The Environmental Service Technician is responsible for maintaining a high level of cleanliness within the hospital and adjacent buildings, which may require traveling from one facility to another without assistance. Respond to and initiate communication by phone, handheld radios, pagers etc.

Under the direction and supervision of a Registered Nurse the Patient Care Tech performs a variety of direct and indirect patient care duties throughout the organization.  Duties include, but are not limited to, assisting patients with activities of daily living, monitoring cardiac rhythms, performing clerical duties, and transporting patients.

The Registered Nurse is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation and evaluation. Provides direct patient care within the scope of practice. The Registered Nurse also directs and guides patient/family teaching and activities of other nursing personnel while maintaining standards of care in the ICU. The Registered Nurse is directly responsible and accountable for the care given to his/her assigned patients; He/She communicates with the physician about changes in the patient�s clinical condition including hemodynamic monitoring, results of diagnostic studies and abnormal results and symptomatology. Is able to respond quickly and accurately to changes in condition and/or response to treatment. Maintains patient privacy and confidentiality.

The Registered Nurse is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation and evaluation. Provides direct patient care within the scope of practice. The Registered Nurse also directs and guides patient/family teaching and activities of other nursing personnel while maintaining standards of professional nursing care in Telemetry. The Registered Nurse is directly responsible and accountable for the care given to his/her patients in the Emergency Department. He / She communicates with the physician about the changes in the patient�s clinical condition including results of the diagnostic studies and symptomatology. Is capable of responding quickly and accurately to changes in the condition and/or response to treatment. Is knowledgeable about EMTALA regulations and reporting of child/adult abuse to appropriate agencies and Hospital Social Worker. Maintains patient privacy and confidentiality.

The Unit Secretary is directly accountable to the Director of Emergency Room, and indirectly to the Charge Nurse, and / or House Supervisor. The Unit Secretary is an unlicensed person who performs indirect care in the department setting.� Facilitates the communication needs of the department. Transcribes physician orders from records (in the absence of CPOE and EMR clinical documentation system) with notation and signature by nursing staff. Prepares and complies records on the Emergency Room. Orders supplies for the unit, prepares and completes each patients chart for necessary forms needed on a daily basis. Able to assist nursing staff for duties involving indirect patient care.

The Administrative Assistant works with the Hospital Administrator/CEO, Administrative team members and department heads to ensure compliance with goals and objectives established by the hospital corporation. Communicate effectively, in writing, verbally, and via telephone, with all levels of personnel and visitors. Input and retrieve computerized data.

The Registered Nurse is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation and evaluation. Provides direct patient care within the scope of practice. The Registered Nurse also directs and guides patient/family teaching and activities of other nursing personnel while maintaining standards of professional nursing care in Telemetry. The Registered Nurse is directly responsible and accountable for the care given to his/her patients in the Emergency Department. He / She communicates with the physician about the changes in the patient's clinical condition including results of the diagnostic studies and symptomatology. Is capable of responding quickly and accurately to changes in the condition and/or response to treatment. Is knowledgeable about EMTALA regulations and reporting of child/adult abuse to appropriate agencies and Hospital Social Worker. Maintains patient privacy and confidentiality.

The Registered Nurse is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation and evaluation. Provides direct patient care within the scope of practice. The Registered Nurse also directs and guides patient/family teaching and activities of other nursing personnel while maintaining standards of professional nursing care in Telemetry. The Registered Nurse is directly responsible and accountable for the care given to his/her patients in the Emergency Department. He / She communicates with the physician about the changes in the patient's clinical condition including results of the diagnostic studies and symptomatology. Is capable of responding quickly and accurately to changes in the condition and/or response to treatment. Is knowledgeable about EMTALA regulations and reporting of child/adult abuse to appropriate agencies and Hospital Social Worker. Maintains patient privacy and confidentiality.

Maintains accurate logs on all equipment in hospital and provides for a safe working environment. Maintains and repairs equipment including, but not limited to, mechanical, HVAC, electrical, plumbing, plant maintenance, and medical gas systems. Maintains the building and its related systems. Certified and/or licensed in a specific trade that is directly related to healthcare engineering.

The Registered Nurse is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation and evaluation. Provides direct patient care within the scope of practice. The Registered Nurse also directs and guides patient/family teaching and activities of other nursing personnel while maintaining standards of professional nursing care in Telemetry. The Registered Nurse is directly responsible and accountable for the care given to his/her patients in the Emergency Department. He / She communicates with the physician about the changes in the patient's clinical condition including results of the diagnostic studies and symptomatology. Is capable of responding quickly and accurately to changes in the condition and/or response to treatment. Is knowledgeable about EMTALA regulations and reporting of child/adult abuse to appropriate agencies and Hospital Social Worker. Maintains patient privacy and confidentiality.

The Registered Nurse is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation and evaluation. Provides direct patient care within the scope of practice. The Registered Nurse also directs and guides patient/family teaching and activities of other nursing personnel while maintaining standards of care in the DOU. The Registered Nurse is directly responsible and accountable for the care given to his/her assigned patients.  He/She communicates with the physician about changes in the patient’s clinical condition including hemodynamic monitoring, results of diagnostic studies and abnormal results and symptomatology. Is able to respond quickly and accurately to changes in condition and/or response to treatment.  Maintains patient privacy and confidentiality.

Maintains accurate logs on all equipment in hospital and provides for a safe working environment. Maintains and repairs equipment including, but not limited to, mechanical, HVAC, electrical, plumbing, plant maintenance, and medical gas systems. Maintains the building and its related systems. Certified and/or licensed in a specific trade that is directly related to healthcare engineering.

- The Neonatal Intensive Care Unit (NICU) Manager are a Registered Nurse who works collaboratively with the Director of Maternal and Child Health at Centinela Hospital Medical Center (CHMC). - Assumes 24 hour administrative, clinical and educational responsibility for the management of NICU staff at CHMC. - Supervises, assesses, plans, implements and evaluates the delivery of patient care in the NICU department. - Develops and implements policies and procedures, clinical orientation, mentoring, consultation including performance improvement activities. - Submit, evaluate and disseminate required data as well as compliance with state and national standards for NICU care. - Communicates with staff, physicians and administration both written and verbally. - The NICU Manager assumes house supervisory responsibilities as assigned, including responding to codes throughout the hospital, assessing and charting, and following through with appropriate documentation.

The Registered Nurse is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation and evaluation.  The Registered Nurse also directs and guides patient/family teaching and activities of other nursing personnel while maintaining standards of professional nursing.  Provides direct patient care within the scope of practice without assistance to neonates.  Is able to respond quickly and accurately to changes in condition and/or response to treatment.  Provides for a safe environment for patients and visitors.  Utilizes the chain of command when necessary to ensure patient well-being and appropriateness of care to neonates from post delivery stabilization through discharge.

The GI LAB RN is directly accountable to the OR Charge Nurse and Director of Surgical Services, and indirectly to the Shift Nursing Supervisor. Responsible for the delivery of direct and indirect patient care for the Medical-Surgical Outpatient and/or Inpatients receiving surgical and/or invasive procedure through the nursing process of assessment, planning, implementation, and evaluation for adolescents, adults and older adults. Communicates with physicians, co-workers and/or nursing director, as appropriate about the patient�s clinical condition, including results of diagnostic studies and symptomatololgy. Is able to respond quickly and accurately to changes in condition or response to treatment. Works with other departments to provide a continuum of care and co-workers to provide continuous, quality patient care, efficient patient flow and unit maintenance and organization. Responsible for adherence to regulations, standards and hospital or unit policies and procedures. Responsible for participation in Performance Improvement activities, unit meetings and in-services. Acts as a resource for other personnel as appropriate.

The Assistant General Counsel Employment must be a seasoned employment attorney with experience in both litigation and counseling. This attorney works closely with key leadership at both the corporate and local levels across the health system. This attorney must take a lead role in managing the company's high volume of employment lawsuits as well as providing strategic guidance to key stakeholders on employment issues. This attorney must be experienced with wrongful termination claims, wage and hour class actions, PAGA claims, as well as discrimination claims.   #LI-RK1

Participates in multidisciplinary team. Provides initial evaluation and assessment with persons and their families. Leads groups and activities to promote skill learning in wellness and recovery techniques. Provides case management support counseling and crisis intervention to assigned mental health consumers.

The Registered Nurse is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation and evaluation. Provides direct patient care within the scope of practice. The Registered Nurse also directs and guides patient/family teaching and activities of other nursing personnel while maintaining standards of care in the DOU. The Registered Nurse is directly responsible and accountable for the care given to his/her assigned patients.  He/She communicates with the physician about changes in the patient’s clinical condition including hemodynamic monitoring, results of diagnostic studies and abnormal results and symptomatology. Is able to respond quickly and accurately to changes in condition and/or response to treatment.  Maintains patient privacy and confidentiality.

The Nuclear Medicine Technologist works collaboratively within a multi-disciplinary team and is responsible for providing quality imaging. The Nuclear Medicine Technologist works in support of the Radiologist, providing assistance in the performance of diagnostic and therapeutic procedures. Responsible for processing and transmission of Images to PACS.

In collaboration with the Clinic Manager, the Patient Services Coordinator is responsible for assisting in the coordination, integration, and implementation of the Medical group wide employee and patient services activities to ensure compliance with company policies and state/federal regulatory and JC accreditation standards. Activities include but are not limited to patient and community outreach, coordinating patient appointments and services. Providing support to peers, coworkers and physicians.

The Registered Nurse is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation and evaluation. Provides direct patient care within the scope of practice. The Registered Nurse also directs and guides patient/family teaching and activities of other nursing personnel while maintaining standards of care in the Birthplace. Is able to respond quickly and accurately to changes in condition and/or response to treatment. Provides for a safe environment for patients and visitors. Utilizes the chain of command when necessary to ensure patient well-being and appropriateness of care to newborns and mothers during the antepartum and postpartum periods.

JOB SUMMARY: Acts as a liaison between Saint Mary's Regional Medical Center and Associated Laundry Management. Oversees the activities of the linen room with regards to acquisition, stocking, distribution, repair and cleaning of all necessary clothing and linen. Oversees the activities of the linen porters.

Maintains accurate logs on all equipment in hospital and provides for a safe working environment.  Also maintain and repair equipment including, but not limited to, mechanical, HVAC, electrical, plumbing, plant maintenance, and medical gas systems. 

The Environmental Service Technician is responsible for maintaining a high level of cleanliness within the hospital and adjacent buildings, which may require traveling from one facility to another without assistance.  Respond to and initiate communication by phone, handheld radios, pagers etc.

Emergency Medical Technician is responsible for the assessment and basic management of medical, trauma and environmental emergencies under the supervision of the staff nurse and / or physician. Assists with patient care based on individual patient needs within the scope of practice; Assists in maintenance of a safe environment and performs under the direction and supervision of the ED Registered Nurse or Charge Nurse.

Emergency Medical Technician is responsible for the assessment and basic management of medical, trauma and environmental emergencies under the supervision of the staff nurse and / or physician. Assists with patient care based on individual patient needs within the scope of practice; Assists in maintenance of a safe environment and performs under the direction and supervision of the ED Registered Nurse or Charge Nurse.

Operates, maintains, and repairs boilers, chillers, exhaust fans, air handling units, and auxiliary equipment in the facility. Is responsible for equipment rounds and maintains daily log of plant operations. Operates, maintains and repairs emergency power generators and prime moving equipment. Maintains, tests, and regenerates water softeners. Individual also does water analysis, treatment, and control on boilers, softeners, cooling towers, hot water, and condensate water. Individual must also repair ice machines, freezers and refrigerators and perform preventative maintenance on such equipment. Responsible to see elevators, fire control, and alarm systems are in operating condition, does repairs throughout the facility as required, does basic safety analysis of biomedical equipment as needed, and monitors work orders on shift. Individual must be able to work all shifts and any day of week.

- Staff RN is directly accountable to the OR Charge Nurse and the Director of Surgical Services, and indirectly to the Shift Nursing Supervisor. - The Registered Nurse is responsible for the delivery of direct and indirect patient care in the peri-operative setting through the nursing process of assessment, planning, implementation, and evaluation for, neonates, pediatrics, adolescents, adults and older adults.  - The Registered Nurse coordinates the care of the patient with the surgeon and anesthesiologist, directs and guides the OR Technician and other personnel while maintaining standards of professional nursing.  - Works with other departments to provide a continuum of care and co-workers to provide continuous, quality patient care, efficient patient flow and unit maintenance and organization. - Responsible for adherence to regulations, standards and hospital or unit policies and procedures. - Responsible for participation in Performance Improvement activities, unit meetings and in-services. - Acts as a resource for other personnel as appropriate.

The Registered Nurse is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation and evaluation. Provides direct patient care within the scope of practice. The Registered Nurse also directs and guides patient/family teaching and activities of other nursing personnel while maintaining standards of professional nursing care in Telemetry. The Registered Nurse is directly responsible and accountable for the care given to his/her patients in the Emergency Department. He / She communicates with the physician about the changes in the patient’s clinical condition including results of the diagnostic studies and symptomatology. Is capable of responding quickly and accurately to changes in the condition and/or response to treatment. Is knowledgeable about EMTALA regulations and reporting of child/adult abuse to appropriate agencies and Hospital Social Worker. Maintains patient privacy and confidentiality.

The Registered Nurse is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation and evaluation. Provides direct patient care within the scope of practice. The Registered Nurse also directs and guides patient/family teaching and activities of other nursing personnel while maintaining standards of professional nursing care in Telemetry. The Registered Nurse is directly responsible and accountable for the care given to his/her patients in the Emergency Department. He / She communicates with the physician about the changes in the patient’s clinical condition including results of the diagnostic studies and symptomatology. Is capable of responding quickly and accurately to changes in the condition and/or response to treatment. Is knowledgeable about EMTALA regulations and reporting of child/adult abuse to appropriate agencies and Hospital Social Worker. Maintains patient privacy and confidentiality.

Performs Diagnostic Radiographic Procedures according to department protocols, HFAP/TJC/local regulatory/CMS, State and Federal Regulations. Functions as the first line interface with customers and is successful in the accomplishment of their imaging needs. Participates in PI/QC activities. Responsible for processing and transmission of images to PACS.

The Collector is responsible for the follow-up performed on insurance balances or self pay accounts to ensure payment without delay is received from the insurance companies or uninsured patients or the account is converted to another financial payer. Communicates clearly and efficiently by phone and in person with our clients and staff members. Maintains productivity standards and reports. Obtains updated demographic information and all necessary information needed to comply with insurance billing requirements. Forwards updated information to responsible staff members for computer changes. Operates computer to input follow up notes and retrieve collection and patient information. Is able to write effective appeals to insurance companies.

The Accountant is responsible for maintaining a log of all of the journal entries and preparing the majority of the journal entries in the general ledger, analyzing appropriate balance sheet accounts on a monthly basis, calculating and reconciling depreciation of all the fixed assets accounts, preparing bank reconciliation on a monthly basis, and preparing annual work papers for year-end audits.

Provides appropriate patient nutritional care. Assesses the nutritional status of patients, formulates a care plan, coordinates its implementation, and evaluates its impact and effectiveness. Provides nutrition education to patients/families. Approves supplements as appropriate and assists in the development of a hospital formulary appropriate to the patient population.

Install computer related hardware and software as needed. Support and provide problem determination and resolution on PC software and hardware. Maintain catalog, software and hardware inventory. Document service activities through the ticketing system. Access all areas of the hospital campus in order to perform computer-related installations. Use computer to accomplish data entry and PC troubleshooting. Summon outside resources when needed to complete installations and support end-users. Act as a liaison between end-users and IS as well as coordinate issues between software vendors and IS.

The Nurse Assistant in the Med Surg/Telemetry Department is an unlicensed non-certified assistive person who assists with activities of daily living, provides basic nursing care to non-critical patients and assists in maintenance of a safe environment under the direction and supervision of the Registered Nurse in charge of the team and/or unit.

The Director of Infection Control supervises, assesses, plans, implements and evaluates the hospital surveillance, prevention/control of infection management. Assists with policy and procedure development and implementation while maintaining CDC, OSHA, TJC or AOA HFAP/DHS/CMS and other regulatory agency directives. Acts as a primary education consultant to hospital employees, physicians, patients, volunteers and visitors in safe Infection Control/Prevention practices. Coordinates all hospital infection control activities and interventions with the Pharmacy, Therapeutics, Nutrition and Infection Control (PTNIC) Committee, Medical Staff and hospital employees. Responds to potential exposures by communicating with patients, physicians, employees and regulatory agencies. Supervises the Employee Health Nurse and assists in coordinating the hospital employee health and workman’s comp program. Performs safety rounds of the physical plant to ensure basic Infection Control/Prevention and safety practices are adhered to in all hospital departments to maintain a safe environment for patients, physicians, volunteers, visitors and hospital employees. ICP Director will conduct and or facilitate internal audits, reviewing supporting documentation, and appraise preparedness of the other Infection prevention personal in the hospital/ department. Required to work closely with colleagues in producing information analysis for retro, concurrent, and real time monitoring.

The Registered Nurse provides direct care in the medical – surgical setting.  Under the direction of the Nursing Department Leadership Team, formulates a plan of care to meet the identified needs of the patient/family unit using the nursing process.  Consistently monitors and evaluates patient outcomes and modifies plan of care and participates in the coordination of continuum of care.  Able to responds quickly and accurately to changes in condition or response to treatment.  As appropriate, communicates with physicians, Nurse Director, and co-workers, about changes in the patient’s clinical condition, including results of diagnostic studies and symptomatology.

The Registered Nurse provides direct care in the medical – surgical setting.  Under the direction of the Nursing Department Leadership Team, formulates a plan of care to meet the identified needs of the patient/family unit using the nursing process.  Consistently monitors and evaluates patient outcomes and modifies plan of care and participates in the coordination of continuum of care.  Able to responds quickly and accurately to changes in condition or response to treatment.  As appropriate, communicates with physicians, Nurse Director, and co-workers, about changes in the patient’s clinical condition, including results of diagnostic studies and symptomatology.

The Registered Nurse is directly responsible for the care given to his/her assigned patients. He/She communicates with the physician about changes in the patient’s clinical condition including hemodynamic monitoring, results of diagnostic studies and abnormal results and symptomatology. Is able to respond quickly and accurately to changes in condition and/or response to treatment. Maintains patient privacy and confidentiality.

The Registered Nurse is directly responsible for the care given to his/her assigned patients. He/She communicates with the physician about changes in the patient’s clinical condition including hemodynamic monitoring, results of diagnostic studies and abnormal results and symptomatology. Is able to respond quickly and accurately to changes in condition and/or response to treatment. Maintains patient privacy and confidentiality.

The Human Resources Partner – Employee Relations provides support to department heads and employees to resolve employee relations issues. Will provide coaching and counseling to department heads in the area of employee training, corrective action/performance improvement, terminations, investigations, and employee complaints/grievances. Will serve as a subject matter expert on Human Resources policies, procedures and programs. Will conduct investigations on employee concerns, claims of harassment, hostile work environment, discrimination, retaliation, breach of confidentiality, etc. Will perform special projects as assigned.   #LI-RK1

Provides direct patient care to adult and geriatric patient populations. Addresses the psychosocial, physical and general aspects of care related to the surgical environment. Communicates with physician continuously and as needed about patient condition. Assists with the maintenance of equipment and inventory. Assesses procedure room or equipment functioning and readiness. Obtains supplies for individual cases and ensures all appropriate needs of the Cardiovascular Laboratory team are met. Monitors physiologic and hemodynamic data, as related to diagnostic and/or therapeutic procedures performed in the cardiovascular lab. Monitors and records patients condition continuously while in the Cardiovascular lab. Participates in performance improvement and continuous quality improvement activities.

- Provides direct patient care to adult and geriatric patient populations. Addresses the psychosocial, physical and general aspects of care related to the surgical environment. - Communicates with physician continuously and as needed about patient condition. - Assists with the maintenance of equipment and inventory. Assesses procedure room or equipment functioning and readiness. - Obtains supplies for individual cases and ensures all appropriate needs of the Cardiovascular Laboratory team are met. Monitors physiologic and hemodynamic data, as related to diagnostic and/or therapeutic procedures performed in the cardiovascular lab. - Monitors and records patients condition continuously while in the Cardiovascular lab. - Participates in performance improvement and continuous quality improvement activities.

- Provides direct patient care to adult and geriatric patient populations. Addresses the psychosocial, physical and general aspects of care related to the surgical environment. - Communicates with physician continuously and as needed about patient condition. - Assists with the maintenance of equipment and inventory. Assesses procedure room or equipment functioning and readiness. - Obtains supplies for individual cases and ensures all appropriate needs of the Cardiovascular Laboratory team are met. Monitors physiologic and hemodynamic data, as related to diagnostic and/or therapeutic procedures performed in the cardiovascular lab. - Monitors and records patients condition continuously while in the Cardiovascular lab. - Participates in performance improvement and continuous quality improvement activities.

- Provides direct patient care to adult and geriatric patient populations. Addresses the psychosocial, physical and general aspects of care related to the surgical environment. - Communicates with physician continuously and as needed about patient condition. - Assists with the maintenance of equipment and inventory. Assesses procedure room or equipment functioning and readiness. - Obtains supplies for individual cases and ensures all appropriate needs of the Cardiovascular Laboratory team are met. Monitors physiologic and hemodynamic data, as related to diagnostic and/or therapeutic procedures performed in the cardiovascular lab. - Monitors and records patients condition continuously while in the Cardiovascular lab. - Participates in performance improvement and continuous quality improvement activities.

- Provides direct patient care to adult and geriatric patient populations. Addresses the psychosocial, physical and general aspects of care related to the surgical environment. - Communicates with physician continuously and as needed about patient condition. - Assists with the maintenance of equipment and inventory. Assesses procedure room or equipment functioning and readiness. - Obtains supplies for individual cases and ensures all appropriate needs of the Cardiovascular Laboratory team are met. Monitors physiologic and hemodynamic data, as related to diagnostic and/or therapeutic procedures performed in the cardiovascular lab. - Monitors and records patients condition continuously while in the Cardiovascular lab. - Participates in performance improvement and continuous quality improvement activities.

- Provides direct patient care to adult and geriatric patient populations. Addresses the psychosocial, physical and general aspects of care related to the surgical environment. - Communicates with physician continuously and as needed about patient condition. - Assists with the maintenance of equipment and inventory. Assesses procedure room or equipment functioning and readiness. - Obtains supplies for individual cases and ensures all appropriate needs of the Cardiovascular Laboratory team are met. Monitors physiologic and hemodynamic data, as related to diagnostic and/or therapeutic procedures performed in the cardiovascular lab. - Monitors and records patients condition continuously while in the Cardiovascular lab. - Participates in performance improvement and continuous quality improvement activities.

The Behavioral Health Charge Nurse is responsible and accountable to the Department Director for the quality of nursing staff and the delivery of patient care during his/her shift and assists the Director in the daily operation of the respective unit(s)/department. He/she provides direct communication with the Director and/or House Supervisor of unanticipated  patient care events and/or risk management activities within patient care unit(s); Utilizes nursing personnel effectively, assisting with required scheduling, staffing and assignments; Provides direction, supervision and evaluation of staff and/or staff education as necessary; Assists with performance evaluations, progressive discipline of staff and other related HR activities as needed; Assesses supplies and equipment availability, ensures their proper use and functionality and assists in the daily maintenance of par levels; Collaborates with other department managers/supervisors to ensure smooth coordination of services to patients; enhanced patient flow within the facility and efficient admission/discharge/transfer processes; Assesses patient care delivery and quality of care/documentation on a consistent basis; directs staff members to make immediate changes in the plan of care, as appropriate to ensure patient safety and adherence to regulatory guidelines, hospital policies, procedures, protocols and/or clinical pathways and notifies Department Director, House Supervisor and/or Medical Staff as appropriate utilizing the chain of command. Interviews patients/families on admission and during rounds to enhance positive patient experiences, provide comprehensive orientation to the patient care unit and increase patient/family awareness on how to access services and/or the charge nurse, if necessary. The Charge Nurse may perform direct patient care within scope of practice and clinical competency to ensure patient safety and patient/nurse ratios.