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School Nurse Salary in Santa Fe, NM

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Ob/Gyn Near Santa Fe, NM
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Advanced Patient Care Tech ED/ Per Diem
CHRISTUS Health, Santa Fe, NM, US
DescriptionPOSITION SUMMARY:  The APCT is responsible for quick reaction and competent care of patients with emergency situations that arrive at the hospital. Monitors patients, collects information and documents data.  Inserts and removes peripheral intravenous therapy lines under the direction of the physician/nurse.  Performs blood collection, and Foley catheter placements. Performs wound care and dressing changes; applies plaster and fiberglass splints, casts and traction devices.  Performs bedside testing such as oximetry, glucometery, and other point of care tests. Operates and monitors patient monitoring systems specific to unit. Specific duties include:  insures cleanliness of unit, cleans and stores equipment and empties sharps containers. Documents all interventions and data, communicates with the primary nurse on findings and interventions.The APCT stocks medical supplies and paper goods; inventories and processes broken equipment as required; assists physicians and nurses with procedures under their direction; assures proper storage of E-cylinders (oxygen); organizes care in a manner that contributes to the overall quality of the team; and performs other job duties as assigned, within their scope of practice. The APCT is a vital part of the ED team and acts as a mentor and preceptor to new staff. RequirementsMINIMUM QUALIFICATIONS:EDUCATION:  High School diploma or equivalent plus trade or vocational school in medical/surgical patient care.CERTIFICATION/LICENSES:  Current BLS issued through American Heart Association is required.  Proof of EMT course completion or completion of 1st level of nursing school required.  Two (2) years of experience as CNA or CMA can substitute for course completion.  De-Escalation certification preferred.SKILLS: Must have critical thinking skills and the ability to prioritize quicklyKnowledge of methods and techniques of:Emergency medical responsePrinciples of emergency medical service provisionFirst aid and life supportAbility to operate and maintain emergency medical apparatus and equipmentExcellent communication skillsAbility to read and interpret technical reports, charts, etc.Ability to write concise reportsAbility to handle a high level of stress and to maintain composure under a variety of adverse conditionsComputer skills required to enter data and generate reports. EXPERIENCE:  One year EMT, CNA or CMA experience preferred.  NATURE OF SUPERVISION:-Responsible to: Reports directly to ED Director/ED Clinical Manager or designee for essential job duties and day-to-day responsibilities. ENVIRONMENT:- Bloodborne pathogens - B Works irregular hours. Multiple simultaneous activities around patient care. Exposure to x-rays and infectious diseases such as hepatitis-B and AIDS. In addition, may be subject to varying unpredictable situations such as violence from mentally unstable patients. PHYSICAL REQUIREMENTS:  Must be able to handle emergency/crisis situations, prolonged, extensive or considerable standing/walking, kneeling, bending, and heavy lifting. Has knowledge of and uses good body mechanics. Frequently lifts, positions, pushes and/or transfers patients or equipment. Hearing and visual acuity must be within normal limits. Manual dexterity and fine motor coordination required. The work is not only physically strenuous but can be stressful, sometimes involving life-or-death situations and suffering patients.
Patient Care Assistant NM Heart/ Full-Time
CHRISTUS Health, Santa Fe, NM, US
DescriptionHRISTUS ST. VINCENTSanta Fe, New MexicoJob DescriptionPOSITION TITLE:  Patient Care Assistant IIDEPARTMENT: CHRISTUS St. Vincent Clinician Group POSITION SUMMARY: Responsible for greeting patients on the phone and in the clinic in a warm friendly tone.  Registration and interviewing of patients to obtain accurate demographic and financial information while scheduling appointment.  Other responsibilities may include returning messages, scheduling follow up tests, referrals and prior authorizations.  Assists patients, nurses and providers in patient care in the clinic setting.  Performs vital signs, and obtains history of chief complaint for visit. Performs various Point of Care Testing and documents assuring quality control for each test completed.  RequirementsMINIMUM QUALIFICATIONS:EDUCATION:  High School Graduation or GED. Successful completion of an accredited nursing assistant, EMT, or medical assistant program of study.CERTIFICATION/LICENSES:  BLS issued through American Heart Association and Certified Medical Assistant certification required. SKILLS: Outstanding Service Excellence skills to guarantee quality patient care and patient satisfactionKnowledge and skill to obtain vital signs and PHIStrong organizational skills; excellent verbal, written and interpersonal communication skills requiredAbility to work collaboratively with othersAbility to work independently, asserts initiative on performance improvement opportunitiesAbility to navigate through computer software by use of a mouse, keyboard or stylus and windows based software.EXPERIENCE: A minimum of one year of in-patient or medical office experience including direct patient preferred.NATURE OF SUPERVISION:-Responsible to:  Clinic ManagerENVIRONMENT: Requires knowledge of general safety standards to limit exposure to infectious disease.  Daily contact with infectious diseases and body fluids.- Bloodborne pathogens: CPHYSICAL REQUIREMENTS: Bending, stooping, and lifting up to 35 lbs, reaching above head and below knee level. Utilization of proper body mechanics. Long periods of sitting at times.  Keyboard usage with sound ergonomic principles.  Must be flexible in work schedule.ESSENTIAL FUNCTIONS:Greets patients, escorts patient into exam room, and performs vital signs, weight and height, and obtains history of chief complaint for visit. Completes documentation appropriately in patient chart.Reports relevant information requiring immediate attention to nurse or provider.Responsible for stocking supplies in assigned physician's examination rooms.Works within the clinic’s scope of practice.Assists with patient check in and check out as needed.Completes annual and core competencies required for scope of practice.Performs various Point of Care testing procedures and documents completely and legibly assuring quality control for each test completed.Appropriately takes direction from charge individual within the scope of practice during emergency situations.Documents and reports malfunctioning equipment and disturbing incidents that occur in clinic to Manager.Maintains infection control standards by clean-up of specified equipment and areas as assigned; takes out biohazard bags from exam rooms at the end of the clinic day and disposes of waste.Attends and actively participates in staff meetings/activities regularly.Completes annual Health Stream and HIPAA online training modules. Attends classes in safety and infection control, in addition patient care conferences or in-services for new equipment, processes and procedures.Preserves patient personal health information to ensure a true record of the patient’s clinic visit.Demonstrates effective competency of care, comfort and safety related to age of patient.Performs all front desk tasks such as meeting and directing patients, answering the phone, making patient appointments.Accesses Epic and other applicable practice management systems to schedule patients and obtain documentation and other patient data as required to support practice activities and processes.Acts as a resource to office staff. Uses skills and experience to anticipate requirements and guide activities of less experienced staff.CUSTOMER RELATIONS: (Refer to Customer Relations for definition.)Exhibits behaviors and actions that create a high level of patient/customer satisfaction, positive patient/customer relations, and respect for the patient’s/customer’s rights needs, and confidentiality.Demonstrates effective communication and human relations skills, which promote harmony and teamwork.Presents behaviors and actions that maintain the hospital’s credibility, integrity, and positive image.Demonstrates behaviors and actions that support the mission, goals, and operations of the hospital and which contribute to continuous service improvement.Other ResponsibilitiesAssists with special projects as assigned.Accurately interprets and communicates Human Resources Policies and Procedures.Exhibits flexibility, adapting readily to changes in the work environment or work schedule.Maintains a positive attitude, even during periods of stress.Assumes responsibility for professional growth and development.Complies and adheres to all CSV policies.Maintains positive attendance and communicates in advance any absence from work.Adheres to all patient and environmental safety policies and procedures.This position description was developed to enhance the communication of the job and performance expectations between the employee and management and is not intended to create a contract of employment. The specifications, essential functions and other responsibilities will be reviewed on a regular basis and are subject to modifications.   POSITION CLASSIFICATION: Grade: 114     FLSA: Non-exempt : X     Exempt : _____   ***** Required completion following interview*****STATEMENT OF UNDERSTANDINGI have read and understand the above job description. I assert that I am able to perform the essential job functions, meet the physical requirements of this position and satisfy the expectations.
Advanced Patient Care Tech ED/ Full-Time
CHRISTUS Health, Santa Fe, NM, US
DescriptionPOSITION SUMMARY:  The APCT is responsible for quick reaction and competent care of patients with emergency situations that arrive at the hospital. Monitors patients, collects information and documents data.  Inserts and removes peripheral intravenous therapy lines under the direction of the physician/nurse.  Performs blood collection, and Foley catheter placements. Performs wound care and dressing changes; applies plaster and fiberglass splints, casts and traction devices.  Performs bedside testing such as oximetry, glucometery, and other point of care tests. Operates and monitors patient monitoring systems specific to unit. Specific duties include:  insures cleanliness of unit, cleans and stores equipment and empties sharps containers. Documents all interventions and data, communicates with the primary nurse on findings and interventions.The APCT stocks medical supplies and paper goods; inventories and processes broken equipment as required; assists physicians and nurses with procedures under their direction; assures proper storage of E-cylinders (oxygen); organizes care in a manner that contributes to the overall quality of the team; and performs other job duties as assigned, within their scope of practice. The APCT is a vital part of the ED team and acts as a mentor and preceptor to new staff. RequirementsMINIMUM QUALIFICATIONS:EDUCATION:  High School diploma or equivalent plus trade or vocational school in medical/surgical patient care.CERTIFICATION/LICENSES:  Current BLS issued through American Heart Association is required.  Proof of EMT course completion or completion of 1st level of nursing school required.  Two (2) years of experience as CNA or CMA can substitute for course completion.  De-Escalation certification preferred.SKILLS: Must have critical thinking skills and the ability to prioritize quicklyKnowledge of methods and techniques of:Emergency medical responsePrinciples of emergency medical service provisionFirst aid and life supportAbility to operate and maintain emergency medical apparatus and equipmentExcellent communication skillsAbility to read and interpret technical reports, charts, etc.Ability to write concise reportsAbility to handle a high level of stress and to maintain composure under a variety of adverse conditionsComputer skills required to enter data and generate reports. EXPERIENCE:  One year EMT, CNA or CMA experience preferred.  NATURE OF SUPERVISION:-Responsible to: Reports directly to ED Director/ED Clinical Manager or designee for essential job duties and day-to-day responsibilities. ENVIRONMENT:- Bloodborne pathogens - B Works irregular hours. Multiple simultaneous activities around patient care. Exposure to x-rays and infectious diseases such as hepatitis-B and AIDS. In addition, may be subject to varying unpredictable situations such as violence from mentally unstable patients. PHYSICAL REQUIREMENTS:  Must be able to handle emergency/crisis situations, prolonged, extensive or considerable standing/walking, kneeling, bending, and heavy lifting. Has knowledge of and uses good body mechanics. Frequently lifts, positions, pushes and/or transfers patients or equipment. Hearing and visual acuity must be within normal limits. Manual dexterity and fine motor coordination required. The work is not only physically strenuous but can be stressful, sometimes involving life-or-death situations and suffering patients.
Case Manager, HUGS Case Management/ Per Diem
CHRISTUS Health, Santa Fe, NM, US
DescriptionPOSITION SUMMARY:  In collaboration with the patient/family, physicians and interdisciplinary team, the Case Management Coordinator ensures patient progression through the continuum of care in an efficient and cost effective manner. The Case Management Coordinator is responsible for identifying, initiating and managing optimal patient flow/throughput to enhance continuity of care, smooth and safe transitions, patient satisfaction, patient safety and length of stay management. Support and expertise are provided through comprehensive assessment, planning, implementation and overall evaluation of individual patient needs.  Care coordination, and discharge planning are accountabilities of this role. Payer-based requests regarding individual members are fulfilled, where appropriate and pertinent.  The Case Manager adheres to departmental and organizational goals, objectives, standards of performance and policies and procedures, continually assuring quality patient care and regulatory compliance.RequirementsMINIMUM QUALIFICATIONS: EDUCATION:  Graduate of an accredited school of nursing, BSN preferred OR Masters Degree in Social Work (MSW) requiredCERTIFICATION/LICENSES: Licensed as a Registered Nurse to practice nursing in the state of New Mexico.  Meets contact hour requirements for licensure, including all state required courses. OR Current licensure as an LMSW/LISW/LCSW in New Mexico.  Case Management certification highly desirable – ACM (Accredited Case Manager), CCM (Certified Case Manager, RN-BC (Board Certified in Case Management)SKILLS: Ability to communicate effectively with diverse populationsAbility to function in a stressful and fast paced environment Interpersonal skills that promote teamworkCritical thinking/problem solving skillsKnowledge of and ability to utilize in house and external resourcesFlexibility in prioritizationAbility to multitaskEffective organizational skillsSignificant knowledge and understanding of availability of community and post-acute resourcesEXPERIENCE: Two years’ experience in Health Care setting preferred, with at least one year in an Acute Care Setting.NATURE OF SUPERVISION:Responsible to: Director of Case ManagementENVIRONMENT: General office environment and general hospital department/nursing units (100% of day).  Blood borne Pathogens: A PHYSICAL REQUIREMENTS: Ability to move around the hospital to all units/department for about 80% of the day, in office 20% of the day.  Requires close work, good vision, dexterity to write as well as to use computer keyboard.
TeleSitter Tech Camera Room/Part-Time
CHRISTUS Health, Santa Fe, NM, US
DescriptionPOSITION SUMMARY: Provides continuous observation and surveillance of assigned patients via Avasys Telesitter or direct one-on-one observation under the guidance and direction of the nurse.RequirementsMINIMUM QUALIFICATIONS: EDUCATION:  High School Diploma.  Completion of the Advanced Certified Nursing Assistant training required or must obtain within six months from date of hire or date of transfer.CERTIFICATION/LICENSES:  Certified nursing assistant certification required. BLS issued through American Heart Association required. SKILLS: Basic computer operationsAbility to communicate in English effectively both verbally and in writingMust possess professional communication skills, and work effectively with a diverse customer and coworker populationEffective communication for interdepartmental collaborative relationship buildingData collection and trending on defined metricsDemonstrates principles of AIDET communication in a professional mannerUnderstands confidentiality laws that govern the provider-patient relationship, including but not limited to HIPAA guidelinesUses technology to enhance real-time communication – phone, telesitter device and any other unit specific communication devicesPerforms responsibilities consistent with hospital safety policiesPossess ability to make independent judgments and multitask in a fast paced environment and under stressful situations at timesMust work effectively and efficiently without direct supervisionUnderstanding of the confidentiality laws that govern the provider-patient relationship, including but not limited to HIPAA guidelinesEXPERIENCE:  One year in a hospital environment preferred. NATURE OF SUPERVISION:-Responsible to: Manager of CSV Float PoolENVIRONMENT: -Bloodborne pathogen:  BWorks irregular hours.  Multiple simultaneous activities of patient care.  Exposure to infectious diseases and x-rays.  Exposure to varying unpredictable situations.PHYSICAL REQUIREMENTS: Must be able to handle emergency situations, prolonged, extensive or considerable sitting.  Has knowledge of and uses good body mechanics.  Hearing and visual acuity within normal limits.  Manual dexterity and fine motor coordination required.
Care Coordinator
Magellan Health Services inc, Santa Fe
Coordinates care of individual clients with application to identified populations using assessment, care planning, implementations, coordination, monitoring and evaluation for cost effective and quality outcomes. Duties are typically performed during face-to-face home visits. Promotes the appropriate use of clinical and financial resources in order to improve the quality of care and member satisfaction. Assists with orientation and mentoring of new team members as appropriate.Provides care coordination to members with behavioral health conditions identified and assessed as requiring intensive interventions and oversight including multiple, clinical, social and community resources.Conducts in depth health risk assessment and/or comprehensive needs assessment which includes, but is not limited to psycho-social, physical, medical, behavioral, environmental, and financial parameters.Communicates and develops the care plan and serves as point of contact to ensure services are rendered appropriately, (i.e. during transition to home care, back up plans, community based services).Implements, coordinates, and monitors strategies for members and families to improve health and quality of life outcomes.Develops, documents and implements plan which provides appropriate resources to address social, physical, mental, emotional, spiritual and supportive needs.Acts as an advocate for member`s care needs by identifying and addressing gaps in care.Performs ongoing monitoring of the plan of care to evaluate effectiveness. Measures the effectiveness of interventions as identified in the members care plan.Assesses and reviews plan of care regularly to identify gaps in care, trends to improve health and quality of life outcomes. Collects clinical path variance data that indicates potential areas for improvement of case and services provided. Works with members and the interdisciplinary care plan team to adjust plan of care, when necessary.Educates providers, supporting staff, members and families regarding care coordination role and health strategies with a focus on member-focused approach to care.Facilitates a team approach to the coordination and cost effective delivery to quality care and services. Facilitates a team approach, including the Interdisciplinary Care Plan team, to ensure appropriate interventions, cost effective delivery of quality care and services across the continuum.Collaborates with the interdisciplinary care plan team which may include member, caregivers, member`s legal representative, physician, care providers, and ancillary support services to address care issues, specific member needs and disease processes whether, medical, behavioral, social, community based or long term care services. Utilizes licensed care coordination staff as appropriate for complex cases.Provides assistance to members with questions and concerns regarding care, providers or delivery system.Maintains professional relationship with external stakeholders, such as inpatient, outpatient and community resources.Generates reports in accordance with care coordination goal.Other Job RequirementsResponsibilities3-5 years experience in Social Work, Nursing, or Healthcare-related field, or relevant experience in lieu of degree., Experience in utilization management, quality assurance, home or facility care, community health, long term care or occupational health required.Experience in analyzing trends based on decision support systems.Business management skills to include, but not limited to, cost/benefit analysis, negotiation, and cost containment.Knowledge of referral coordination to community and private/public resources.Requires detailed knowledge of cost-effective coordination of care in terms of what and how work is to be done as well as why it is done, this level include interpretation of data.Ability to make decisions that require significant analysis and investigation with solutions requiring significant original thinking.Ability to determine appropriate courses of action in more complex situations that may not be addressed by existing policies or protocols.Decisions include such matters as changing in staffing levels, order in which work is done, and application of established procedures.Ability to maintain complete and accurate enrollee records.Effective verbal and written communication skills. Ability to work well with clinicians, hospital officials and service agency contacts.General Job InformationTitleCare CoordinatorGrade22Work Experience - RequiredClinical, QualityWork Experience - PreferredEducation - RequiredGED, High SchoolEducation - PreferredAssociate, Bachelor'sLicense and Certifications - RequiredDL - Driver License, Valid In State - OtherLicense and Certifications - PreferredCCM - Certified Case Manager - Care Mgmt, LCSW - Licensed Clinical Social Worker - Care Mgmt, RN - Registered Nurse, State and/or Compact State Licensure - Care MgmtSalary RangeSalary Minimum:$50,225Salary Maximum:$75,335This information reflects the anticipated base salary range for this position based on current national data. Minimums and maximums may vary based on location. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law.This position may be eligible for short-term incentives as well as a comprehensive benefits package. Magellan offers a broad range of health, life, voluntary and other benefits and perks that enhance your physical, mental, emotional and financial wellbeing.Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.
Advanced Patient Care Tech ED/ Part-Time
CHRISTUS Health, Santa Fe, NM, US
DescriptionPOSITION SUMMARY:  The APCT is responsible for quick reaction and competent care of patients with emergency situations that arrive at the hospital. Monitors patients, collects information and documents data.  Inserts and removes peripheral intravenous therapy lines under the direction of the physician/nurse.  Performs blood collection, and Foley catheter placements. Performs wound care and dressing changes; applies plaster and fiberglass splints, casts and traction devices.  Performs bedside testing such as oximetry, glucometery, and other point of care tests. Operates and monitors patient monitoring systems specific to unit. Specific duties include:  insures cleanliness of unit, cleans and stores equipment and empties sharps containers. Documents all interventions and data, communicates with the primary nurse on findings and interventions.The APCT stocks medical supplies and paper goods; inventories and processes broken equipment as required; assists physicians and nurses with procedures under their direction; assures proper storage of E-cylinders (oxygen); organizes care in a manner that contributes to the overall quality of the team; and performs other job duties as assigned, within their scope of practice. The APCT is a vital part of the ED team and acts as a mentor and preceptor to new staff. RequirementsMINIMUM QUALIFICATIONS:EDUCATION:  High School diploma or equivalent plus trade or vocational school in medical/surgical patient care.CERTIFICATION/LICENSES:  Current BLS issued through American Heart Association is required.  Proof of EMT course completion or completion of 1st level of nursing school required.  Two (2) years of experience as CNA or CMA can substitute for course completion.  De-Escalation certification preferred.SKILLS: Must have critical thinking skills and the ability to prioritize quicklyKnowledge of methods and techniques of:Emergency medical responsePrinciples of emergency medical service provisionFirst aid and life supportAbility to operate and maintain emergency medical apparatus and equipmentExcellent communication skillsAbility to read and interpret technical reports, charts, etc.Ability to write concise reportsAbility to handle a high level of stress and to maintain composure under a variety of adverse conditionsComputer skills required to enter data and generate reports. EXPERIENCE:  One year EMT, CNA or CMA experience preferred.  NATURE OF SUPERVISION:-Responsible to: Reports directly to ED Director/ED Clinical Manager or designee for essential job duties and day-to-day responsibilities. ENVIRONMENT:- Bloodborne pathogens - B Works irregular hours. Multiple simultaneous activities around patient care. Exposure to x-rays and infectious diseases such as hepatitis-B and AIDS. In addition, may be subject to varying unpredictable situations such as violence from mentally unstable patients. PHYSICAL REQUIREMENTS:  Must be able to handle emergency/crisis situations, prolonged, extensive or considerable standing/walking, kneeling, bending, and heavy lifting. Has knowledge of and uses good body mechanics. Frequently lifts, positions, pushes and/or transfers patients or equipment. Hearing and visual acuity must be within normal limits. Manual dexterity and fine motor coordination required. The work is not only physically strenuous but can be stressful, sometimes involving life-or-death situations and suffering patients.
Cardio Procedural Nurse / Cardiac Function / Part-time
CHRISTUS Health, Santa Fe
DescriptionEDUCATION: High school diploma or equivalent. Successful completion of Basic Dysrhythmias courses required within three (3) months of employment. Medical Terminology preferred.CERTIFICATION/LICENSES: BLS issued through American Heart Association preferred. SKILLS: Cardiac monitoring experienceBasic computer and typing skillsExcellent phone etiquetteSpelling abilities requiredAbility to read, speak and write English fluentlyExperience operating Facsimile and duplicating equipment preferred.EXPERIENCE: One year experience in a hospital setting preferred.NATURE OF SUPERVISION:-Responsible to: Director / Clinical ManagerENVIRONMENT:- Bloodborne pathogen B Employee will be expected to utilize all protective equipment available whenever there is a potential for exposure to infectious materials or hazardous chemicals. Cleaning, repair and replacement of this protective equipment will be furnished by the hospital.PHYSICAL REQUIREMENTS: Most work is done in a sitting position over long periods of time with hands and arms slightly raised. Regular changes of position from sitting, standing, walking. Must be able to carry up to 25 pounds and transport by wheelchair patients weighing more than two hundred pounds. Must be able to listen to multiple conversations around working area while performing other tasks. Utilizes available tools to prevent worker injuries.RequirementsEDUCATION: Graduate of an accredited program for Registered Nursing.CERTIFICATION/LICENSES: Current New Mexico RN license or current Compact state license. BLS Certification required or within 2 weeks of hire date. All other required certifications include ACLS that must be obtained within 6 months of hire date and CCRN is preferred. If nurse has the required certifications at time of hire, they must maintain the certifications and will not have a grace period to renew. SKILLS: Current knowledge and skills appropriate to age/type of patient population servedKnowledgeable and sensitive to patients' rights in the delivery of careCommunicates in a clear concise manner appropriate to the developmental age of patient. EXPERIENCE: Minimum of one (1) year of nursing experience required.NATURE OF SUPERVISION: -Responsible to: Patient Care Director or Manager ENVIRONMENT:Bloodborne pathogen C (OR, PACU, L & D); Bloodborne pathogen B (other Patient Care areas). Exposure to infectious diseases and x-rays.Works in a clean, well lighted, ventilated smoke-free environment. Subject to stressful professional relationships. Working hours are varied, with flexibility due to unexpected changes in schedule and emergencies. PHYSICAL REQUIREMENTS: Must be able to handle emergency/crisis situations, prolonged, extensive or considerable standing and walking. Requires heavy physical effort to position, push and/or transfer patients or equipment and supplies. Requires considerable reaching, stooping, bending, kneeling and crouching. Ability to judge distance and space relationships, see peripherally, distinguish and identify different colors. Hearing and visual acuity within normal or correctable limits. Manual dexterity and fine motor coordination required.