Marathon Completion Time Jobs in Usa
32,031 positions found — Page 4
This position is responsible for filling in on an as-needed basis.
Cargo Screeners are responsible for day-to-day air cargo screening functions as outlined by CAS and the Transportation Security Administration Essential Functions Physical inspection of cargo equipment as outlined by the Transportation Security Administration Identify prohibited objects in cargo by use of explosive trace detection, x-ray machines, physical search, and other methodology as outlined by the Transportation Security Administration Preparing required reports, forms, and records as required by CAS and the Transportation Security Administration Physically inspect the x-raying cargo, crates, and other containers as required by the Transportation Security Administration Verifying necessary documentation for transportation of goods as directed by the customer, CAS, or the Transportation Security Administration Prevention of unauthorized materials entering aircraft Carry portable radio if required and routinely communicate with the CAS Supervisor as directed Other duties as required Minimum Qualifications Must be a citizen of the United States Must possess original Birth Certificate or valid U.S.
Passport High School Diploma or G.E.D.
Must be able to pass a 10 year verifiable background check, including criminal, employment, education, and personal references Must possess valid State issued Driver’s License or a valid State Issued I.D.
card Must be able to pass a Security Threat Assessment as administered by the Transportation Security Administration Must be able to pass a Security Background Check as administered by the local airport authority Must be able to pass pre-employment/annual/random drug screenings Must have reliable transportation Must be able to work and interact with the public Must be able to work around the flexibility and changing schedules of the airline industry.
This includes being available to work various shifts throughout the day, afternoon, evening, and overnight as required.
Competencies Must possess strong interpersonal skills (communication with others, problem solving, decision making, assertiveness) Must be able to understand and carry out written and oral instructions in English regarding the proper performance of his or her duties Must be able to successfully complete, with a passing grade, all CAS administered training as outlined by the Transportation Security Administration and the Federal Aviation Administration Must be able to pass a classroom course, written examinations, and On the Job Training based on requirements of the Department of Homeland Security, Transportation Security Administration model examination Must be able to follow all CAS, Transportation Security Administration, and the Federal Aviation Administration Standard Operating Procedures and Policies
At Trilogy, you'll experience a caring, supportive community that values each team member.
With the stability of long-term care, competitive pay, and exceptional benefits, Trilogy offers a work environment where you're supported, appreciated, and empowered to thrive in your career.
WHAT WE'RE LOOKING FOR: The Registered Nurse (RN) is primarily responsible for providing direct, quality clinical care and serves as a Team Leader to patient care staff.Lead a team of direct care providers to ensure appropriate execution of medications and treatments, documentation, family teaching, care planning and patient care conferencing in compliance with the Health Campus Policies and Procedures.Utilize the nursing process in delivering patient care and ensure continuity of care from admission through discharge and return to family and community.Visit residents on assigned unit daily to observe and evaluate each resident's physical and emotional status and notify the charge nurse, the physician, and/or the Director of Nursing when there is a change in a resident's condition.Identify resident problems and emergency situations and initiate immediate lifesaving measures in the absence of a physician.Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc.
Must have and maintain a current, valid state RN licenseOur comprehensive Thrive benefits program focuses on your well-being, offering support for personal wellness, financial stability, career growth, and meaningful connections.
Medical, Dental, Vision Coverage – Includes free Virtual Doctor Visits, with coverage starting in your first 30 days.Get Paid Weekly + Quarterly Increases – Enjoy weekly pay and regular quarterly wage increases.Spending & Retirement Accounts – HSA with company match, Dependent Care, LSA, and 401(k) with company match.Inclusive Care – No-cost LGBTQIA+ support and gender-affirming care coordination.Tuition & Student Loan Assistance – Financial support for education, certifications, and student loan repayment.Nikki (419) 515-4069 APPLY NOW: Since our founding in 1997, Trilogy has been dedicated to making long-term care better for our residents and more rewarding for our team members.
At Trilogy, we embrace who you are, help you achieve your full potential, and make working hard feel fulfilling.
As an equal opportunity employer, we are committed to diversity and inclusion, and we prohibit discrimination and harassment based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.NOTICE TO ALL APPLICANTS (WI, IN, OH, MI & KY): for this type of employment, state law requires a criminal record check as a condition of employment.
The PT
- Physical Therapist provides direct rehab care in physical therapy to patients upon physician referral in accordance with all applicable laws, regulations, and Life Care standards.Graduate of an accredited program in physical therapy, BSPT, MSPT, or DPT (2003 or later must have MSPT or DPT)Participates in community health matters/projects as appropriateProficient in Microsoft Word, Excel, and e mailKnowledgeable of practices and procedures as well as the laws, regulations, and guidelines governing functions in the post acute care facilityImplement and interpret the programs, goals, objectives, policies, and procedures of the departmentPerform proficiently in all competency areas including but not limited to: patient rights, and safety and sanitationMaintains confidentiality of all proprietary and/or confidential informationUnderstand and follow company policies including harassment and compliance proceduresDisplays integrity and professionalism by adhering to Life Care's Code of Conduct and completes mandatory Code of Conduct and other appropriate compliance trainingFollow physical therapy treatment plans for patientsOversee and evaluate care given by PTAs, Rehab Aides, and PT and PTA studentsUtilize therapy software appropriately and accuratelyExhibit excellent customer service and a positive attitude towards patientsRead, write, speak, and understand the English language
At Trilogy, you'll experience a caring, supportive community that values each team member.
With the stability of long-term care, competitive pay, and exceptional benefits, Trilogy offers a work environment where you're supported, appreciated, and empowered to thrive in your career.
WHAT WE'RE LOOKING FOR: The Registered Nurse (RN) is primarily responsible for providing direct, quality clinical care and serves as a Team Leader to patient care staff.Lead a team of direct care providers to ensure appropriate execution of medications and treatments, documentation, family teaching, care planning and patient care conferencing in compliance with the Health Campus Policies and Procedures.Utilize the nursing process in delivering patient care and ensure continuity of care from admission through discharge and return to family and community.Visit residents on assigned unit daily to observe and evaluate each resident's physical and emotional status and notify the charge nurse, the physician, and/or the Director of Nursing when there is a change in a resident's condition.Identify resident problems and emergency situations and initiate immediate lifesaving measures in the absence of a physician.Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc.
Must have and maintain a current, valid state RN licenseOur comprehensive Thrive benefits program focuses on your well-being, offering support for personal wellness, financial stability, career growth, and meaningful connections.
Medical, Dental, Vision Coverage – Includes free Virtual Doctor Visits, with coverage starting in your first 30 days.Get Paid Weekly + Quarterly Increases – Enjoy weekly pay and regular quarterly wage increases.Spending & Retirement Accounts – HSA with company match, Dependent Care, LSA, and 401(k) with company match.Inclusive Care – No-cost LGBTQIA+ support and gender-affirming care coordination.Tuition & Student Loan Assistance – Financial support for education, certifications, and student loan repayment.Nikki (419) 515-4069 APPLY NOW: Since our founding in 1997, Trilogy has been dedicated to making long-term care better for our residents and more rewarding for our team members.
At Trilogy, we embrace who you are, help you achieve your full potential, and make working hard feel fulfilling.
As an equal opportunity employer, we are committed to diversity and inclusion, and we prohibit discrimination and harassment based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.NOTICE TO ALL APPLICANTS (WI, IN, OH, MI & KY): for this type of employment, state law requires a criminal record check as a condition of employment.
We're seeking an experienced CT Tech for a permanent role with an area healthcare client where you'll be responsible for accurately interpreting a physician's scanning instructions, skillfully administering contrast materials, and expertly operating CT scan equipment.
Minimum Requirements:
- 1 year experience preferred as a CT Tech
- Completion of a Joint Review Committee on Education in Radiologic Technology (JRCERT) accredited program in Radiology
- Current American Registry of Radiologic Technologists (ARRT) certification
- BLS certification
- Ability to demonstrate knowledge and skills necessary to provide care appropriate to the age of the patients' service
- Ability to assess data reflective of the patient's status and interpret appropriate information needed to identify each patient's needs
Benefits:
- $25K Sign On Bonus for qualified hire
- $10K Relocation Assistance for qualified hire
Location Highlights:
Wrangell, Alaska offers a unique blend of natural beauty and cultural experiences. Enjoy outdoor activities such as hiking, fishing, and wildlife viewing. The area is known for its stunning landscapes, including the nearby Tongass National Forest and the scenic Wrangell-St. Elias National Park. Local attractions include historical sites, art galleries, and community events that celebrate the rich heritage of Southeast Alaska.
Apply now and you will be contacted by a recruiter who'll give you more information.
Impacting the Quality of Care for Patients and Students Nationwide
Jackson HealthPros offers a variety of career options for healthcare and education professionals including direct hire positions, temp-to-hire, and travel contracts. Thanks to our nationwide partnerships, we help healthcare and education pros find jobs with great pay, awesome benefits, relocation assistance, and even sign-on bonuses, all at no cost to you! Discover your perfect match with ProVenture, our AI enhanced career app designed just for you.
EEO Statement
Jackson Healthcare and its family of companies are an EEO/AA Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender, gender identity and expression, national origin, age, disability or protected veteran status. We celebrate diversity and are committed to creating an inclusive environment for all of our associates.
Fixed Wing PilotAirframe: Pilatus PC1215,000 Sign-On Bonus (Must Complete Training and Check Ride).~40,000 Retention Bonus (There is a 6 Month Waiting period and This is a 3 Year Program).~ No Training Contract.~ Paid Crew Housing.~ Company Paid ATP-CTP (If not already completed).~ Up to 3,000 in Relocation Assistance.
We're hiring a Fixed Wing Pilot to provide medical air transportation services to our customers.
This pilot will be qualified to fly our PC12 aircraft.
Scheduled shifts run 14/14 and service day or night trips.
therefore, all of our pilots work on a quality, professional team that are committed to high safety standards for the crew and our customers.Pilot will work with a team of medical experts to safely transport customers to and from locations and facilities.Ensure aircraft readiness for flight dispatches as described in the appropriate manuals, including all FAR and company requirements, and aircraft cleanliness duties.Maintain accurate company and regulatory documentation and record keeping for shifts, load manifests, etc.Effectively communicate and collaborate with both air and ground dispatch, flight crews, facilities and partners.Provide shift change info to transitioning pilot and team, and follows protocols for recording company change board details.Pilots are accountable to maintain required certifications and ongoing ground and air training.Commercial Airplane Single Engine Land (C-ASEL) Required.~ The ideal candidate will have single pilot IFR experience.~ Current FAA First- or Second-Class Medical Certificate.~100 Night hours.~Minimum of a High School Diploma, GED equivalent, or higher.
Must be able to work night, day, and overnight shifts as assigned.May need to de-ice the plane, assist with towing the aircraft and maneuvering in and out of the hangar, prep the plane for flight.As a leading provider of air medical services, management and experience in the air medical industry, Guardian Flight is one of Global Medical Response 's (GMR) family of solutions.
Our GMR teams deliver compassionate, quality medical care, primarily in the areas of emergency and patient relocation services.
GMR's Core Behaviors— keep care at the center, raise your hand, seek to understand, find a way together and be accountable—unite our teams and set us apart in emergency medical services.Global Medical Response and its family of companies are an Equal Opportunity Employer, which includes supporting veterans and providing reasonable accommodations for individuals with a disability.More Information about this Job: Check out our careers site to learn more about our benefit options.
This position will coordinate data for input of care plan process.
This position will also complete assessments as needed.
Manages on-call as scheduled in a consistently responsible manner.
JOB DUTIES/RESPONSIBILITIES: Duty 1: Uses the nursing process to assess, plan, implement, and evaluate patient care to provide for the unique physical and emotional needs of each patient.
Duty 2: Demonstrates knowledge and skill necessary to provide disease/diagnosis age specific care to the patients served with Bridge Home Health and Hospice.
Duty 3: Successfully complete the admission process and set-up medication as applicable Duty 4: Educate patient on services, applicable insurance coverage, and overall Bridge philosophy Duty 5: Ensure that documentation is consistent with or exceeds Bridge Home Health and Hospice guidelines Duty 6: Utilizes a team approach to teaching opportunities and family care issues of the patient.
Duty 7: Consistently maintains optimal patient care efficiently.
Maintains assigned patient referrals within scheduled hours.
Duty 8: Complies with organizational policies, procedures, and practices to ensure quality job performance and Medicare/Medicaid compliance to include OASIS if appropriate.
Duty 9: Manages holiday on-call and helper assignments responsible to include keeping management informed of any unusual or special incident occurrences.
Duty 10: Establishes and maintains communication/collaboration with the interdisciplinary team and patient's primary physician regarding patient condition, orders, plan of care, and anticipated needs to ensure exceptional patient care.
Duty 11: Able to communicate admission criteria specific to each patient.
Duty 12: Displays Service Excellence as evidenced by practicing the mission, vision, and values of the organization to promote patient satisfaction.
REQUIRED QUALIFICATIONS Current state licensure as a Registered Nurse (RN) Minimum of 1-2 years of general nursing experience Valid Ohio driver’s license and owns a car for use during scheduled hours.
Commitment to and knowledge of the philosophy, mission and goals of the agency and standards and regulations governing it.
Positive service-oriented interpersonal and communication skills required Individual must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patient served on his/her assigned unit/department.
The individual must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient status and interpret the appropriate information needed to identify each patient’s requirements relative to their age-specific needs and to provide the care needed as described in the area’s policies and procedures.
PREFERED QUALIFICATIONS Home Health and/or Hospice experience PHYSICAL DEMANDS This position requires a full range of body motion with intermittent walking, lifting, bending, climbing, squatting, kneeling, twisting, sitting, and standing.
The associate will be required to walk up to 2 hours a day, sit for 4 hours a day, and stand for 2 hours a day.
The individual must be able to lift 50 pounds and reach work above the shoulders.
The individual must have good eye/hand coordination and fine finger dexterity, including the ability to document legibly.
This associate must have excellent verbal communication skills to perform daily tasks.
The associate must have corrected vision and hearing in the normal range.
This position is classified at risk for possible occupational exposure to bloodborne pathogens (HBV, HIV, etc.)
Supervisory Responsibilities: This job has no direct supervisory responsibilities.
Essential Duties and Responsibilitiesinclude the following: Adheres to express lube guidelines.
Performs lube, oil and filter changes by draining and replacing oil and filter, and lubricating all joints, including idler arm steering knuckles, tie rods ends and ball joints.
Reports all necessary repairs to service advisor.
Installs completed LOF reminder sticker in vehicle.
Checks battery, tire air pressure, windshield fluid, transmission fluid and power steering fluid levels and refills as needed.
Checks coolant level and refills as necessary.
Ensures that vehicle is clean and free of fluid residue or fingerprints.
Checks fluid level prior to release of vehicle to ensure proper levels.
Maintains CSI at or above Company standards Maintains an organized, clean and safe work area Participates in required training Records all hours worked accurately in company timekeeping system Follows Safeguards rules and regulations.
Demonstrates the Company’s Core Values Complies with Company policies and procedures Observes all Federal, State, Local and Company safety rules and regulations in the performance of duties.
Other duties as assigned Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.
The requirements listed below are representative of the knowledge, skill, and/or ability required.
Reasonable accommodations may be made to enable individuals with medical conditions to perform the essential functions.
Desired Education: o GED √ High School Diploma o Associate Degree o Bachelor Degree o Master Degree o Doctorate Degree Field of Study/Work Experience: o Accounting √ Automotive o Business o Human Resources o Information Technology Desired Work Experience: √ up to 3 years o 3-5 years o 5+ years Education/Experience: Basic knowledge of automotive parts and systems.
Demonstrable mechanical skills and knowledge.
Technical training or commensurate technical experience.
Certificates and Licenses: √ Valid Driver’s License o Automobile Salesperson License Computer Skills: Basic Computer skills to utilize timekeeping system.
Communication Skills: Ability to understand and follow instructions.
Ability to communicate effectively with customers and company personnel.
Attendance Expectations: The position requires regular and predictable attendance.
Scheduled shifts may include evening hours, weekends, and holidays.
Physical Demands: Must be able to lift up to (50) pounds.
While performing the duties of this job, the employee is regularly required to talk and hear; stand; walk; use hands to finger, handle, or feel; reach with hands and arms and stoop, kneel, crouch, or crawl.
Environment Demands: Duties are performed primarily in the service area.
Work includes movement around vehicles, working in various physical positions, and the safe operation of power tools and test equipment.
May be exposed to loud noise, vibration, exhaust fumes, and other service and repair conditions.
Frequently interacts with service advisors and the service manager.
Verbal and Writing Ability: Ability to read and comprehend instructions, correspondence, and memos.
Ability to effectively present information in one-on-one and small group situations to customers and other employees.
Math Ability: Ability to add, subtract, multiply and divide.
Reasoning Ability: Ability to apply common sense understanding to carry out instructions.
Ability to deal with standardized situations.
Ability to understand and follow technical manuals.
Core Values: To perform the job successfully, an individual should demonstrate the following Core Values: Servant Leadership Servant Leaders consciously put the needs of others before their own, because to serve people is to value them.
Teamwork through Trust & Respect Diversity is strength, and when we trust and respect one another we can work as a team to achieve at a high level.
Integrity Being honest and transparent with people, in an effort to do the right thing within the letter and spirit of the law, drives every action we take and every decision we make.
Commitment to Customer Enthusiasm Every day we recommit ourselves to the customer experience, and we are empowered to exceed the expectations of our customers.
Passion for Winning Hendrick’s tradition of winning is based on the idea of striving to be the best, not the biggest, and is therefore defined by how we treat our people.
Accountability at All Levels Taking ownership of our actions and our decisions allows us to grow as individuals, and support each other as a team.
Commitment to Continuous Improvement Every day we soften our hearts as well as our egos, in order to seek out and improve upon areas of opportunity within ourselves and our team.
This job description in no way states or implies that these are the only duties and responsibilities to be performed by this employee.
The employee will be required to follow any other instructions and to perform any other duties and responsibilities upon the request of a supervisor.
This job description is subject to revision at the discretion of the company.
Hendrick is an Equal Opportunity employer.
Minorities, women, veterans, and individuals with disabilities are encouraged to apply.
For more information regarding the EEOC, please visit .
FT Nights 7pm-7:30am Required Behaviors:
* As you go about fulfilling this mission, your work habits and work relationships should embody SJRMC's values. These values are our culture, our identity as an organization: Sacred Trust, Personal Reverence, Thoughtful Anticipation, Team Accountability and Creative Vitality ask more of us than merely completing some list of tasks. Our values ask for a deeper level of commitment, and what is asked of us we freely give because we believe in our mission. Required Qualifications:
* Current licensure by the State Board of Nursing of New Mexico or compact (multi-state) license
* Basic Life Support (BLS) Certification
* Must meet the requirements for obtaining and maintaining life support certifications as outlined in the Life Support Certification policy Duties and Responsibilities:
* Provides individualized patient care and maintains clinical competency appropriate for the area of practice
* Prioritizes patient care based on acuity and assures continuity of safe/effective care of patients
* Understands and follows policy and procedure in addition to meeting licensure requirements
* Responsive to current safety and quality initiatives and sustains improvement
* Builds productive interpersonal relationships in every encounter
* Demonstrates teamwork and delegates appropriately to other team members
* Actively participates in the department
* Proactively seeks continued growth and development
* Supports the philosophy of San Juan Regional Medical Center by facilitating the cooperation of the hospital staff in a multi-disciplinary approach to problem solving
* Upholds established Core Values, Standards of Practice, Standards of Care, philosophy, and goals of the Nursing Department and organization
* Serves as a role model for staff by demonstrating a positive attitude and holistic approach to patient care and a commitment to the nursing process
* Assesses the patient's condition and nursing needs utilizing the nursing process
* Is able to deliver interdisciplinary care to patients across the lifespan: OB/Peds through the nursing process of assessment, planning, intervention, and evaluation and appropriately documents the care of assigned patients
* Sets expected outcomes/goals and prescribes appropriate nursing interventions in cooperation with the patient, the patient's family and/or the significant other
* Uses advanced and specialized knowledge and skills to proficiently assess, plan, implement, evaluate, and document the care of assigned patients
* Assesses the patient/family significant other's educational needs and develops an appropriate plan to meet the needs as evidenced by documentation on the Patient's Plan of Care
* Follows guidelines described in the Ethics and Compliance Code of Conduct Compliance Plan
* Demonstrates an understanding of DNV accrediting process as it pertains to his/her position and responsibilities and responds accordingly
* Each employee is responsible for implementing SJRMC's Service Standards into their daily work: Safety, Courtesy, Effectiveness, and Stewardship
* Other duties as assigned Physical Demands and Environmental Work Conditions:
* Must be able to see with corrective eyewear and hear clearly with assistance
* Must be able to walk, stand, bend, squat, climb, kneel, and twist frequently
* Must be able to lift greater than fifty (50) pounds and push up to three hundred (300) pounds frequently
* Potential exposure to blood and bodily fluids and meets OSHA training requirements Special Demands:
* Sets limits when dealing with angry, hostile, or sometimes verbally or physically abusive patients and families in an attempt to ensure a safe, respectful environment that will support the delivery of care
* Effectively copes and strives for balance when caring for acutely ill patients and families
FT Days 7am-7:30pm Required Behaviors:
* As you go about fulfilling this mission, your work habits and work relationships should embody SJRMC's values. These values are our culture, our identity as an organization: Sacred Trust, Personal Reverence, Thoughtful Anticipation, Team Accountability and Creative Vitality ask more of us than merely completing some list of tasks. Our values ask for a deeper level of commitment, and what is asked of us we freely give because we believe in our mission. Required Qualifications:
* Current licensure by the State Board of Nursing of New Mexico or compact (multi-state) license
* Basic Life Support (BLS) Certification
* Must meet the requirements for obtaining and maintaining life support certifications as outlined in the Life Support Certification policy Duties and Responsibilities:
* Provides individualized patient care and maintains clinical competency appropriate for the area of practice
* Prioritizes patient care based on acuity and assures continuity of safe/effective care of patients
* Understands and follows policy and procedure in addition to meeting licensure requirements
* Responsive to current safety and quality initiatives and sustains improvement
* Builds productive interpersonal relationships in every encounter
* Demonstrates teamwork and delegates appropriately to other team members
* Actively participates in the department
* Proactively seeks continued growth and development
* Supports the philosophy of San Juan Regional Medical Center by facilitating the cooperation of the hospital staff in a multi-disciplinary approach to problem solving
* Upholds established Core Values, Standards of Practice, Standards of Care, philosophy, and goals of the Nursing Department and organization
* Serves as a role model for staff by demonstrating a positive attitude and holistic approach to patient care and a commitment to the nursing process
* Assesses the patient's condition and nursing needs utilizing the nursing process
* Is able to deliver interdisciplinary care to patients across the lifespan: OB/Peds through the nursing process of assessment, planning, intervention, and evaluation and appropriately documents the care of assigned patients
* Sets expected outcomes/goals and prescribes appropriate nursing interventions in cooperation with the patient, the patient's family and/or the significant other
* Uses advanced and specialized knowledge and skills to proficiently assess, plan, implement, evaluate, and document the care of assigned patients
* Assesses the patient/family significant other's educational needs and develops an appropriate plan to meet the needs as evidenced by documentation on the Patient's Plan of Care
* Follows guidelines described in the Ethics and Compliance Code of Conduct Compliance Plan
* Demonstrates an understanding of DNV accrediting process as it pertains to his/her position and responsibilities and responds accordingly
* Each employee is responsible for implementing SJRMC's Service Standards into their daily work: Safety, Courtesy, Effectiveness, and Stewardship
* Other duties as assigned Physical Demands and Environmental Work Conditions:
* Must be able to see with corrective eyewear and hear clearly with assistance
* Must be able to walk, stand, bend, squat, climb, kneel, and twist frequently
* Must be able to lift greater than fifty (50) pounds and push up to three hundred (300) pounds frequently
* Potential exposure to blood and bodily fluids and meets OSHA training requirements Special Demands:
* Sets limits when dealing with angry, hostile, or sometimes verbally or physically abusive patients and families in an attempt to ensure a safe, respectful environment that will support the delivery of care
* Effectively copes and strives for balance when caring for acutely ill patients and families