Rehabilitation Hospital of Kingsport, a joint venture of Ballad Health and Encompass HealthRegistered Nurse Rehabilitation Hospital of Kingsport, a joint venture of Ballad Health and Encompass HealthRegistered NurseKingsport, TNOur achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For® Award, among other accolades, which is nothing short of amazing. Supervise care and treatments, lead patient assessments, tailor care plans, and address patient concerns to provide exceptional care.
GrifolsNewLicensed Practical Nurse GrifolsLicensed Practical NurseKingsport, TNThird Party Agency and Recruiter Notice: Agencies that present a candidate to Grifols must have an active, nonexpired, Grifols Agency Master Services Agreement with the Grifols Talent Acquisition Department. Educated and currently certified/licensed in the state of employment and according to state requirements as a Registered Nurse, Licensed Practical Nurse, Licensed Vocation Nurse, Paramedic, or EMT.
GrifolsNewLPN GrifolsLPNKingsport, TNThird Party Agency and Recruiter Notice: Agencies that present a candidate to Grifols must have an active, nonexpired, Grifols Agency Master Services Agreement with the Grifols Talent Acquisition Department. Educated and currently certified/licensed in the state of employment and according to state requirements as a Registered Nurse, Licensed Practical Nurse, Licensed Vocation Nurse, Paramedic, or EMT.
GrifolsNewEMT or Paramedic or LPN GrifolsEMT or Paramedic or LPNKingsport, TNThird Party Agency and Recruiter Notice: Agencies that present a candidate to Grifols must have an active, nonexpired, Grifols Agency Master Services Agreement with the Grifols Talent Acquisition Department. Educated and currently certified/licensed in the state of employment and according to state requirements as a Registered Nurse, Licensed Practical Nurse, Licensed Vocation Nurse, Paramedic, or EMT.
FLEXpath, LLC - TennesseeFLEXpath Licensed Practical Nurse (LPN) FLEXpath, LLC - TennesseeFLEXpath Licensed Practical Nurse (LPN)Mountain City, TNHow you Will make a Difference: Deliver exceptional nursing services to our patients and residents maintaining the highest degree of quality and compassionate care. At Signature HealthCARE, our team members are permitted – no, encouraged – to employ their talents and abilities to solve problems.
SevitaNewLicensed Practical Nurse SevitaLicensed Practical NurseGreeneville, TN$28.50–$28.50You’ll experience meaningful, high-impact work by providing nursing services, training, and support for individuals with brain injuries, intellectual and developmental disabilities, substance use disorders, and/or emotional or behavioral challenges. We offer structured flexibility, including PRN opportunities, to help support work–life balance while still ensuring consistent, reliable coverage for the individuals we serve.
Encompass Health Rehabilitation Hospital of FitchburgRegistered Nurse Encompass Health Rehabilitation Hospital of FitchburgRegistered NurseAbingdon, VAStarting Perks and Benefits Our benefits are designed to support your well-being and start on day one : Supervise care and treatments, lead patient assessments, tailor care plans, and address patient concerns to provide exceptional care. Realize Your Vision as a Registered Nurse Supervise care and treatments, lead patient assessments, tailor care plans, and address patient concerns to provide exceptional care.
Southwest Virginia Community Health SystemsStaff Nurse Southwest Virginia Community Health SystemsStaff NurseBristol, VAFull timeJoin SVCHS, a leading Federally Qualified Community Health Center (FQHC), and help deliver high-quality care to patients at our Bristol Community Health Center in Bristol, VA?. SVCHS does not use E-Verify to pre-screen applicants and will not take adverse action against an individual based solely on tentative non-confirmation results.
Life Care Centers of America IncAssistant Director of Nursing (ADON) (Registered Nurse/RN) Life Care Centers of America IncAssistant Director of Nursing (ADON) (Registered Nurse/RN)Elizabethton, TNPerform proficiently in all competency areas including but not limited to: nursing care, supervisory responsibilities,, infection control, patient rights, and safety and sanitation. Assist the DON in planning, developing, implementing, evaluating and directing the Nursing Services department.
Brookdale Senior Living IncHealth and Wellness Coordinator LPN Brookdale Senior Living IncHealth and Wellness Coordinator LPNBristol, VAEnsures consistent quality resident care and service delivery throughout all shifts; this may require assuming the role and responsibilities of a Caregiver or Med Tech/Aide in order to meet the residents' needs and staffing requirements. To support our associates in their journey to become a U.S. citizen, Brookdale offers to advance fees for naturalization (Form N-400) application costs, up to $725, less applicable taxes and withholding, for qualified associates who have been with us for at least a year.
Comprehensive Rehab ConsultantsNurse Practitioner Comprehensive Rehab ConsultantsNurse PractitionerJohnson City, TN$95,000–$125,000Engage in culture building opportunities and ongoing education including monthly Didactic lectures, virtual meetings with your Regional Team, and annual, regional dinners to meet your nearby colleagues. With a growing company comes growth opportunities: we self-promote to our leadership positions and encourage our clinicians to become clinical leaders by providing in-services to facility staff and training other CRC clinicians in the region.
OptiMindHealthPsychiatric Nurse Practitioner (PMHNP-BC) - Johnson City, TN (Remote) OptiMindHealthPsychiatric Nurse Practitioner (PMHNP-BC) - Johnson City, TN (Remote)Johnson City, TNRemote$125,000–$145,000Licensure in Colorado and/or Massachusetts as a Psychiatric Nurse Practitioner with experience working with persons who have various behavioral health issues such as, mood disorders, anxiety disorders, personality disorders, substance misuse, and other psychiatric impairments under the supervision of a consulting psychiatrist(s). Medication management and individual psychotherapy are the most common forms of clinical work performed at OMH, but our clinicians also perform family therapy, group therapy, and psychological testing as needed and/or appropriate to a wide range of presenting problems of our patients.
OptiMindHealthPsychiatric Nurse Practitioner (PMHNP-BC) - Kingsport, TN (Remote) OptiMindHealthPsychiatric Nurse Practitioner (PMHNP-BC) - Kingsport, TN (Remote)Kingsport, TNRemote$125,000–$145,000Licensure in Colorado and/or Massachusetts as a Psychiatric Nurse Practitioner with experience working with persons who have various behavioral health issues such as, mood disorders, anxiety disorders, personality disorders, substance misuse, and other psychiatric impairments under the supervision of a consulting psychiatrist(s). Medication management and individual psychotherapy are the most common forms of clinical work performed at OMH, but our clinicians also perform family therapy, group therapy, and psychological testing as needed and/or appropriate to a wide range of presenting problems of our patients.
OptiMindHealthPsychiatric Nurse Practitioner (PMHNP-BC) - Bristol, TN (Remote) OptiMindHealthPsychiatric Nurse Practitioner (PMHNP-BC) - Bristol, TN (Remote)Bristol, TNRemote$125,000–$145,000Licensure in Colorado and/or Massachusetts as a Psychiatric Nurse Practitioner with experience working with persons who have various behavioral health issues such as, mood disorders, anxiety disorders, personality disorders, substance misuse, and other psychiatric impairments under the supervision of a consulting psychiatrist(s). Medication management and individual psychotherapy are the most common forms of clinical work performed at OMH, but our clinicians also perform family therapy, group therapy, and psychological testing as needed and/or appropriate to a wide range of presenting problems of our patients.
CoreCivic IncRegistered Nurse PRN CoreCivic IncRegistered Nurse PRNBristol, TN$46.64–$59.93 / hourExamine and assess new inmates/residents with illnesses or injuries or inmates/residents who become ill or injured; refer inmates/residents to the emergency room or other appropriate healthcare facilities as required by their condition. Provide guidance, supervise and monitor nursing care provided by licensed vocational/practical nursing staff and non-licensed medical staff.
CoreCivic IncRegistered Nurse - PRN CoreCivic IncRegistered Nurse - PRNBristol, TN$42.66–$56.10 / hourExamine and assess new inmates/residents with illnesses or injuries or inmates/residents who become ill or injured; refer inmates/residents to the emergency room or other appropriate healthcare facilities as required by their condition. Provide guidance, supervise and monitor nursing care provided by licensed vocational/practical nursing staff and non-licensed medical staff.
PrincetonNewPRN Licensed Practical Nurse (LPN) PrincetonPRN Licensed Practical Nurse (LPN)Johnson City, TennesseeOur 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. The new Princeton Transitional Care will provide a new home for skilled-nursing care and will add 60 assisted living apartments, 47 short-term skilled-nursing and rehab private suites.
Princeton Transitional & ALFNight Shift Licensed Practical Nurse (LPN) Princeton Transitional & ALFNight Shift Licensed Practical Nurse (LPN)Johnson City, TennesseeOur 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. The new Princeton Transitional Care will provide a new home for skilled-nursing care and will add 60 assisted living apartments, 47 short-term skilled-nursing and rehab private suites.
FRONTIER HEALTHLPN Inpatient - PRN FRONTIER HEALTHLPN Inpatient - PRNjohnson city, TNAll employees of the organization are expected to: Support the organization's mission, vision, and values of excellence and competence, collaboration, innovation, commitment to our community, and accountability and ownership. Attends and participated in staff conferences or interdisciplinary team meetings to ensure input as it relates to patients, as assigned.
Signature HealthCARE LLCDay Shift Licensed Practical Nurse (LPN) Signature HealthCARE LLCDay Shift Licensed Practical Nurse (LPN)Mountain City, TNMountain City Care & Rehabilitation Center is a 120-bed skilled nursing facility offering a positive reputation for the best care in Tennessee and is noted for its caring staff and their commitment and dedication to quality care. 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.
Signature HealthCARE LLCLicensed Practical Nurse (LPN) Signature HealthCARE LLCLicensed Practical Nurse (LPN)Elizabethton, TNSignature HealthCARE of Elizabethton Rehab & Wellness Center is a 94-bed facility providing both short-term and long-term care with an experienced rehabilitation and nursing staff, whose primary goal is to help residents achieve their maximum potential. 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.
Signature HealthCARE LLCUnit Manager RN - Salary Signature HealthCARE LLCUnit Manager RN - SalaryGreeneville, TNSignature HealthCARE of Greeneville is a 154-bed facility that provides long-term or short-term 24-hour nursing services by a dedicated and caring staff in a home-like atmosphere. 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.
Signature HealthCARE LLCRegistered Nurse (RN)- Night Shift, No Weekends Signature HealthCARE LLCRegistered Nurse (RN)- Night Shift, No WeekendsGreeneville, TNSignature HealthCARE of Greeneville is a 154-bed facility that provides long-term or short-term 24-hour nursing services by a dedicated and caring staff in a home-like atmosphere. Specialized services with excellent outcomes for orthopedic, neurological, surgical, respiratory, and medically compromised individuals are offered, as well as a full range of therapy services including physical, occupational, and speech therapy.
Signature HealthCARE LLCWeekend Licensed Practical Nurse (LPN) - Day Shift! Signature HealthCARE LLCWeekend Licensed Practical Nurse (LPN) - Day Shift!Greeneville, TN$25–$33 / hourOur 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. Signature HealthCARE of Greeneville is a 154-bed facility that provides long-term or short-term 24-hour nursing services by a dedicated and caring staff in a home-like atmosphere.
Signature HealthCARE LLCNewPRN Licensed Practical Nurse (LPN) Signature HealthCARE LLCPRN Licensed Practical Nurse (LPN)Johnson City, 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. The new Princeton Transitional Care will provide a new home for skilled-nursing care and will add 60 assisted living apartments, 47 short-term skilled-nursing and rehab private suites.
Signature HealthCARE LLCNight Shift Licensed Practical Nurse (LPN) Signature HealthCARE LLCNight Shift Licensed Practical Nurse (LPN)Johnson City, 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. The new Princeton Transitional Care will provide a new home for skilled-nursing care and will add 60 assisted living apartments, 47 short-term skilled-nursing and rehab private suites.
Signature HealthCARE LLCRegistered Nurse (RN)- Monday-Friday Wound Care Signature HealthCARE LLCRegistered Nurse (RN)- Monday-Friday Wound CareGreeneville, TNSignature HealthCARE of Greeneville is a 154-bed facility that provides long-term or short-term 24-hour nursing services by a dedicated and caring staff in a home-like atmosphere. Specialized services with excellent outcomes for orthopedic, neurological, surgical, respiratory, and medically compromised individuals are offered, as well as a full range of therapy services including physical, occupational, and speech therapy.
Signature HealthCARE LLCLicensed Practical Nurse (LPN)- Saturday, Sunday Day Shift Signature HealthCARE LLCLicensed Practical Nurse (LPN)- Saturday, Sunday Day ShiftGreeneville, 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. Signature HealthCARE of Greeneville is a 154-bed facility that provides long-term or short-term 24-hour nursing services by a dedicated and caring staff in a home-like atmosphere.
Signature HealthCARE LLCRegistered Nurse (RN)- Saturday, Sunday Day Shift Signature HealthCARE LLCRegistered Nurse (RN)- Saturday, Sunday Day ShiftGreeneville, TNSignature HealthCARE of Greeneville is a 154-bed facility that provides long-term or short-term 24-hour nursing services by a dedicated and caring staff in a home-like atmosphere. Specialized services with excellent outcomes for orthopedic, neurological, surgical, respiratory, and medically compromised individuals are offered, as well as a full range of therapy services including physical, occupational, and speech therapy.
Encompass Health CorpRegistered Nurse Encompass Health CorpRegistered Nursejohnson city, TNAbility to lift, lower, push, pull, and retrieve objects weighing a minimum of 30 pounds including medical supplies and equipment and the transferring and repositioning of patients. The Registered Nurse supervises activities of care, treatment and services of patient provided by LPN/LVNs, RNTs/CNAs, and other staff on assigned unit and shift.
Loyal Source Government Services LLCNewRegistered Nurse - 4618 (Day) Loyal Source Government Services LLCRegistered Nurse - 4618 (Day)Bristol, TN$49–$54 / hourFacility is a critical illness recovery hospital committed to providing world-class inpatient post-ICU services to chronic, critically ill patients who require extended healing and recovery. If you have a disability or medical condition and need a reasonable accommodation to participate in this step of the hiring process, you may request an alternative method or accommodation at any time by contacting Human Resources at HRmgt@loyalsource.com.
Centurion HealthNewFT Days Licensed Practical Nurse NECX (79253) Centurion HealthFT Days Licensed Practical Nurse NECX (79253)Mountain City, TNWe are currently seeking a full-time, day shift Licensed Practical Nurse to join our team at Northeast Correctional Complex located in Mountain City, Tennessee. Licensed Practical Nurses work under the direction of Registered Nurses, medical, and psychiatric staff to respond to a range of physical and mental health needs.
Centurion HealthPRN Days Licensed Practical Nurse (LPN) NECX (72686) Centurion HealthPRN Days Licensed Practical Nurse (LPN) NECX (72686)Mountain City, TNWe offer: • A clinically interesting, diverse patient population in a secure and structured setting • An exciting and rewarding career in one of the fastest growing areas of healthcare • The ability to make a real difference to an important and underserved population Contact: Cathleen Garrison cgarrison@teamcenturion.com indmhm #CG . Tennessee Licensed Practical Nurse (LPN) license or ability to obtain one required Must be appropriately and actively certified in Cardio-Pulmonary Resuscitation (CPR) Corrections experience not required Ability to obtain a security clearance, to include drug screen and criminal background check.
Centurion HealthHIRING NOW! $7,500 Bonus for Nite Licensed Practical Nurses NECX (77858) Centurion HealthHIRING NOW! $7,500 Bonus for Nite Licensed Practical Nurses NECX (77858)Mountain City, TN$31–$38 / hourWe are currently seeking a full-time, night shift Licensed Practical Nurse to join our team at NE Correctional Complex located in Mountain City, Tennessee. Licensed Practical Nurses work under the direction of Registered Nurses, medical, and psychiatric staff to respond to a range of physical and mental health needs.
Centurion HealthHIRING NOW! $7,500 Bonus - Day or Nights Licensed Practical Nurse WTRC (77860) Centurion HealthHIRING NOW! $7,500 Bonus - Day or Nights Licensed Practical Nurse WTRC (77860)Mountain City, TN$31–$38 / hourThe Licensed Practical Nurse (LPN) (Medical) is responsible for providing holistic nursing care within the appropriate scope of practice to incarcerated patients while working under the direction of Registered Nurses (RN) and medical and psychiatric staff, to respond to a range of physical and behavioral health needs. We are currently seeking a full-time, day or night shift Licensed Practical Nurse to join our team at the Women's Therapeutic Residential Center located in Henning, Tennessee.
Centurion HealthPRN Nights Licensed Practical Nurse (LPN) NECX (72689) Centurion HealthPRN Nights Licensed Practical Nurse (LPN) NECX (72689)Mountain City, TNWe offer: • A clinically interesting, diverse patient population in a secure and structured setting • An exciting and rewarding career in one of the fastest growing areas of healthcare • The ability to make a real difference to an important and underserved population. We are currently seeking a per diem, night shift, Licensed Practical Nurse to join our team at the Northeast Correctional Complex located in Mountain City, Tennessee.
UnitedHealth Group IncLPN - Greeneville UnitedHealth Group IncLPN - GreenevilleGreeneville, TN$20.38–$36.44 / hourAs the Home and Community Based Services Licensed Practical Nurse, you will be providing direct nursing care as prescribed by the physician to acutely ill, and/or chronically ill patients in their homes as well as recording clinical and progress notes; and coordinating other patient care activities/services to provide the highest quality of patient care in the geographic service area to which she/he is assigned. The fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount.
UnitedHealth Group IncLPN - Kingsport UnitedHealth Group IncLPN - KingsportKingsport, TN$20.38–$36.44 / hourAs the Home and Community Based Services Licensed Practical Nurse, you will be providing direct nursing care as prescribed by the physician to acutely ill, and/or chronically ill patients in their homes as well as recording clinical and progress notes; and coordinating other patient care activities/services to provide the highest quality of patient care in the geographic service area to which she/he is assigned. The fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount.
Southwest Virginia Community Health SystemsPsychiatric Nurse Practitioner (PMHNP) Southwest Virginia Community Health SystemsPsychiatric Nurse Practitioner (PMHNP)Bristol, VAFull timeThis role may serve patients in outpatient clinic settings, integrated primary care environments, substance use recovery programs, and/or telehealth platforms depending on organizational needs and provider interests. You will collaborate with primary care providers, behavioral health clinicians, care coordinators, dental teams, and support staff in a truly integrated care environment designed to improve patient outcomes.
State Of Franklin Healthcare Associates PLLCNURSE PRACTITIONER OR PHYSICIAN ASSISTANT- HOME VISIT TEAM State Of Franklin Healthcare Associates PLLCNURSE PRACTITIONER OR PHYSICIAN ASSISTANT- HOME VISIT TEAMJohnson City, TNWHO WE ARE: State of Franklin Healthcare Associates is a physician-led and team member-owned multi-specialty care group headquartered in Johnson City, TN with locations in the upper East Tennessee & Southwest Virginia region. WHAT WE OFFER: State of Franklin Healthcare provides a comprehensive and competitive total compensation package designed to meet the needs of our full-time team members to include: Company Provided Life and Accidental Death and Dismemberment Insurance.
Liberty Home Care and Hospice LLCHOSPICE REGISTERED NURSE Liberty Home Care and Hospice LLCHOSPICE REGISTERED NURSEBlowing, NCJob Requirements: Current RN licensure in state of practice, successful completion of a nursing education from an approved school of nursing with two years of clinical nursing experience and at least one year of hospice nursing experience preferred. That is why Liberty Hospice provides our hospice patients with state-of-the-art care and pain management services, delivered by our specially trained staff with emphasis on strength, dignity and compassion.
Wellpath IncRegistered Nurse (PRN) Wellpath IncRegistered Nurse (PRN)Bristol, TNTuition Assistance and dependent Scholarships • Employee Assistance Program (EAP) including free counseling and health coaching • Company paid life insurance • Tax-free Health Spending Accounts (HSA) • Wellness program featuring fitness memberships and product discounts • Preferred banking partnership and discounted rates for home and auto loans. Excellent career growth opportunities Join us and find a career that supports: • Caring for overlooked, underserved, and vulnerable patients • Diversity, equity, inclusion, and belonging • Autonomy in a warm team environment • Growth and training.
Wellpath IncLicensed Practical Nurse (LPN) Wellpath IncLicensed Practical Nurse (LPN)Bristol, TNTuition Assistance and dependent Scholarships • Employee Assistance Program (EAP) including free counseling and health coaching • Company paid life insurance • Tax-free Health Spending Accounts (HSA) • Wellness program featuring fitness memberships and product discounts • Preferred banking partnership and discounted rates for home and auto loans. Key Responsibilities Under RN supervision, assesses patients physical, psychological, and social dimensions in both the Health Care Unit and housing units, contributing to individualized treatment planning and consulting with RNs and staff as needed.
Centurion HealthPRN Licensed Practical Nurse (LPN) NECX (70048) Centurion HealthPRN Licensed Practical Nurse (LPN) NECX (70048)Mountain City, TNWe are currently seeking a per diem Licensed Practical Nurse to join our team at Northeast Correctional Complex located in Mountain City, Tennessee. Licensed Practical Nurses work under the direction of Registered Nurses, medical, and psychiatric staff to respond to a range of physical and mental health needs.
Washington County School District IncSubstitute School Nurse Washington County School District IncSubstitute School Nurseabingdon, VAThe school health program and nursing service oversight is provided through the Washington County Schools Special Services Programs’ Head School Nurse. Education andor Experience Candidates must at a minimum possess an associate&rsquos degree in nursing and maintain valid licensure to practice nursing in the state of Virginia.
Centurion HealthPRN Days Licensed Practical Nurse NECX (78448) Centurion HealthPRN Days Licensed Practical Nurse NECX (78448)Mountain City, TNLicensed Practical Nurses work under the direction of Registered Nurses, medical, and psychiatric staff to respond to a range of physical and mental health needs. The LPN is responsible for providing holistic nursing care within the appropriate scope of practice to incarcerated patients.
Centurion HealthPRN Licensed Practical Nurse NECX (68715) Centurion HealthPRN Licensed Practical Nurse NECX (68715)Mountain City, TNWe are currently seeking a per diem Licensed Practical Nurse to join our team at Northeast Correctional Complex located in Mountain City, Tennessee. Licensed Practical Nurses work under the direction of Registered Nurses, medical, and psychiatric staff to respond to a range of physical and mental health needs.
Tennesssee OncologyRegistered Nurse Tennesssee OncologyRegistered NurseJohnson City, TNEstablished 1976 in Nashville, Tennessee Oncology's mission remains unchanged: To provide access to high-quality cancer care and the expertise of clinical research for all patients, at convenient locations within their community and close to their home. Collaborates daily with dedicated clinic SCRI nurses, if applicable to location, to ensure adherence to research protocol as well as documentation of Sarah Cannon Research Institute (SCRI) specific paperwork required in paper chart per protocol.