Tucson Medical Center (TMC) is Tucson’s only non-profit community owned hospital. Employees choose to work at TMC because of our of integrity, community, dedication, and compassion which we show through the exceptional care we provide to our patients and our community. Our passion for caring for the Tucson community has expanded over the last to include community partnerships, new medical specialties, and medical clinics to further provide the care our community deserves. Why Join Tucson Medical Center? Benefits We don’t only care for our patients, we care for our TMC family too. As a member of our family you can expect to enjoy a wide variety of benefits. In addition to all the benefits you would expect from a leading medical facility (medical, dental, vision, 401K with match) we also provide: Family Style Atmosphere with a Supportive Team Competitive Pay Career Growth Opportunities Tuition Reimbursement Health and Wellness Coaching Extensive Onsite Gym for $12.00 a Month Summary Unit Information: The clinical nurse leader is responsible for the assessment, coordination, implementation, and evaluation of the delivery of safe and effective patient-centered care. The Clinical Nurse Leader will facilitate and mentor others to grow professionally and advance their knowledge and skills. In addition, the Clinical Nurse Leader will continuously assess unit needs to ensure adequate resources for current and upcoming shifts by collaborating with other departments, clinical and nonclinical, to coordinate admissions, transfers, and discharges of patients in a timely manner. Finally, the Clinical Nurse Leader will demonstrate professionalism at all times and will uphold standards of practice by holding team members accountable for continued compliance. Essential Functions Complies with legal, hospital and departmental policies, procedures and position requirements. Values: We will incorporate our Values into every aspect of our organization. Our values will provide the essence of who we are and how we provide the best possible customer service. Compassion We have heart We respect diversity and individuality We honor body, mind and spirit Dedication We work hard for our patients and each other We are committed to professionalism and excellence We listen, we learn, we grow Community We are welcoming and friendly We practice kindness in all our relationships We reach out as teachers and as leaders Integrity We tell the truth We are responsible in how we use our resources We have the courage to uphold our values Competency Attends required classes: Unit Skills fair, One mock code per quarter, ACLS, CPR, PALS (if required) Completes and turns in annual competency evaluation Keeps individual education profile current Demonstrates an understanding of regulatory requirements and professional practice guidelines Has a working knowledge of organizational policies and procedures Shows competence in the performance of department-specific skills in order to be a resource and mentor for others in the department Demonstrates an active involvement in leadership activities within the past year (E.g. CNL development program, active participation in evaluations, PCI involvement) Promote shared governance by actively participating in unit based council and/or hospital council. Performance Improvement Reports significant events such as near misses, adverse events, patient/family complaints, and any situation that affects the safe delivery of patient-centered care in a timely manner Is proactive, rounds with team members on the unit, and identifies opportunities for improvement; completes real time correction. Ensures that handoff communication occurs any time there is a change in caregivers on the unit during shift and at start/end of shifts Assigns and delegates patient care tasks as appropriate, considering staff members’ level of nursing experience, competency, and knowledge Delegates tasks to unlicensed support staff as outlined by state board regulations and facility policies as appropriate to the clinical situation Participates in multidisciplinary rounds and make recommendations when appropriate Assists in monitoring staff performance, behaviors, and competency for performance reviews and reports information to manager Ensures that all infection control precautions and procedures are followed in the department Drives one unit based process improvement initiative Must attend and participate in 25% of monthly PCI trainings. Run debrief with team after any codes and or significant events, etc. Actively participates in unit SWARM activities. Joint Commission tracers/environment of safety checks Accountability Is accountable for completion of work including documentation, validates accuracy every shift. Prioritizes care and completes tasks during shift Works with staff to prepare for oncoming shift by preparing full report and stocking/tidying patient care areas Practice/demonstrates cost-effective behaviors: avoids unnecessary overtime, understands and implements staffing guidelines and flexes when appropriate, handles patient charges appropriately, uses supplies conscientiously (10) Assists other team members by providing direct patient care as needed Assigns and coordinates patient flow to deliver safe and effective patient-centered care Performs other specific department tasks as assigned by members of the department’s leadership team Rounds with patients and family members to ensure that needs are met and identifies opportunities for improvement Ensures that appropriate staffing levels meet patient care needs. Input hours into PMR tool to ensure department productivity standards met. Utilization of acuity tool to aid with staffing if applicable Monitors supplies and ensures that appropriate par levels meet patient care needs without causing waste Assists in ensuring that equipment is utilized carefully to avoid damage Able to deliver disciplinary action at the discretion and guidance of the nursing manager Real-time service recovery as needed for patient satisfaction and escalating if needed Communication Communicates with all necessary units to coordinate care for patient Checks e-mail to stay current with hospital and unit communications each work shift. Attends 75% of staff meetings, participates on agenda topics Does not facilitate or tolerate negative communication or foul language Communication with staffing office and other departments to request staff and/or flex staff overages for oncoming shift Professionalism Adheres to organizational policies and procedures. Adhere to TMC behavioral standards policy and hold staff accountable to them. Adheres to professional guidelines for practice such as state board of nurses, American Nurses Association (ANA) professional standards of care and ethical practice guidelines Collaborates with other departments in a professional manner as needed to provide patient-centered care Demonstrates effective communication, conflict resolution, team building, and leadership skills Participates in updating and upholding standards of practice and be a role model to others for maintaining standards of care. Participate in WOC rounding as needed Participate in peer interview process Role Specific Functions EP Coordinator: Oversees EP area and coordinates with Cardiac Cath Lab lead to better evaluate staffing and schedule needs, training required, materials management, and provides recommendations for efficiencies. Perioperative Identifies patients at high risk requiring advanced nursing judgment; utilizes holistic assessment, identifies relevant aspects of situations and determines the appropriate course of action to move patient/family, and staff towards expected outcome(s). Requires advanced life support certification (ACLS and PALS). Rapid Response Provides oversight and training while participating in the rapid response, stroke, and code team responses for critical patient care. Maintains NRCPR Database and runs abstracts to evaluate performance for quality control and recommends improvements as required. Receives and reviews preceding critical care shift reports and floor nurse reports; makes complete rounds of all units, and notes patients' condition. Minimum Qualifications EDUCATION: Graduation from a qualified, nationally-accredited nursing program. EXPERIENCE : One (1) year of nursing experience in an acute care setting required. Two (2) years of nursing experience in an acute care setting preferred. LICENSURE OR CERTIFICATION : Current RN licensure permitting work in the state of Arizona, Basic Life Support (BLS) certification required. Additional certifications may be required per department. Knowledge, Skills And Abilities Knowledge of critical care techniques, tools and responses required to ensure optimal patient care. Knowledge of processes and procedures to follow during a rapid response, code, or stroke call. Some Positions: Knowledge of electrophysiology and cardiac cath lab procedures and best practices. Some Positions: Knowledge of surgery specialties and how to prepare, assess and provide post-operation patient care to ensure best practices are followed. Some Positions: Knowledge of chart abstraction, education and marketing for the Chest Pain, CHF and Stroke programs. Skill in evaluating performance and recommending improvements. Skill in developing training materials and educating staff in the proper responses for critical care issues. Skill in the use and maintenance of computer systems and programs, especially NRCPR, PC File and Folder, Word, EXCEL, e-mail and attachment capabilities, Outlook, and PowerPoint. Skill in communicating with staff involved in critical care, and physicians to ensure the proper care of patients. Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to complete routine reports and correspondence. Ability to listen and accurately interpret others’ communication or instructions to take appropriate action. Ability to speak and communicate effectively. Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to interpret an extensive variety of instructions and deal with several abstract and concrete variables.
Our Clinical Nurse Leader role provides Registered Nurses the opportunity to utilize their leadership skills while also being a part of the bedside care team. Our CNLs have a passion for mentorship, education, and are adept at deciphering the needs of the unit to ensure quality patient care is given with adequate resources. Does this sound like you? Come join us in caring for the Tucson Community! Tucson Medical Center (TMC) is Tucson’s only non-profit community owned hospital. Employees choose to work at TMC because of our of integrity, community, dedication, and compassion which we show through the exceptional care we provide to our patients and our community. Our passion for caring for the Tucson community has expanded over the last to include community partnerships, new medical specialties, and medical clinics to further provide the care our community deserves. Why Join Tucson Medical Center? Benefits We don’t only care for our patients, we care for our TMC family too. As a member of our family you can expect to enjoy a wide variety of benefits. In addition to all the benefits you would expect from a leading medical facility (medical, dental, vision, 401K with match) we also provide: Family Style Atmosphere with a Supportive Team Competitive Pay Career Growth Opportunities Tuition Reimbursement Health and Wellness Coaching Extensive Onsite Gym for $12.00 a Month Unit Information (Insert Clinical Unit Info) Requirements Education: Graduation from a qualified, nationally-accredited nursing program. Experience : One (1) year of nursing experience in an acute care setting required. Two (2) years of nursing experience in an acute care setting preferred. Licensure or Certification : Current RN licensure permitting work in the state of Arizona, Basic Life Support (BLS) certification required. Additional certifications may be required per department.
Description The Main OR has 14 Operating Rooms that include: 2 Endovascular rooms, 2 Open Heart rooms , 1 Cysto room, 1 da Vinci Robot room , and 1 Pediatric room. Services include: General Surgery (Adult and Peds), ENT (Adult and Peds), Urology (Adult and Peds), Vascular, Thoracic, Heart, Podiatry, Ophthalmology, and Oral Surgery. The Operating Room is staffed 24/7. Pre-Op Holding (POH) is staffed Monday through Friday from 0530-1930 and on-call Saturday and Sunday 0645-1500. PACU is staffed 24/7 with call to accommodate surgeries. A minimum of 2 years of OR Nursing Leadership experience in a high volume setting Summary Manages a nursing unit or nursing specialty function such as Bed Control or Restorative Services. Essential Functions Manages staff; interviews, hires and trains; evaluates employee performance; deals with performance problems as appropriate; delegates work assignments effectively. Assists in managing department budget. Designs, with agreement from Director of Nursing (DON), or Director of Behavioral Health Nursing, and implements the specific staffing plan (Acuity) and daily, shift-by-shift staffing grid. Monitors patient acuity/staffing through the bi-weekly productivity report and takes appropriate action. Provides safe environment for patients and caregivers, compliant to EOC rules and all regulatory requirements. Facilitates development of unit specific standards of care with realistic and measurable patient care outcomes. Provides orientation for the medical staff to Nursing Services. Promotes continuity of patient care by supporting case management activities; acts as a resource to direct care providers when support services are in conflict with patient care needs. Promotes an optimum environment in which the patient care team can accomplish mutually developed goals. Investigates patient complaints and/or incidents, initiating corrective and/or disciplinary action. Maintains an ongoing evaluation of customer service to ensure that systems, policies, and procedures are convenient to those being served. Ensures compliance with requirements of federal, state and community agencies, regulatory authorities, and hospital policies and procedures. Selects and monitors preceptors in development of their role to facilitate new grad hires incorporation into the unit staff. Ensures the design, implementation, and evaluation of educational programs for staff. Minimum Qualifications EDUCATION : Bachelor’s Degree in Nursing. EXPERIENCE : Five (5) years of relevant nursing or applicable healthcare experience with mastery of the role and competencies for assigned area required; evidence of leadership, teaching and interpersonal skills, and documentation of professional development. LICENSURE OR CERTIFICATION: Current RN license permitting work in the state of Arizona and current Basic Life Support (BLS) certification required. Additional certification may be required per department.
In collaboration with physicians and administrators, provide coordination for a specific patient population’s journey through a treatment plan established by a multidisciplinary team of physicians and surgeons and other caregivers. Coordinates patient’s care plan, facilitates patient appointments, including those made with labs, diagnostic areas, and specialty physicians; responsible for communication and overall program interaction with other disciplines. Provides necessary resource information to the patient and family along the continuum of care. Serves as a liaison between physicians and hospital staff to enhance relationships. Collaborates with administration, management, and staff across the organization to improve patient care. Works with Administration and multidisciplinary team to develop and grow the program through a variety of education, resource, and quality measures. Tucson Medical Center (TMC) is Tucson’s only non-profit community owned hospital. Employees choose to work at TMC because of our of integrity, community, dedication, and compassion which we show through the exceptional care we provide to our patients and our community. Our passion for caring for the Tucson community has expanded over the last to include community partnerships, new medical specialties, and medical clinics to further provide the care our community deserves. Why Join Tucson Medical Center? Benefits We don’t only care for our patients, we care for our TMC family too. As a member of our family you can expect to enjoy a wide variety of benefits. In addition to all the benefits you would expect from a leading medical facility (medical, dental, vision, 401K with match) we also provide: Family Style Atmosphere with a Supportive Team Competitive Pay Career Growth Opportunities Tuition Reimbursement Health and Wellness Coaching Extensive Onsite Gym for $12.00 a Month Essential Functions Of Oncology Navigator PATIENT CARE Assist patients in understanding their diagnosis, treatment options, and the resources available, including educating eligible patients about appropriate options, technologies and resources. Facilitate appointments for consults and support services within established service standards, including social workers, dietitians, physician, rehabilitation, etc. Develop concise patient summaries for use by the care team, and document recommendations made utilizing standardized care protocols in accordance with nationally recognized care guidelines. Consults and collaborates with members of the health care team in the assessment and management of the patient’s journey through diagnosis, treatment, and recovery; functions as a liaison between physicians, nursing, technologists and area support staff. CLINICAL EDUCATION Coordinate multidisciplinary planning conferences, tumor boards, grand rounds, etc. Formulates and develops plans, procedures and programs to meet specific training needs and problems for patients, physicians and hospital care team. Assists in research and development directly related to oncology services. Designs a primary care physician education strategy that adheres to screening guidelines and best practices for cancer work-ups. PROGRAM DEVELOPMENT Assists in the development, implementation, and revision of nursing protocols and standards of care related to the program. Researches and provides advice on patient care processes, nursing processes, and larger-scale quality improvement projects. Identifies operational opportunities to improve of services and physician satisfaction; communicates those opportunities for improvement to the appropriate personnel. Participates in professional organizations and actively networks to share information and ideas. Assists in setting standards of practice patterns among physicians and surgeons treating cancer patients. QUALITY Maintains compliance with appropriate regulatory, federal, and state mandated requirements. Participates in and coordinate unit Quality Improvement Program on a regular and continuing basis. Works with Cancer Registry staff and others to collect data; documents, tracks and monitors medical outcomes. Utilizes data to continuously improve treatment of cancer patients and to support strategic planning processes. PHYSICIAN RELATIONS Acts as liaison and educational resource between physicians, administration, and hospital staff to enhance oncology program and patient care. Works with Professional Staff, THMEP and physician organizations to coordinate and support physician activities/committees as requested. Maintains records of training activities for CME related programs. Performs related duties as assigned. Essential Functions Of Perinatal Nurse Navigator Oversight of Women and Children Service Line Community Classes Evaluates the educational needs of the community and works with subject matter experts to customize the educational program to fit community needs. Monitors support and enrollment activities of the courses. Develops enrollment reports and class success rates. Develops new classes and events. Works with the director on budgets for upcoming classes and events. Evaluates instructor effectiveness and provides feedback, counseling, guidance, problem solving, and professional development. Helps to resolve student and instructor complaints and problems. Monitors educational programs to ensure they meet quality control standards by conducting needs assessments, designing learning environments, reviewing class evaluations and providing instructor training and evaluation. Develops positive working relationships with all departments; and interacts with staff regarding planning, coordination and requesting services. In collaboration with the Director, provides input to the departmental marketing plan. Promotes classes and programs. Assists with the development of goals and its mission by providing information on the relevance of educational programs offered, enrollment statistics and profitability. Coordinates with outlying Community outreach Obtain early referrals from the physician’s office Serve as an early resource Initiate contact with patient and introduce navigation program and role at time of diagnosis (or at entry into the care system, if later). Email information Calls Classes Be aware of course, content, educators, reschedules Coordinate enrollment in classes Coordination of consults NICU consult Anesthesia Consult Etc. Ongoing communication with the family throughout the pregnancy Be available to patients and families throughout their care as an open, knowledgeable and empathetic contact for all care needs. Respond to patient challenges until resolution is achieved. Assist in Coordination of appropriate teaching, outreach, and education to patients and families. The aim of this work being to ensure the patient is empowered to manage his or her own health. Contact providers to assist patients in understanding their diagnosis, treatment options, and the resources available, including educating eligible patients about appropriate clinical research studies and technologies. Coordinate education on subjects that fall beyond the scope of individual modalities e.g. access to supportive care, financial support, return to work. Coordinate education through formalized routine groups or classes to meet identified unmet needs in the community Navigate patients at 28 weeks through pre-registration Serve as resource (outpatient) Email information Calls Coach and help patients to remove barriers with issues of insurance, transportation, child care, financial resources, language so they may focus on getting the care they need. Initiate referrals to hospital and community resources to connect patients with resources and support systems. Notify Perinatal Safety Coordinator of any upcoming high risk admissions Assist patient with any special requests (outpatient) Assess the medical, social, and psychosocial and other care needs of the patient and family and communicate to appropriate provider or hospital staff member Identify health disparities and remove barriers to care e.g. referral pathway barriers Offer birth plan document for patient completion Develop resources to help patients understand delivery processes Ensures moms-to-be are well informed and understand prenatal care plan Helps women and families remove barriers to prenatal care Act as a Patient Experience Liaison (outpatient) Streamline appointments and paperwork by helping patients with scheduling classes and preparation. Establish appropriate mechanisms to ensure service continuity during both planned and unplanned absence and undertake succession planning. Follow up phone calls Conduct follow-up conversations as needed with patients and communicate concerns, changes, or social needs in patient health to appropriate nurse leader, MD or other appropriate care providers. Record keeping Calls Communicate process improvement to Director Ensure reporting is in place to demonstrate program outcomes and support performance improvement activities. Make appropriate recommendations for changes to the current program and assist in delivering program improvement. Establish and maintain positive working relationships with key internal and external customers (including e.g. physicians, nurses, radiology staff, social services staff, business office staff, etc.). Educate each constituent on the role and benefits of a navigation program and high quality care. Recognize scope and limitations of role and regularly access supervision as a support to the role. Provide referring providers with timely data on completion of consults. Additional tasks Stay current on the latest perinatal developments and participate in meetings. Essential Functions Of Neurosurgical Nurse Navigator Coordinate communication between neurosurgical care team, pain care providers, other health care team members, the patient and their family members. Provides patient/family centered care, acting as a partner and adviser, assists and supports patients and families to optimally manage their treatment throughout the healthcare continuum. Applies critical reasoning and astute clinical judgment in order to expedite appropriate care and treatment. Collaborates with the multidisciplinary team, the patient, and family in planning patient care to facilitate outcomes as designated by best practice clinical pathways. Facilitates continuity of care using the nursing process, multidisciplinary collaboration, and coordination of appropriate services. Interacts with patients during face-to-face encounters or through a variety of telecommunication strategies. Provides the patient with education and resource support, including scheduling of follow up appointments, throughout the continuum of care. Focus on patient satisfaction, safety and quality by applying appropriate nursing interventions, such as identifying and clarifying patient needs, conducting health education, promoting patient advocacy, coordinating nursing and other health services, assisting the patient to navigate the health care system, and evaluate patient outcomes. Appropriately, document patient care encounters and communication with healthcare team members as it relates to patient care, needs, and outcomes. Communicate with referring providers offices as required by the patient and/or provider. Ensure patients complete ancillary testing or therapy, as prescribed between provider visits to help ensure a productive and efficient follow up encounter. Actively participate in the development and enhancement of care processes with the aim to improve the clinical experience for both the patient and provider. Participate in professional development by maintaining required competencies, identifying learning needs and seeking appropriate assistance or educational offerings. Demonstrates the ability to function in a professional setting through active participation in a professional practice model. Pursues lifelong learning that updates and expands their clinical, organizational, and professional roles and responsibilities. Serves as a resource to marketing department and collaborates with Business Liaison team to educate referring providers and facilities on services Participates in regular multidisciplinary team meetings and continuous quality improvement activities. Actively participates in analysis of pertinent data to identify variances and opportunities for improvement processes specifically related to the neurosurgical patient treatment process. Performs related duties as assigned. Minimum Qualifications EDUCATION: Bachelor’s degree in Nursing from a qualified, nationally accredited nursing program required. Master’s degree preferred. EXPERIENCE: A minimum of three (3) years of related experience, preferably in an acute care setting with experience as a health/patient educator or patient advocate, preferred area of clinical experience in the program area for the position. LICENSURE OR CERTIFICATION : Current RN licensure permitting work in the State of Arizona and current Basic Life Support (BLS) certificate.
Contract Start Date 10/06/2025 Some jobs pay the bills, some jobs pay it forward. Work at TMC and you get both. We have 13, 26, and 39 week seasonal RN opportunities available in an environment that cares about you and our patients. Full-time benefits and living allowances for longer commitments. Winter sunshine available for everyone! TMC – Created to Care The newly remodeled Pediatric Emergency Department is designated as a certified pediatric advanced prepared emergency center, consisting of 14 private beds. Our department is located in between the inpatient pediatric unit and the Pediatric ICU, which facilitates a great working relationship amongst the pediatric service line. In our department we see approximately 30,000 patients a year with a wide range of chief complaints from sore throats and lacerations to SI/HI, overdoses, fractures with reductions at the bedside, respiratory distress and full codes. We work together as a team consisting of physicians, midlevel providers, registered nurses, medics, patient care techs and a unit clerk. All nurses in the department are dedicated pediatric nurses and are required to have BLS, ACLS, PALS, CPI and ENPC Certifications. All RNs are required to have 8 CEUs a year to maintain our designation. Summary Coordinates patient care planning with other disciplines utilizing the principles of the nursing process and critical thinking skills in order to maintain patient safety and well-being. Essential Functions Provides direct patient care, evaluates outcomes, consults with other specialists as required and adjusts nursing care processes as indicated to ensure safe patient care. Writes or obtains initial nursing histories, assesses patients' conditions and develops individual care plans; maintains patient documentation. Receives and reviews preceding shift reports and floor nurse reports; makes complete rounds of all units, and notes patients' condition. Notifies appropriate physician regarding any unusual or unexpected events or problems requiring direct physician consultation. Works with other members of the interdisciplinary patient care team, implements and reinforces patient instructional needs with patient and family offering informational material and pointing out special areas of concern. Evaluates outcomes of patient care, consults with other specialists as needed and adjusts nursing care processes as necessary to ensure optimal patient care. Identifies and resolves workplace health and safety issues. P rovides appropriate, direct patient care utilizing appropriate aseptic techniques. May manage IV lines, ensure that sterile techniques are adhered to, and oversee patient movement and positioning to ensure that the patient is handled in a medically safe manner. May perform the administration of pharmacological vasodilator medications for the purpose of nuclear myocardial perfusion imaging; complies with examination competency as defined in the Imaging Services Practice Standards. Complies with policies, procedures, regulations, and standards and takes corrective action when violations occur. Orients, instructs, and educates assigned personnel. Adheres to and supports team members in exhibiting TMCH values of integrity, community, compassion, and dedication. Adheres to TMC organizational and department-specific safety, confidentiality, values, policies and standards. Performs related duties as assigned. Minimum Qualifications EDUCATION : Graduation from a qualified, nationally-accredited nursing program. ( Some positions may require additional training related to specific skill area, such as EP, which requires instructional programs in intra-cardio echocardiogram and electrophysiology, which includes 30 ablation procedures.) EXPERIENCE : One year of nursing experience in an acute care setting preferred. (Positions assigned to EP: require two (2) years of EP experience or demonstrated competency in all areas of EP Lab procedures). LICENSURE OR CERTIFICATION: Current RN licensure permitting work in the State of Arizona and Basic Life Support (BLS) certification required. Some departments such as OR, Ambulatory Surgery, Pediatrics/PICU, PACU, and GI Lab will require advanced life support certification (ACLS and PALS). ( Additional certification may be required for some specialties, such as EP certification from International Board of Heart Rhythm Examiners for Special Competency in Cardiac Electrophysiology for the Associated Professional or equivalent certification.) For Hospice & Pediatrics areas, valid Arizona Fingerprint Clearance Card within 6 months of hire and for Mental Health only Crisis Prevention Instruction (CPI) required. Knowledge, Skills And Abilities Knowledge of direct patient care and critical care procedures and techniques, tools, and responses required to ensure optimal patient care. Knowledge of exam indicators, contraindications and patient preparation. Skill in communicating in a clear and concise manner with staff involved in critical care, and physicians to ensure the proper care of patients. Skill in reading 12-lead EKG. Skill demonstrated in assigned disciplines such as EP, directly involved in patient care. Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to complete routine reports and correspondence. Ability to listen and accurately interpret others’ communication or instructions to take appropriate action. Ability to speak and communicate effectively. Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to interpret an extensive variety of instructions and deal with several abstract and concrete variables.