RN ICU Full-time
Bon Secours Mercy Health

Registered Nurse (RN) - Intensive Care Unit (ICU) - Springfield Regional Medical Center

Thank you for considering a career at Mercy Health!

Scheduled Weekly Hours:

36

Work Shift:

Nights (United States of America)

This position is eligible for a $10,000 sign-on bonus!

Mercy Health Springfield Regional Medical Center - Registered Nurse ( RN ) - Intensive Care Unit (ICU)

Summary of Primary Functions
The Critical Care Registered Nurse (RN) provides, coordinates, plans, and evaluates the care of the patient in collaboration with the interdisciplinary team and within established the nursing process framework. Evaluation is done through data collection, assessment, identification, and prioritization of patient problems/needs including evaluating process/outcome of nursing care, interventions, and teaching. The RN coordinates, provides, and directs patient teaching activities and coordinates the care provided by health team members. 
                                                                                                                                                                                                                             
Essential Job Functions

• Conducts and analyzes initial and ongoing patient assessment, creates a plan of care, implements treatment, and evaluates treatment effectiveness.
• Administers medications in a safe manner consistent with the State of Practice and Bon Secours Mercy Health policies and procedures
• Serves as point of contact for patients' care coordination throughout hospital departments.
• Acts as a patient safety advocate by participating in ongoing quality improvement in the department and collaborates with spiritual care, palliative, and ethics when needed
• Serves as a point person for care coordination for family members or caregivers.
• Performs nursing care associated with life supporting technology/modalities may include but not limited to: ventilator management, CRRT, IABP, Impella, ECMO
• Performs hemodynamic monitoring
• Clinically manages critically ill patients with multi-system organ failure and/or multisystem trauma
• Using the AACN Synergy Model, restores, supports, promotes, rehabilitates, or palliates to maintain the physiologic, psychologic, and psychosocial stability of patients across the lifespan.
• Synthesizes and prioritizes information in order to take immediate and decisive evidence-based, patient-focused action using clinical judgement and clinical inquiry.
• Anticipates and responds with confidence and adapts to rapidly changing patient conditions.
• Responds to the unique needs of the patients and families coping with unanticipated illness or injury and treatment and advocate for their choices in quality of life.
• BSMH nurses are expected to practice and deliver care in accordance with the core concepts and intention of the BSMH Nursing Professional Practice Model.

This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation.

Licensing/Certification
Current RN license in state they are working or covered by compact (required)
BLS Basic Life Support (preferred upon hire, must obtain from approved source prior to direct patient care)
ACLS Advanced Cardiac Life Support (required within 6 months of hire)
TNCC Trauma Nursing Core Course (preferred)
CCRN Critical Care Registered Nurse (preferred)
PCCN Progressive Care Certified Nurse (preferred)
RN-BC Registered Nurse - Board Certified (preferred)
TCRN Trauma Certified Registered Nurse (preferred)
National Institute of Health (NIH) Stroke Certification (preferred)

Education
Bachelor of Science Nursing (preferred)

Work Experience
1 year of RN experience (required)
6 months RN experience in a Med/Surg, Critical Care, Stepdown, or Emergency Department Unit (preferred)

Training
EPIC Electronic Health Record (EHR) training (preferred)
Critical Care Course (preferred)

Skills
• Assigns patient care according to the nursing skill, knowledge, and scope of practice of staff.
• Orients, facilitates learning experience, and provides education (based upon quality improvement indicators, outcomes, and implementation) to nursing staff and others.
• Possesses clinical knowledge, skills, and competency to provide evidence-based patient care in accordance with the current standards of practice, policy and procedure, and BSMH mission.
• Performs comprehensive assessment of patient's clinical condition and psychosocial needs of the patient and their supportive resources.
• Safely and efficiently develops, implements, and prioritizes plan of care.
• Application of the nursing process in patient care delivery.
• Assesses patient's physical and emotional responses to treatment to evaluate effectiveness of intervention and patient outcomes; revises plan of care accordingly.
• Assists patient and family in coping with patient's illness.
• Collaborates with others in the delivery of coordinated patient care.
• Strong interpersonal and verbal/written communication skills.
• Applies cultural diversity and inclusion principles when caring for patients and their support resources.
• Recognizes own limitations and seeks assistance and acquires information to perform safely.
• Advances personal and professional growth through participation in educational programs, current literature, in-services, and workshops.
• Exhibits professionalism through accountability for own and delegated actions.
• Integrates cost-effective measures into practice and models effective stewardship of available resources.
• Practices self-care and cultivates resilience in conflict and difficult circumstances.
• Protects the safety and privacy of all persons.
• Understanding and utilization of office and clinical technologies.
• Ability to communicate with patients in a manner they can understand considering their personal preferences.
• Compassionate, relationship-based approach to help find meaning in illness, suffering, pain, and existence.
• Remains calm, adaptive, and collective during an emergency.
• Assists with insertion intra-aortic balloon pumps, chest tubes, and impellas.
• Assesses patients through hemodynamic monitoring.
• Assists with insertion of transvenous pacing/temporary pacing.
• Administers means for conscious sedation.
• Knowledge of advanced respiratory modalities.
• Manages nursing care of the patient with a Swan-Ganz catheter.

*For current BSMH associates, please refer to the sign-on bonus policy for eligibility requirements.

Mercy Health is an equal opportunity employer.

As a Mercy Health associate, you’re part of a Misson that matters. We support your well-being – personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way. 

What we offer
•    Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible)
•    Medical, dental, vision, prescription coverage, HAS/FSA options, life insurance, mental health resources and discounts
•    Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders
•    Tuition assistance, professional development and continuing education support

Benefits may vary based on the market and employment status.
 

Department:

Intensive Care Unit (ICU) - Springfield

It is our policy to abide by all Federal and State laws, as well as, the requirements of 41 CFR 60-1.4(a), 60-300.5(a) and 60-741.5(a). Accordingly, all applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you’d like to view a copy of the affirmative action plan or policy statement for Mercy Health– Youngstown, Ohio or Bon Secours – Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employer, please email recruitment@mercy.com. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at recruitment@mercy.com.

Share this job

Share to FB Share to LinkedIn Share to Twitter

Related Jobs

RN Full-time
Alternate Solutions Health Network

Weekend Registered Nurse (RN), $10,000 Bonus!

Our culture and people are what set us apart from other post-acute care providers. We’re dedicated to the growth and development of our team to set them up for success. We CARE for our patients like they are our own FAMILY. *Now offering a $10,000 Bonus!* Schedule: Tuesday, Thursday, and Saturday 8:00 am to 5:00 pm Company: Kettering Home Care HOW YOU'LL MAKE A DIFFERENCE: As a Registered Nurse (RN) the work you do every day makes a difference in the lives of our patients. Our nurses give our patients the greatest gift – the ability to spend enhanced quality time with their loved ones in their preferred environment. As a RN you will have the opportunity to provide one on one patient care and work at the top of your license. You will utilize your leadership skills in coordinating care and provide home-based nursing care for patients as directed by an attending physician. You'll be part of an interdisciplinary team that focuses on providing compassionate quality care and producing positive outcomes for your patient population. Interacting with patients' families while caring for your patients and experiencing the rewarding privilege to be part of every step of their recovery journey. Home care provides context and real-world perspective about what will really help patients restore their health. WHAT WE OFFER: We make it easy to do your job and have competitive financial incentives. We've launched a new guaranteed base salary plus a generous uncapped bonus structure which is designed to reward excellence, encourage growth, and recognize the incredible impact our Clinicians make every day. We pay mileage and have additional bonus opportunities. Our schedules are flexible, and you'll have the support of a whole team, from scheduling to patient admissions. Our benefits package is also competitive in the market. We provide medical, dental, and vision insurance with flexibility for you to select what works best for you. Eligible teammates will also receive paid time off, opportunity to participate in 401k, company paid life insurance and access to a robust Employee Assistance Program. HOW YOU'LL WORK: You'll provide skilled nursing care in a patient's home as directed by the attending physician.. You will work autonomously, so you need to be efficient in managing your time. You'll be responsible for all practices and duties within the scope of practice outlined by the state. MAJOR AREAS OF RESPONSIBILITY: Plan of Care: Observe and monitor patient conditions and perform OASIS assessments (If you don’t already know this assessment, we will teach you!) to develop an individualized care plan and adjust as needs change. Minimize Patient Risk: Administers medication as prescribed by the physician and helps decrease re-hospitalizations by prioritizing visits for high-risk patients. Continuity of Care: Manage multi-disciplinary care as applicable while promoting continuity of care with appropriate admissions, transfers, and discharges. Family Educator/Advocate: Educate the patient and family on the disease processes using teach back methods to ensure patient and family understanding. Policies: Completes all clinical documentation following agency protocol and Medicare/Federal guidelines. Collaborates with the interdisciplinary team and physicians to ensure optimal care is provided. Rules and Regulations: understand and follow agency policies, procedures, rules, and regulations and communicate changes in schedule/availability to schedulers or supervisors. Operations: Attend in-service training and mandatory agency meetings HARD & SOFT SKILLS: Compassionate communicator with a positive attitude Patience is a virtue when working with patients, families, physicians, and coworkers Attention to detail is critical, as is being observant and following directions REQUIREMENTS: Registered Nurse with current license in the state of employment Minimum one-year experience as an RN in an acute care setting Home care experience preferred Valid driver's license and auto insurance in your name as a driver Capable of all physical demands We are proud to be part of the Alternate Solutions Health Network family. #INDKHC9 We’ll help you put your passion for patient care to work. Apply today! This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice. We are an Equal Opportunity Employer.
RN Full-time
Alternate Solutions Health Network

Weekend RN (Registered Nurse), $10,000 Bonus!

Our culture and people are what set us apart from other post-acute care providers. We’re dedicated to the growth and development of our team to set them up for success. We CARE for our patients like they are our own FAMILY. *Now offering a $10,000 Bonus!* Schedule: Sunday, Monday, Tuesday 8:00 am to 5:00 pm Company: Kettering Home Care HOW YOU'LL MAKE A DIFFERENCE: As a Registered Nurse (RN) the work you do every day makes a difference in the lives of our patients. Our nurses give our patients the greatest gift – the ability to spend enhanced quality time with their loved ones in their preferred environment. As a RN you will have the opportunity to provide one on one patient care and work at the top of your license. You will utilize your leadership skills in coordinating care and provide home-based nursing care for patients as directed by an attending physician. You'll be part of an interdisciplinary team that focuses on providing compassionate quality care and producing positive outcomes for your patient population. Interacting with patients' families while caring for your patients and experiencing the rewarding privilege to be part of every step of their recovery journey. Home care provides context and real-world perspective about what will really help patients restore their health. WHAT WE OFFER: We make it easy to do your job and have competitive financial incentives. We've launched a new guaranteed base salary plus a generous uncapped bonus structure which is designed to reward excellence, encourage growth, and recognize the incredible impact our Clinicians make every day. We pay mileage and have additional bonus opportunities. Our schedules are flexible, and you'll have the support of a whole team, from scheduling to patient admissions. Our benefits package is also competitive in the market. We provide medical, dental, and vision insurance with flexibility for you to select what works best for you. Eligible teammates will also receive paid time off, opportunity to participate in 401k, company paid life insurance and access to a robust Employee Assistance Program. HOW YOU'LL WORK: You'll provide skilled nursing care in a patient's home as directed by the attending physician.. You will work autonomously, so you need to be efficient in managing your time. You'll be responsible for all practices and duties within the scope of practice outlined by the state. MAJOR AREAS OF RESPONSIBILITY: Plan of Care: Observe and monitor patient conditions and perform OASIS assessments (If you don’t already know this assessment, we will teach you!) to develop an individualized care plan and adjust as needs change. Minimize Patient Risk: Administers medication as prescribed by the physician and helps decrease re-hospitalizations by prioritizing visits for high-risk patients. Continuity of Care: Manage multi-disciplinary care as applicable while promoting continuity of care with appropriate admissions, transfers, and discharges. Family Educator/Advocate: Educate the patient and family on the disease processes using teach back methods to ensure patient and family understanding. Policies: Completes all clinical documentation following agency protocol and Medicare/Federal guidelines. Collaborates with the interdisciplinary team and physicians to ensure optimal care is provided. Rules and Regulations: understand and follow agency policies, procedures, rules, and regulations and communicate changes in schedule/availability to schedulers or supervisors. Operations: Attend in-service training and mandatory agency meetings HARD & SOFT SKILLS: Compassionate communicator with a positive attitude Patience is a virtue when working with patients, families, physicians, and coworkers Attention to detail is critical, as is being observant and following directions REQUIREMENTS: Registered Nurse with current license in the state of employment Minimum one-year experience as an RN in an acute care setting Home care experience preferred Valid driver's license and auto insurance in your name as a driver Capable of all physical demands We are proud to be part of the Alternate Solutions Health Network family. #INDKHC9 We’ll help you put your passion for patient care to work. Apply today! This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice. We are an Equal Opportunity Employer.
RN Full-time
Alternate Solutions Health Network

Weekend RN (Registered Nurse), $10,000 Bonus!

Our culture and people are what set us apart from other post-acute care providers. We’re dedicated to the growth and development of our team to set them up for success. We CARE for our patients like they are our own FAMILY. *Now offering a $10,000 Bonus!* Schedule: Monday, Wednesday, Saturday 8:00 am to 5:00 pm Company: Kettering Home Care HOW YOU'LL MAKE A DIFFERENCE: As a Registered Nurse (RN) the work you do every day makes a difference in the lives of our patients. Our nurses give our patients the greatest gift – the ability to spend enhanced quality time with their loved ones in their preferred environment. As a RN you will have the opportunity to provide one on one patient care and work at the top of your license. You will utilize your leadership skills in coordinating care and provide home-based nursing care for patients as directed by an attending physician. You'll be part of an interdisciplinary team that focuses on providing compassionate quality care and producing positive outcomes for your patient population. Interacting with patients' families while caring for your patients and experiencing the rewarding privilege to be part of every step of their recovery journey. Home care provides context and real-world perspective about what will really help patients restore their health. WHAT WE OFFER: We make it easy to do your job and have competitive financial incentives. We've launched a new guaranteed base salary plus a generous uncapped bonus structure which is designed to reward excellence, encourage growth, and recognize the incredible impact our Clinicians make every day. We pay mileage and have additional bonus opportunities. Our schedules are flexible, and you'll have the support of a whole team, from scheduling to patient admissions. Our benefits package is also competitive in the market. We provide medical, dental, and vision insurance with flexibility for you to select what works best for you. Eligible teammates will also receive paid time off, opportunity to participate in 401k, company paid life insurance and access to a robust Employee Assistance Program. HOW YOU'LL WORK: You'll provide skilled nursing care in a patient's home as directed by the attending physician.. You will work autonomously, so you need to be efficient in managing your time. You'll be responsible for all practices and duties within the scope of practice outlined by the state. MAJOR AREAS OF RESPONSIBILITY: Plan of Care: Observe and monitor patient conditions and perform OASIS assessments (If you don’t already know this assessment, we will teach you!) to develop an individualized care plan and adjust as needs change. Minimize Patient Risk: Administers medication as prescribed by the physician and helps decrease re-hospitalizations by prioritizing visits for high-risk patients. Continuity of Care: Manage multi-disciplinary care as applicable while promoting continuity of care with appropriate admissions, transfers, and discharges. Family Educator/Advocate: Educate the patient and family on the disease processes using teach back methods to ensure patient and family understanding. Policies: Completes all clinical documentation following agency protocol and Medicare/Federal guidelines. Collaborates with the interdisciplinary team and physicians to ensure optimal care is provided. Rules and Regulations: understand and follow agency policies, procedures, rules, and regulations and communicate changes in schedule/availability to schedulers or supervisors. Operations: Attend in-service training and mandatory agency meetings HARD & SOFT SKILLS: Compassionate communicator with a positive attitude Patience is a virtue when working with patients, families, physicians, and coworkers Attention to detail is critical, as is being observant and following directions REQUIREMENTS: Registered Nurse with current license in the state of employment Minimum one-year experience as an RN in an acute care setting Home care experience preferred Valid driver's license and auto insurance in your name as a driver Capable of all physical demands We are proud to be part of the Alternate Solutions Health Network family. #INDKHC9 We’ll help you put your passion for patient care to work. Apply today! This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice. We are an Equal Opportunity Employer.
RN Full-time
Alternate Solutions Health Network

Registered Nurse (RN) Case Manager

Our culture and people are what set us apart from other post-acute care providers. We’re dedicated to the growth and development of our team to set them up for success. We CARE for our patients like they are our own FAMILY. SCHEDULE: Monday - Friday, 8:30am - 5:00pm COMPANY: Kettering Home Care HOW YOU'LL MAKE A DIFFERENCE: As a Registered Nurse Case Manager (RNCM) you will make a difference in the lives of our patients. Our nurses give our patients the greatest gift – the ability to spend enhanced quality time with their loved ones in their preferred environment. As a RNCM you will have the opportunity to provide one on one patient care and work at the top of your license. You will utilize your leadership skills in coordinating care and provide home-based nursing care for patients as directed by an attending physician. You'll be part of an interdisciplinary team that focuses on providing compassionate quality care and producing positive outcomes for your patient population. Interacting with patients' families while caring for your patients and experiencing the rewarding privilege to be part of every step of their recovery journey. Home care provides context and real-world perspective about what will really help patients restore their health. WHAT WE OFFER: We make it easy to do your job and have competitive financial incentives. We've launched a new guaranteed base salary plus a generous uncapped bonus structure which is designed to reward excellence, encourage growth, and recognize the incredible impact our Clinicians make every day. We pay mileage and have additional bonus opportunities. Our schedules are flexible, and you'll have the support of a whole team, from scheduling to patient admissions. Our benefits package is also competitive in the market. We provide medical, dental, and vision insurance with flexibility for you to select what works best for you. Eligible teammates will also receive paid time off, opportunity to participate in 401k, company paid life insurance and access to a robust Employee Assistance Program. HOW YOU'LL WORK: You’ll assume ultimate accountability and leadership for the assessment of the patient condition and plan of care. You will case manage and provide clinical care under the direction of the physician. You’ll educate patients and their family members and ensures the safety of the patient. You will work autonomously, so you need to be efficient in managing your time. You'll be responsible for all practices and duties within the scope of practice outlined by the state. MAJOR AREAS OF RESPONSIBILITY: Plan of Care: Observe and monitor patient conditions and perform OASIS assessments (If you don’t already know this assessment, we will teach you!) to develop an individualized care plan and adjust as needs change. Minimize Patient Risk: Administer medication as prescribed by the physician and help decrease re-hospitalizations by prioritizing visits for high-risk patients. Supervision: Oversee and supervise total care of patient provided by nurse aides and LPNs Continuity of Care: Manage multi-disciplinary care as applicable while promoting continuity of care with appropriate admissions, transfers, and discharges. Family Educator/Advocate: Educate the patient and family on the disease process using teach back methods to ensure patient and family understanding. Policies: Complete all clinical documentation following agency protocol and Medicare/Federal guidelines. Collaborate with the interdisciplinary team and physicians to ensure optimal care is provided. Rules and Regulations: Understand and follow agency policies, procedures, rules, and regulations and communicate changes in schedule/availability to schedulers or supervisors. Operations: Attend in-service training and mandatory agency meetings HARD & SOFT SKILLS: Compassionate communicator with a positive attitude Patience is a virtue when working with patients, families, physicians, and coworkers Attention to detail is critical, as is being observant and following directions REQUIREMENTS: Registered Nurse with current license in the state of employment Minimum one-year experience as an RN in an acute care setting. Home care experience preferred Valid driver's license and auto insurance in your name as a driver Capable of all physical demands We are proud to be part of the Alternate Solutions Health Network family. #INDKHC9 We’ll help you put your passion for patient care to work. Apply today! This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice. We are an Equal Opportunity Employer.
RN Full-time
Alternate Solutions Health Network

Registered Nurse (RN) On-Call

Our culture and people are what set us apart from other post-acute care providers. We’re dedicated to the growth and development of our team to set them up for success. We CARE for our patients like they are our own FAMILY. Schedule: Monday-Friday working 5:00 pm to 10:00 pm, on-call until 8:30 am Territory: Greene, Northern Montogmery, Preble and surrounding areas Company: Kettering Home Care HOW YOU'LL MAKE A DIFFERENCE: As a Registered Nurse (RN) On-Call you will make a difference in the lives of our patients. Our nurses give our patients the greatest gift – the ability to spend enhanced quality time with their loved ones in their preferred environment. As a RN On-Call you will support a team of nurses and patients by responding to after-hours patient needs. You will have the opportunity to provide one on one patient care and work at the top of your license. You'll be part of an interdisciplinary team that focuses on providing compassionate quality care and producing positive outcomes for your patient population. Interacting with patients' families while caring for your patients and experiencing the rewarding privilege to be part of every step of their recovery journey. Home care provides context and real-world perspective about what will really help patients restore their health. WHAT WE OFFER: We make it easy to do your job and have competitive financial incentives. This is a salaried position. We pay mileage and have bonus opportunities. Our benefits package is also competitive in the market. We provide medical, dental, and vision insurance with flexibility for you to select what works best for you. Eligible teammates will also receive paid time off, opportunity to participate in 401k, company paid life insurance and access to a robust Employee Assistance Program. HOW YOU'LL WORK: You will support patients by responding to after-hours needs. You'll provide skilled nursing care in a patient's home as directed by the attending physician. You will work autonomously, so you need to be efficient in managing your time. You'll be responsible for all practices and duties within the scope of practice outlined by the state. If there are minimal to no after-hours needs during your shift, you will help with chart review or patient phone calls from your home. MAJOR AREAS OF RESPONSIBILITY: • Plan of Care: Observe and monitor patient conditions and perform OASIS assessments (If you don’t already know this assessment, we will teach you!) to develop an individualized care plan and adjust as needs change. • Minimize Patient Risk: Administer medication as prescribed by the physician and help decrease re-hospitalizations by prioritizing visits for high-risk patients. • Supervision: Oversee and supervise total care of patient provided by nurse aides and LPNs • Continuity of Care: Manage multi-disciplinary care as applicable while promoting continuity of care with appropriate admissions, transfers, and discharges. • Family Educator/Advocate: Educate the patient and family on the disease process using teach back methods to ensure patient and family understanding. • Policies: Complete all clinical documentation following agency protocol and Medicare/Federal guidelines. Collaborate with the interdisciplinary team and physicians to ensure optimal care is provided. • Rules and Regulations: Understand and follow agency policies, procedures, rules, and regulations and communicate changes in schedule/availability to schedulers or supervisors. • Operations: Attend in-service training and mandatory agency meetings. • Chart Review: Complete chart reviews, if needed based upon after-hours needs, to support patient care and regulatory compliance. HARD & SOFT SKILLS: • Compassionate communicator with a positive attitude • Patience is a virtue when working with patients, families, physicians, and coworkers • Attention to detail is critical, as is being observant and following directions REQUIREMENTS: • Registered Nurse with current license in the state of employment. • Minimum one-year experience as an RN in an acute care setting. Home care experience preferred. • Valid driver's license and auto insurance in your name as a driver. • Designated workspace at home to assist with chart reviews if there are minimal to no after-hours needs. • Capable of all physical demands. We are proud to be part of the Alternate Solutions Health Network family. #INDKHC9 We’ll help you put your passion for patient care to work. Apply today! This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice. We are an Equal Opportunity Employer.