehab CenterLicensed Practical Nurse (LPN)- $8,000 Sign On BonusLafayette, TN$37.09Our continuum of care includes skilled nursing, rehabilitation, assisted and memory care, and home-based services supported by innovative technologies like telehealth and Care.ai-enabled solutions. As an award-winning organization recognized over the years by national outlets such as U.S. News & World Report , we take pride in fostering compassionate care environments and being an employer of choice in the healthcare industry.
NewRegistered Nurse (RN) Coordinator Highpoint Health - Sumner with Ascension Saint ThomasRegistered Nurse (RN) CoordinatorGallatin, TNOur diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. Highpoint Health Sumner is a 167-bed hospital located in Gallatin, TN and is part of Lifepoint Health , a diversified healthcare delivery network committed to making communities healthier ® with acute care, rehabilitation, and behavioral health facilities from coast to coast.
NewLevel II - Medical Lab Scientist - $27+ per hour Tenet MemphisLevel II - Medical Lab Scientist - $27+ per hourMemphis, TNProcesses and tests all types of laboratory specimens; reviews and reports lab results; performs operational duties, maintenance and advanced troubleshooting of laboratory instrumentation and equipment; acts as resource to other laboratory personnel. Additional responsibility includes assisting with new equipment validation and implementation, employee training and competency assessment, regulatory compliance responsibilities for CAP, TCJ, AABB or other agencies, quality assurance, quality control and instrument maintenance.
NewTravel Nurse RN - Long-Term Care - $1,480 per week in Chattanooga, TN TravelNurseSourceTravel Nurse RN - Long-Term Care - $1,480 per week in Chattanooga, TNChattanooga, TN$1,479.50Clinical Care and Treatments : Provide routine nursing care, such as wound care, catheter care, dressing changes, and managing chronic conditions like diabetes, heart disease, or respiratory issues. The RN works closely with other healthcare professionals, family members, and caregivers to ensure residents maintain a high quality of life, have their medical needs addressed, and are supported with both their physical and emotional well-being.
Residential Service Coordinator Volunteers of America Mid-StatesResidential Service CoordinatorNashville, TN$33,000–$55,000 / hourFull timePOSITION TITLE : Residential Service Coordinator LOCATION : Nashville, TN STATUS : Full Time, Salaried, Exempt PROGRAM : Developmental Disability Services REPORTS TO : Director of Developmental Disability Services INTRODUCTION : Volunteers of America Mid-States (VOA) is a non-profit organization spanning four states that creates positive change in the lives of individuals and communities through a ministry of service. 3.To ensure the implementation of Individual Support Plans, and ensure that monthly reviews encompass pertinent information that is exchanged with the Medical and Day Service Coordinator as well as pertinent persons from individuals, families, guardians, Independent Support Coordinators, Regionals Office personnel, etc.
NewTravel Nurse RN - Psych - $37 to $43 per hour in Nashville, TN TravelNurseSourceTravel Nurse RN - Psych - $37 to $43 per hour in Nashville, TNNashville, TN$37–$43The RN will be responsible for delivering nursing care, administering medications, monitoring patient conditions, and responding to emergency situations while collaborating with physicians and the interdisciplinary healthcare team. Participate in emergency response situations and perform Basic Life Support (BLS), Cardiopulmonary Resuscitation (CPR), and other emergency interventions as required.
Travel Speech Language Pathologist (SLP) - $1,640 to $1,976 per week in Ducktown, TN AlliedTravelCareersTravel Speech Language Pathologist (SLP) - $1,640 to $1,976 per week in Ducktown, TNDucktown, TN$1,640–$1,976Educate patients, families, and caregivers on effective communication strategies, home-based exercises, and safe swallowing practices, while offering supportive counseling as required. Working in a variety of settings, the SLP develops and implements individualized treatment plans aimed at enhancing speech, language, and cognitive-communication abilities.
NewTravel Physical Therapist (PT) - $1,472 to $1,774 per week in Lawrenceburg, TN AlliedTravelCareersTravel Physical Therapist (PT) - $1,472 to $1,774 per week in Lawrenceburg, TNLawrenceburg, TN$1,472–$1,774Educate patients and caregivers on home exercise programs, proper body mechanics, injury prevention strategies, and self-management techniques to promote long-term functional recovery. Working in settings such as hospitals, clinics, and rehabilitation centers, they create personalized, evidence-based treatment plans using exercise and manual therapy to help patients recover and become independent.
NewTravel Speech Language Pathologist (SLP) - $1,528 to $1,841 per week in Etowah, TN AlliedTravelCareersTravel Speech Language Pathologist (SLP) - $1,528 to $1,841 per week in Etowah, TNEtowah, TN$1,528–$1,841Educate patients, families, and caregivers on effective communication strategies, home-based exercises, and safe swallowing practices, while offering supportive counseling as required. Working in a variety of settings, the SLP develops and implements individualized treatment plans aimed at enhancing speech, language, and cognitive-communication abilities.
Travel Physical Therapist (PT) - $1,449 to $1,746 per week in Tullahoma, TN AlliedTravelCareersTravel Physical Therapist (PT) - $1,449 to $1,746 per week in Tullahoma, TNTullahoma, TN$1,449–$1,746Educate patients and caregivers on home exercise programs, proper body mechanics, injury prevention strategies, and self-management techniques to promote long-term functional recovery. Working in settings such as hospitals, clinics, and rehabilitation centers, they create personalized, evidence-based treatment plans using exercise and manual therapy to help patients recover and become independent.
NewTravel Physical Therapist (PT) in Fayetteville, TN AlliedTravelCareersTravel Physical Therapist (PT) in Fayetteville, TNFayetteville, TNEducate patients and caregivers on home exercise programs, proper body mechanics, injury prevention strategies, and self-management techniques to promote long-term functional recovery. Working in settings such as hospitals, clinics, and rehabilitation centers, they create personalized, evidence-based treatment plans using exercise and manual therapy to help patients recover and become independent.
Travel Occupational Therapist (OT) - $1,593 to $1,919 per week in Nashville, TN AlliedTravelCareersTravel Occupational Therapist (OT) - $1,593 to $1,919 per week in Nashville, TNNashville, TN$1,593–$1,919Summary: The Occupational Therapist (OT) provides comprehensive, evidence-based therapeutic interventions to help patients develop, recover, and enhance the skills necessary for independent daily living. Working across diverse settings, the OT evaluates patient needs, diagnoses functional limitations, and designs individualized treatment plans tailored to each patient's unique goals.
Travel Occupational Therapist (OT) - $1,671 to $2,013 per week in Nashville, TN AlliedTravelCareersTravel Occupational Therapist (OT) - $1,671 to $2,013 per week in Nashville, TNNashville, TN$1,671–$2,013Summary: The Occupational Therapist (OT) provides comprehensive, evidence-based therapeutic interventions to help patients develop, recover, and enhance the skills necessary for independent daily living. Working across diverse settings, the OT evaluates patient needs, diagnoses functional limitations, and designs individualized treatment plans tailored to each patient's unique goals.
NewTravel Physical Therapist (PT) - $1,449 to $1,746 per week in McMinnville, TN AlliedTravelCareersTravel Physical Therapist (PT) - $1,449 to $1,746 per week in McMinnville, TNMcMinnville, TN$1,449–$1,746Educate patients and caregivers on home exercise programs, proper body mechanics, injury prevention strategies, and self-management techniques to promote long-term functional recovery. Working in settings such as hospitals, clinics, and rehabilitation centers, they create personalized, evidence-based treatment plans using exercise and manual therapy to help patients recover and become independent.
NewTravel Physical Therapist (PT) - $1,472 to $1,774 per week in Dickson, TN AlliedTravelCareersTravel Physical Therapist (PT) - $1,472 to $1,774 per week in Dickson, TNDickson, TN$1,472–$1,774Educate patients and caregivers on home exercise programs, proper body mechanics, injury prevention strategies, and self-management techniques to promote long-term functional recovery. Working in settings such as hospitals, clinics, and rehabilitation centers, they create personalized, evidence-based treatment plans using exercise and manual therapy to help patients recover and become independent.
NewTravel Physical Therapist (PT) - $1,518 to $1,829 per week in Crossville, TN AlliedTravelCareersTravel Physical Therapist (PT) - $1,518 to $1,829 per week in Crossville, TNCrossville, TN$1,518–$1,829Educate patients and caregivers on home exercise programs, proper body mechanics, injury prevention strategies, and self-management techniques to promote long-term functional recovery. Working in settings such as hospitals, clinics, and rehabilitation centers, they create personalized, evidence-based treatment plans using exercise and manual therapy to help patients recover and become independent.
Travel Physical Therapist (PT) - $1,813 to $2,184 per week in Sparta, TN AlliedTravelCareersTravel Physical Therapist (PT) - $1,813 to $2,184 per week in Sparta, TNSparta, TN$1,813–$2,184Educate patients and caregivers on home exercise programs, proper body mechanics, injury prevention strategies, and self-management techniques to promote long-term functional recovery. Working in settings such as hospitals, clinics, and rehabilitation centers, they create personalized, evidence-based treatment plans using exercise and manual therapy to help patients recover and become independent.
Travel Physical Therapist (PT) - $1,472 to $1,774 per week in Cookeville, TN AlliedTravelCareersTravel Physical Therapist (PT) - $1,472 to $1,774 per week in Cookeville, TNCookeville, TN$1,472–$1,774Educate patients and caregivers on home exercise programs, proper body mechanics, injury prevention strategies, and self-management techniques to promote long-term functional recovery. Working in settings such as hospitals, clinics, and rehabilitation centers, they create personalized, evidence-based treatment plans using exercise and manual therapy to help patients recover and become independent.
Travel Physical Therapist (PT) - $1,998 to $2,407 per week in Cookeville, TN AlliedTravelCareersTravel Physical Therapist (PT) - $1,998 to $2,407 per week in Cookeville, TNCookeville, TN$1,998–$2,407Educate patients and caregivers on home exercise programs, proper body mechanics, injury prevention strategies, and self-management techniques to promote long-term functional recovery. Working in settings such as hospitals, clinics, and rehabilitation centers, they create personalized, evidence-based treatment plans using exercise and manual therapy to help patients recover and become independent.
Travel Physical Therapist (PT) in Manchester, TN AlliedTravelCareersTravel Physical Therapist (PT) in Manchester, TNManchester, TNEducate patients and caregivers on home exercise programs, proper body mechanics, injury prevention strategies, and self-management techniques to promote long-term functional recovery. Working in settings such as hospitals, clinics, and rehabilitation centers, they create personalized, evidence-based treatment plans using exercise and manual therapy to help patients recover and become independent.
NewDunkin Team Leader Dunkin' DonutsDunkin Team LeaderElizabethton, TNFranchisees are independent business owners who are solely responsible for their own employees and set their own wage and benefit programs that can vary among franchisees. Why Join Us: Weekly Pay: Receive regular paychecks every week, adding stability and ease to your financial planning.
NewDunkin Assistant Manager Dunkin' DonutsDunkin Assistant ManagerPiney Flats, TNDunkin' Donuts is seeking an Assistant Manager who is passionate about leading a team to deliver exceptional guest experiences and drive profitable sales. Franchisees are independent business owners who are solely responsible for their own employees and set their own wage and benefit programs that can vary among franchisees.
NewDunkin Restaurant Manager Dunkin' DonutsDunkin Restaurant ManagerJohnson City, TN$44,000–$51,000 / yearLeadership at Its Best: Guide and develop a team of assistant managers, shift leaders, and crew members, fostering professional growth and teamwork. Franchisees are independent business owners who are solely responsible for their own employees and set their own wage and benefit programs that can vary among franchisees.
Travel Speech Language Pathologist (SLP) - $1,640 to $1,976 per week in Ducktown, TN Fusion Medical StaffingTravel Speech Language Pathologist (SLP) - $1,640 to $1,976 per week in Ducktown, TNDucktown, TN$1,640–$1,976Educate patients, families, and caregivers on effective communication strategies, home-based exercises, and safe swallowing practices, while offering supportive counseling as required. Working in a variety of settings, the SLP develops and implements individualized treatment plans aimed at enhancing speech, language, and cognitive-communication abilities.
NewTravel Speech Language Pathologist (SLP) - $1,528 to $1,841 per week in Etowah, TN Fusion Medical StaffingTravel Speech Language Pathologist (SLP) - $1,528 to $1,841 per week in Etowah, TNEtowah, TN$1,528–$1,841Educate patients, families, and caregivers on effective communication strategies, home-based exercises, and safe swallowing practices, while offering supportive counseling as required. Working in a variety of settings, the SLP develops and implements individualized treatment plans aimed at enhancing speech, language, and cognitive-communication abilities.
Travel Physical Therapist (PT) - $1,433 to $1,726 per week in Clarksville, TN Fusion Medical StaffingTravel Physical Therapist (PT) - $1,433 to $1,726 per week in Clarksville, TNClarksville, TN$1,433–$1,726Educate patients and caregivers on home exercise programs, proper body mechanics, injury prevention strategies, and self-management techniques to promote long-term functional recovery. Working in settings such as hospitals, clinics, and rehabilitation centers, they create personalized, evidence-based treatment plans using exercise and manual therapy to help patients recover and become independent.
Travel Occupational Therapist (OT) - $1,593 to $1,919 per week in Nashville, TN Fusion Medical StaffingTravel Occupational Therapist (OT) - $1,593 to $1,919 per week in Nashville, TNNashville, TN$1,593–$1,919Summary: The Occupational Therapist (OT) provides comprehensive, evidence-based therapeutic interventions to help patients develop, recover, and enhance the skills necessary for independent daily living. Working across diverse settings, the OT evaluates patient needs, diagnoses functional limitations, and designs individualized treatment plans tailored to each patient's unique goals.
NewTravel Physical Therapist (PT) - $1,472 to $1,774 per week in Lawrenceburg, TN Fusion Medical StaffingTravel Physical Therapist (PT) - $1,472 to $1,774 per week in Lawrenceburg, TNLawrenceburg, TN$1,472–$1,774Educate patients and caregivers on home exercise programs, proper body mechanics, injury prevention strategies, and self-management techniques to promote long-term functional recovery. Working in settings such as hospitals, clinics, and rehabilitation centers, they create personalized, evidence-based treatment plans using exercise and manual therapy to help patients recover and become independent.
Travel Physical Therapist (PT) - $1,449 to $1,746 per week in Clarksville, TN Fusion Medical StaffingTravel Physical Therapist (PT) - $1,449 to $1,746 per week in Clarksville, TNClarksville, TN$1,449–$1,746Educate patients and caregivers on home exercise programs, proper body mechanics, injury prevention strategies, and self-management techniques to promote long-term functional recovery. Working in settings such as hospitals, clinics, and rehabilitation centers, they create personalized, evidence-based treatment plans using exercise and manual therapy to help patients recover and become independent.
NewTravel Physical Therapist (PT) - $1,518 to $1,829 per week in Crossville, TN Fusion Medical StaffingTravel Physical Therapist (PT) - $1,518 to $1,829 per week in Crossville, TNCrossville, TN$1,518–$1,829Educate patients and caregivers on home exercise programs, proper body mechanics, injury prevention strategies, and self-management techniques to promote long-term functional recovery. Working in settings such as hospitals, clinics, and rehabilitation centers, they create personalized, evidence-based treatment plans using exercise and manual therapy to help patients recover and become independent.
Travel Physical Therapist (PT) - $1,472 to $1,774 per week in Dickson, TN Fusion Medical StaffingTravel Physical Therapist (PT) - $1,472 to $1,774 per week in Dickson, TNDickson, TN$1,472–$1,774Educate patients and caregivers on home exercise programs, proper body mechanics, injury prevention strategies, and self-management techniques to promote long-term functional recovery. Working in settings such as hospitals, clinics, and rehabilitation centers, they create personalized, evidence-based treatment plans using exercise and manual therapy to help patients recover and become independent.
Travel Physical Therapist (PT) - $1,449 to $1,746 per week in McMinnville, TN Fusion Medical StaffingTravel Physical Therapist (PT) - $1,449 to $1,746 per week in McMinnville, TNMcMinnville, TN$1,449–$1,746Educate patients and caregivers on home exercise programs, proper body mechanics, injury prevention strategies, and self-management techniques to promote long-term functional recovery. Working in settings such as hospitals, clinics, and rehabilitation centers, they create personalized, evidence-based treatment plans using exercise and manual therapy to help patients recover and become independent.
Travel Physical Therapist (PT) - $1,813 to $2,184 per week in Sparta, TN Fusion Medical StaffingTravel Physical Therapist (PT) - $1,813 to $2,184 per week in Sparta, TNSparta, TN$1,813–$2,184Educate patients and caregivers on home exercise programs, proper body mechanics, injury prevention strategies, and self-management techniques to promote long-term functional recovery. Working in settings such as hospitals, clinics, and rehabilitation centers, they create personalized, evidence-based treatment plans using exercise and manual therapy to help patients recover and become independent.
Travel Physical Therapist (PT) - $1,998 to $2,407 per week in Cookeville, TN Fusion Medical StaffingTravel Physical Therapist (PT) - $1,998 to $2,407 per week in Cookeville, TNCookeville, TN$1,998–$2,407Educate patients and caregivers on home exercise programs, proper body mechanics, injury prevention strategies, and self-management techniques to promote long-term functional recovery. Working in settings such as hospitals, clinics, and rehabilitation centers, they create personalized, evidence-based treatment plans using exercise and manual therapy to help patients recover and become independent.
Travel Occupational Therapist (OT) - $1,671 to $2,013 per week in Nashville, TN Fusion Medical StaffingTravel Occupational Therapist (OT) - $1,671 to $2,013 per week in Nashville, TNNashville, TN$1,671–$2,013Summary: The Occupational Therapist (OT) provides comprehensive, evidence-based therapeutic interventions to help patients develop, recover, and enhance the skills necessary for independent daily living. Working across diverse settings, the OT evaluates patient needs, diagnoses functional limitations, and designs individualized treatment plans tailored to each patient's unique goals.
Travel Physical Therapist (PT) - $1,472 to $1,774 per week in Cookeville, TN Fusion Medical StaffingTravel Physical Therapist (PT) - $1,472 to $1,774 per week in Cookeville, TNCookeville, TN$1,472–$1,774Educate patients and caregivers on home exercise programs, proper body mechanics, injury prevention strategies, and self-management techniques to promote long-term functional recovery. Working in settings such as hospitals, clinics, and rehabilitation centers, they create personalized, evidence-based treatment plans using exercise and manual therapy to help patients recover and become independent.
Travel Physical Therapist (PT) Fusion Medical StaffingTravel Physical Therapist (PT)Knoxville, TNRequired Qualifications: Valid Physical Therapy license in compliance with state regulations Current BLS certification (AHA/ARC) Preferred Qualifications: Doctorate degree in physical therapy Physical Therapy experience, but New Grads are welcome to apply Other certifications or licenses may be required for this position Summary: The Physical Therapist evaluates, diagnoses, and treats patients with physical impairments to improve mobility, reduce pain, and enhance quality of life. Working in settings such as hospitals, clinics, and rehabilitation centers, they create personalized, evidence-based treatment plans using exercise and manual therapy to help patients recover and become independent.
NewTravel Speech Language Pathologist (SLP) Fusion Medical StaffingTravel Speech Language Pathologist (SLP)McMinnville, TNEducate patients, families, and caregivers on effective communication strategies, home-based exercises, and safe swallowing practices, while offering supportive counseling as required. Working in a variety of settings, the SLP develops and implements individualized treatment plans aimed at enhancing speech, language, and cognitive-communication abilities.
NewTravel House Supervisor RN Fusion Medical StaffingTravel House Supervisor RNMemphis, TNThis role encompasses staff supervision, patient flow management, crisis intervention, and collaboration with multidisciplinary teams to optimize patient care and hospital operations. The House Supervisor RN provides leadership and oversight of nursing operations during shifts to ensure quality care, patient safety, and smooth hospital functioning.
NewTravel Physical Therapy Assistant (PTA) Fusion Medical StaffingTravel Physical Therapy Assistant (PTA)Rocky Top, TennesseeThe Physical Therapy Assistant (PTA) works under the supervision of a Physical Therapist to help implement treatment plans that improve patients‘ mobility, reduce pain, and enhance functional independence. They document patient progress, educate patients on home exercise programs, and collaborate with the healthcare team to support optimal recovery and overall quality of life.
NewTemporary Quality Assurance Specialist HealthPlanOne LLCTemporary Quality Assurance SpecialistTNFor Hybrid Roles: Must be able to commute to an office setting as required, which may include walking short distances and navigating an office environment. Physical Requirements: Must be able to remain in a stationary position (e.g., sitting or standing) for extended periods of time, typically in a cubicle environment (constant noise, fluorescent overhead lighting).