Nursing Jobs in Milford, DE

Beebe Healthcare

RN / REGISTERED NURSE - OR FIRST ASSISTANT

Why Beebe? Become part of the Beebe team - an inclusive team positioned in a vibrant, coastal community. Enjoy a fulfilling career as you support the health of our patients and a team focused on excellence. Benefits In addition to competitive compensation and wellness benefits (medical, dental, vision and prescription) Beebe Healthcare also offers: Sign-on and Referral Bonuses for select positions Tuition Assistance up to $5,000 Paid Time Off Long Term Sick accrual Employer Contribution Plan Free Short and Long-Term Disability for Full Time employees Zero copay for drugs on prescription plan for certain conditions College Bound 529 Savings Plan Life Insurance Beebe Perks via WorkAdvantage Employee Assistance Program Pet Insurance Overview RN First Assistant – Full Time | Beebe Healthcare Beebe Healthcare is seeking a skilled and compassionate Registered Nurse First Assistant (RNFA) to join our dynamic surgical services team. In this full-time role, the RN First Assistant will play an essential part in providing expert perioperative nursing care, supporting surgeons, and ensuring optimal patient outcomes in the operating room. The RNFA is a clinically competent professional nurse with demonstrated expertise in the perioperative setting. This role encompasses the full nursing process, including assessment, planning, intervention, implementation, and evaluation, while providing direct assistance during surgical procedures. The RNFA collaborates with surgeons, anesthesiologists, and the perioperative team to deliver safe, efficient, and high-quality patient care. Key Responsibilities: Deliver comprehensive perioperative care to surgical patients. Perform first assistant duties, including tissue handling, wound exposure, suturing, and hemostasis. Collaborate with the surgical team to ensure safe and effective operative outcomes. Utilize critical thinking and clinical expertise in preoperative, intraoperative, and postoperative care. Support Beebe Healthcare’s mission of excellence in patient-centered care. Responsibilities Demonstrates competency in performance of scrub/surgical routines and aseptic technique- utilizes proper scrub, gown and gloving technique for self, surgeon, and assistant ongoing monitoring of asepsis in all roles-scrub, circulator, and assistant anticipates needs of surgeon consistently recognizes sequence of procedures in all roles-scrub, circulator, and assistant passes instruments correctly appropriate review and preparation for assigned procedures. Understands and utilizes established guidelines for operation of autoclaves and steris units performs daily A-Test/Biological tests as required performs proper care, handling, and assembly of instruments for processing ensures complete/thorough documentation of all flash and steris cycles as per protocol. Accepts personal accountability for proper handling, judicious use, and optimum care of all department supply, instrument, and equipment inventory. Utilizes the nursing process throughout the perioperative setting per patient assessment collecting, interpreting, recording, and communicating pertinent data relevant to patient care in surgery care planning-utilization of collected data to plan appropriately for intraoperative nursing care implementing-provides direct patient care to meet physical and psychological needs evaluating care-continuously evaluates patient response to nursing intervention and modifies care plan to achieve desired outcome. Demonstrates and conveys theoretical knowledge and skills related to perioperative nursing care--understands the "why" concept as well as the "how" process. Thorough/Accurate/Complete documentation of intraoperative patient care. Understands / Demonstrates / Conveys knowledge related to proper intraoperative patient positioninG universal skin care precautions prevention of nerve damage prevention of pressure related skin breakdown. Assists with completion and accuracy of surgical sponge, sharps/miscellaneous items, and instrument counts as per established policies and guidelines. Assists with maintenance of up-to-date preference sheets in conjunction with Resource RNs and department Nurse Managers. Effectively demonstrates critical thinking, prioritization of duties, and time management skills throughout the perioperative arena. Maintains accuracy with patient charge process, cost efficient usage of case supplies, and ensures all pertinent data is provided to post case data personnel to facilitate a time efficient billing process. Strives to ensure efficiency in turn around time between procedures- readily available communication with OR Desk/Charge RN and/or department Nurse Manager gross cleaning of body fluid spills to confine contamination throughout the procedure prioritization of case completion process assists with room clean up tasks as necessary prioritizes case set up process toward maximum efficiency. Initiate appropriate intraoperative behaviors unique to first assisting: provide hemostasis to reduce potential for fluid volume deficit by clamping and/or legating vessels using ESU, direct pressure, applying chemical agents that promote coagulation and other means as directed by the surgeon provide exposure of the operative site through appropriate use of retractors, other instruments, and through suctioning and sponging use surgical instruments skillfully in ways consistent with their design and purpose as directed by the surgeon. Accreditation/Regulatory Compliance Qualifications Prefer minimum of 1 year recent perioperative experience as an RN First Assistant . Must be knowledgeable regarding the nursing process and its application--assessment, planning, implementation, and evaluation. Competencies Skills Essential: * Experience In Hospital Or Acute Care Setting * Clear Communication Skills Both Written And Verbal * Able To Keep Confidential Information Regarding Patients, Team Members * Able To Withstand Crisis Situations * Has Skills To Provides Customer Service To Patients, Team Members And Visitors * Knowledge And Experience With Electronic Health Records Credentials Essential: * RN - Registered Nurse * BLS - Basic Life Saving certification Nonessential: * CNOR - Certified Nursing - OR Education Essential: * RN Diploma/RN Graduate Program Entry USD $39.88/Hr. Max USD $65.80/Hr.
Beebe Healthcare

RN / REGISTERED NURSE - OPERATING ROOM (LEWES)

Why Beebe? Become part of the Beebe team - an inclusive team positioned in a vibrant, coastal community. Enjoy a fulfilling career as you support the health of our patients and a team focused on excellence. Join our Nursing Team and Cultivate your Career: At Beebe, we care about your professional nursing path and want to foster the growth and development of your career. Whether you decide to further your education, gain professional certifications, learn a new specialty area, educate or lead – we support it all. We do so by offering a nursing graduate residency program, clinical ladder, professional certification reimbursement, certification preparation curriculums, generous tuition assistance, flexible scheduling and shared governance where you can help guide nursing professional practice and have a voice as a bedside nurse. Benefits In addition to competitive compensation and wellness benefits (medical, dental, vision and prescription) Beebe Healthcare also offers: Sign-on and Referral Bonuses for select positions Tuition Assistance up to $5,000 Paid Time Off Long Term Sick accrual Employer Contribution Plan Free Short and Long-Term Disability for Full Time employees Zero copay for drugs on prescription plan for certain conditions College Bound 529 Savings Plan Life Insurance Beebe Perks via WorkAdvantage Employee Assistance Program Pet Insurance Overview Are you a skilled and dedicated Registered Nurse with a passion for perioperative nursing? Step into an exhilarating role as an Operating Room RN, where your clinical competence and expertise will shine. Join our dynamic surgical team and play a vital role in delivering exceptional perioperative care to our patients. As an Operating Room RN, you will: Utilize your extensive knowledge in the perioperative field to provide top-tier care throughout the surgical process. Conduct thorough assessments, develop detailed care plans, and execute precise interventions to ensure optimal patient outcomes. Implement and evaluate individualized nursing care for surgical patients, ensuring a smooth and safe surgical experience. Collaborate seamlessly with surgeons, anesthesiologists, and other healthcare professionals to create a cohesive and efficient surgical environment. Be an advocate for patient safety and comfort, delivering compassionate care that meets the highest standards of quality. If you are a registered nurse with a demonstrated expertise in perioperative care and a commitment to excellence, we invite you to join our team. This is your opportunity to thrive in a fast-paced, supportive environment where your skills and dedication will make a profound impact on patients' lives. Apply today and become a key player in our surgical success! Responsibilities Demonstrates competency in performance of scrub/surgical routines and aseptic technique- utilizes proper scrub, gown and gloving technique for self, surgeon, and assistant ongoing monitoring of asepsis in all roles--scrub, circulator, and assistant anticipates needs of surgeon consistently recognizes sequence of procedures in all roles--scrub, circulator, and assistant passes instruments correctly; appropriate review and preparation for assigned procedures. Understands and utilizes established guidelines for operation of autoclaves and steris units--performs daily A-Test/Biological tests as required; performs proper care, handling, and assembly of instruments for processing ensures complete/thorough documentation of all flash and steris cycles as per protocol. Accepts personal accountability for proper handling, judicious use, and optimum care of all department supply, instrument, and equipment inventory. Utilizes the nursing process throughout the perioperative setting per patient assessment- collecting, interpreting, recording, and communicating pertinent data relevant to patient care in surgery care planning--utilization of collected data to plan appropriately for intraoperative nursing care implementing--provides direct patient care to meet physical and psychological needs evaluating care--continuously evaluates patient response to nursing intervention and modifies care plan to achieve desired outcome. Demonstrates and conveys theoretical knowledge and skills related to perioperative nursing care--understands the "why" concept as well as the "how" process. Thorough/Accurate/Complete documentation of intraoperative patient care. Understands / Demonstrates / Conveys knowledge related to proper intraoperative patient positioning- universal skin care precautions prevention of nerve damage prevention of pressure related skin breakdown. Assists with completion and accuracy of surgical sponge, sharps /miscellaneous items, and instrument counts as per established policies and guidelines. Assists with maintenance of up-to-date preference sheets in conjunction with Resource RNs and department PCCs. Effectively demonstrates critical thinking, prioritization of duties, and time management skills throughout the perioperative arena. Maintains accuracy with patient charge process, cost efficient usage of case supplies, and ensures all pertinent data is provided to post case data personnel to facilitate a time efficient billing process. Strives to ensure efficiency in turn- around time between procedures readily available; communication with OR Desk/Charge RN and/or department PCC; gross cleaning of body fluid spills to confine contamination throughout the procedure prioritization of case completion process assists with room clean up tasks as necessary prioritizes case set up process toward maximum efficiency. Qualifications Must be knowledgeable regarding the nursing process and its application--assessment, planning, implementation, and evaluation. Prefer minimum of 1 year recent perioperative experience. Ability to lift up to 50 lbs. Competencies Skills Essential: * Experience In Hospital Or Acute Care Setting * Clear Communication Skills Both Written And Verbal * Able To Keep Confidential Information Regarding Patients, Team Members * Able To Withstand Crisis Situations * Has Skills To Provides Customer Service To Patients, Team Members And Visitors * Knowledge And Experience With Electronic Health Records Credentials Essential: * RN - Registered Nurse * BLS - Basic Life Saving certification Education Essential: * RN Diploma/RN Graduate Program Entry USD $36.20/Hr. Max USD $59.73/Hr.
Beebe Healthcare

OR - SURGICAL TECH II

Why Beebe? Become part of the Beebe team - an inclusive team positioned in a vibrant, coastal community. Enjoy a fulfilling career as you support the health of our patients and a team focused on excellence. In addition to competitive compensation and wellness benefits (medical, dental, vision, and prescription) Beebe Healthcare also offers: Sign-on and Referral Bonuses for select positions Tuition Assistance up to $5,000 Paid Time Off Long Term Sick accrual Employer Contribution Plan Free Short and Long-Term Disability for Full Time employees Zero copay for drugs on prescription plan for certain conditions College Bound 529 Savings Plan Life Insurance Beebe Pers via WorkAdvantage Employee Assistance Program Pet Insurance Overview Beebe Healthcare is seeking a skilled and detail-oriented Surgical Technologist to join our dynamic Operating Room (OR) team at our award-winning hospitals in Lewes and Rehoboth Beach, Delaware . This is an exciting opportunity to support surgical services in a fast-paced environment, delivering high-quality patient care in collaboration with a compassionate, multidisciplinary team. Responsibilities Follows established procedures for surgical intervention--utilizes appropriate preference sheets, checks case cart for accuracy of on-hand supplies, obtains appropriate items for procedures. Follows established guidelines related to aseptic technique--utilizes proper scrub, gown and gloving technique for self, surgeon, and assistant; ongoing monitoring of asepsis throughout surgical procedures and reports breaks immediately. Demonstrates expertise in performance of scrub/surgical routines--anticipates needs of surgeon; consistently recognizes sequence of procedures; understands rationale of instrument usage; passes instruments correctly; appropriate review and preparation for assigned procedures. Consistently demonstrates knowledge of instrument usage, assembly of instrument sets, case set-up procedures, break-down of instruments set-ups, and protocol for transport to SPD for processing. Understands and utilizes established guidelines for operation of autoclaves and steris units--performs daily A-Test/Biological tests as required; performs proper care, handling, and assembly of instruments for processing; ensures complete/thorough documentation of all flash and steris cycles as per protocol. Accepts personal accountability for proper handling, judicious use, and optimum care of all department supply, instrument, and equipment inventory. Assists the RN with planning patient care--routine and special needs, patient positioning, surgical skin prep, documentation, and accuracy of patient charge process. Confines and contains sources of contamination throughout the surgical procedure--maintains neat and orderly sterile field, ensures ongoing gross cleaning of instrumentation, etc. Assists with ongoing maintenance of up-to-date preference sheets in coordination with circulating RN, Resource RNs, and department PCCs. Strives to ensure efficiency in turn around time between procedures--readily available; communication with circulating RN, OR Desk/Charge RN and/or department PCC; assists with room clean up tasks as necessary; prioritizes case set up process toward maximum efficiency. Qualifications Must possess one (1) year experience in hospital setting. Prefer minimum of 1 year current operating room experience. Ability to lift up to 50 lbs. Graduated from a Surgical Technology program CST preferred Competencies Skills * Clear Communication Skills Both Written And Verbal * Able To Keep Confidential Information Regarding Patients, Team Members * Able To Withstand Crisis Situations * Has Skills To Provides Customer Service To Patients, Team Members And Visitors * Knowledge And Experience With Electronic Health Records Credentials Essential: BLS - Basic Life Saving certification Non-Essential: *Certified Surgical Technologist (CST) Education Essential: * High school graduate or equivalent * Graduate of a surgical technology training program Entry USD $24.62/Hr. Max USD $38.16/Hr.
Bayhealth

Nurse Practitioner, Specialty

$143,894 - $223,038 / year
If you care about the opportunity to grow, to make a difference, to build a future and a life, then we just might have the career for you. Care to talk? Bayhealth Medical Center is Central and Southern Delaware’s healthcare leader with hospitals in Dover and Milford, as well as stand-alone Emergency Department in Smyrna and a hybrid Emergency Department and Urgent Care in Milton. We offer various practice settings throughout Kent and Sussex Counties. Bayhealth Medical Center Kent Campus is 90 minutes from Philadelphia, Washington, DC and Baltimore. Our Sussex Campus is 30 minutes to the Delaware beaches and relaxation in the sand! Bayhealth Medical Center offers a competitive salary and comprehensive benefits package (for eligible positions) including: Generous Paid Time Off and Paid Holidays Matching 401(k)/403(b) Plans Excellent Health, Dental, and Vision Disability and Life Insurance options On Site Child Care Educational Reimbursement Health Care and Dependent Care Flex Spending Accounts Plus, an array of Voluntary Benefits to include Critical Care Coverage and more! Location: Kent Campus Hospital Status: Full Time 80 Hours Shift: Day/ Evening SALARY RANGE: 143,894.40 - 223,038.40YEARLY General Summary: Works independently and with autonomous collaboration with physician to provide complete physical examinations, diagnosis, and treatment of both chronic and episodic disorders. Ensures proper illness and injury care and disease prevention, diagnosis, treatment, and recovery. The Nurse Practitioner works within a collaborative model to provide quality care and to improve patient outcomes by strengthening continuity of care in all settings for patients, families, and staff in both the hospital and physician practice settings. When department/case applicable, the Nurse Practitioner (NP) remains responsible for the patient throughout the course of the treatment, provides the physical examination, the diagnosis, and the health care plan, determines when the patient has recovered, and releases the patient. The NP may refer the patient to physicians for consultation or to specialized health resources for treatment but retains responsibility for clinical management as well as any subsequent medication. Responsibilities: Appropriately prescribes pharmaceuticals according to age, chronic medical conditions, allergies, drug interactions, and duration of therapy. Perform routine and specialty physical exams and document specific age-related preventative health screening. Educates and counsels patients to promote wellness. Addresses and provides resources for health risk behaviors. Interprets diagnostic tests for patient and provides appropriate referrals or consultations. Performs technical and surgical procedures for patients as necessary. Appropriately dispenses pharmaceuticals according to age, chronic medical conditions, allergies, drug interactions, and duration of therapy. Completes patient discharge planning and education; writes appropriate orders and prescriptions. Performs patient education and counseling to promote wellness. Evaluates patient’s progress toward attaining expected outcomes. Evaluates effectiveness of interventions in relation to outcomes. Documents patient’s response to interventions. Upholds the professional code of ethics. Keeps all licenses/certifications up to date (including ACLS and PALS, if applicable). All other duties as assigned, within the scope and range of job responsibilities. Required Education, Credential(s) and Experience: Education: Master Degree Nurse Practitioner Credential(s): Basic Life Support Registered Nurse Nurse Practitioner Nurse Practitioner - Controlled Substances Registration Experience: Required: No experience necessary. Preferred: Three (3) years' experience as a Nurse Practitioner in specific area of practice. Preferred Education, Credential(s) and Experience: Education: Credential(s): Experience: To view a full list of all open position at Bayhealth, please visit: https://apply.bayhealth.org/join/ Show more Show less
Beebe Healthcare

NURSE PRACTITIONER - ONCOLOGY INPATIENT

$116,828 - $156,118 / year
Why Beebe? Become part of the Beebe team - an inclusive team positioned in a vibrant, coastal community. Enjoy a fulfilling career as you support the health of our patients, and a team focused on excellence. Overview This individual serves as a comprehensive health care provider providing follow-up care, assessment, diagnosis, and therapeutic procedures within the scope of advanced nursing practice in collaboration with Beebe Medical Center employed Medical Oncology physicians. Manages care given to Beebe Medical Center clients during outpatient clinic visits and inpatients when requested. Functions within approved scope and credentials as approved by Beebe Medical Center policies. Follow(s) established nursing standards, procedures, guidelines and protocols and gives specific patient care directions to patients, families, nursing and other staff when appropriate. Responsibilities Patient Assessments. Performs comprehensive assessments, utilizing focused medical and psychosocial history and physical examination. Keeps physician(s) informed, as is appropriate, of needs and problems related to patient care. Critical thinking/Evaluation and Interpretation of Diagnostics. Demonstrates critical thinking, prioritization, and time management skills based on patient assessment and interpretation of test results. Documentation. Effectively maintains confidential records, completes documentation timely, accurately and consistently, and reports findings as patient's condition requires. Documentation always provides justification for therapies ordered and reimbursement for services rendered. Comprehensive Plan of Care. Works in collaboration with attending physician to develop a comprehensive plan of care based on current theories and advanced clinical knowledge and expertise to include selection of appropriate pharmacologic agents, referrals and end of life care. Performance of Clinical Treatments and Procedures. Implements clinical treatments based on expert knowledge and technical competency to patients within specialty area. Makes referrals when appropriate. Communication. Communicates in a positive manner with physicians, patients, families, and co-workers. Demonstrates ability to facilitate positive relationships with all contacts. Communicates needed information to co-workers and supervisors and seeks answers to current issues, providing pertinent information to supervisors. Patient Education. Provides health education to patients and families regarding drugs and management of side effects, anticipatory teaching. Participates in formal and informal instruction of nurses, students and other health care professionals. Keeps current by attending continuing education programs, review of the literature related to clinical practice, or through writing publications. Research. Manages and participates in clinical trials program in the cancer center, including supervision of research nurses, ledgers for volumes and revenue and regular reporting of progress. Performance Improvement. Participates in all phases of the performance improvement process in the department and identifies areas in need of investigation. Other Duties. Performs other duties as assigned. Competencies Skills Essential: Experience In Hospital Or Acute Care Setting Clear Communication Skills Both Written And Verbal Knowledge Of Basic Computer Programs Able To Keep Confidential Information Regarding Patients, Team Members Able To Withstand Crisis Situations Has Skills To Provides Customer Service To Patients, Team Members And Visitors Knowledge And Experience With Electronic Health Records Credentials Essential: NP - Nurse Practitioner BLS - Basic Life Saving certification Education Essential: Master of Science in Nursing Other Information Clinical preceptorship in Medical Oncology and/or a minimum of five years in clinical oncology nursing. Entry USD $116,828.00/Yr. Expert USD $156,118.00/Yr.
Beebe Healthcare

ADVANCED PRACTICE CLINICIAN (APC) Medical Oncology - Nurse Practitioner

Why Beebe? Become part of the Beebe team - an inclusive team positioned in a vibrant, coastal community. Enjoy a fulfilling career as you support the health of our patients and a team focused on excellence. Overview This individual is a clinically competent, certified advanced practitioner, who serves in the comprehensive care of the medical oncology and hematology patient throughout the continuum of care. Under the scope of an advanced practice clinician and approve privileges within Beebe Healthcare, the individual is expected to perform comprehensive patient assessments, follow-up care, diagnosis, side effect and infusion reaction management, survivorship care services, and patient education/counseling in collaboration with the medical oncology physicians. Follow(s) established advanced practice standards, procedures, and guidelines/protocols to give direction to patients, families, nursing and other staff when appropriate. Responsibilities Performs comprehensive assessments for new and established oncology and hematology patients. Management of complex oncology and hematology patients to include side effect management, diagnosis, and treatment. Demonstrates critical thinking, prioritization of duties, and time management skills based on patient assessment and interpretation of test results. Serves as the primary clinical support for the infusion center when assigned. Duties include management of infusion reactions, patient care needs presented by nursing and pharmacy, coverage of triage issues and assessments, and critical lab and radiology results. Formulate and implement survivorship care plans for all curable cancer patients. Identify and initiate referrals to palliative care. Collaborate with the palliative care team for management of patient's ongoing care. Communicates positively and effectively with patients, families, physicians and the multidisciplinary oncology team. Coordinates patient care with PCP and specialty providers when appropriate. Provides detailed education and counseling to patients and families regarding diagnosis, goals of therapy, expectations, and treatment related side effects and management. Develop a comprehensive plan of care in collaboration with the attending oncologist to include selection of appropriate pharmacologic agents, referrals, and end of life care. Inpatient oncology and hematology acute care coverage to include rapid assessment and treatment of acutely ill oncology/hematology patients. Collaborate with medical oncologist and inpatient disciplines to determine the most appropriate level of care. Assist in the admission and discharge of patients receiving inpatient chemotherapy in collaboration with the attending oncology physician. Administration of intrathecal chemotherapy in collaboration with interventional radiology. Provide after-hours call coverage as part of a rotating schedule to include phone triage, clinical decision-making, and urgent inpatient/outpatient concerns in conjunction with on-call oncologist. Other duties as assigned Qualifications Education/Experience Graduate from an accredited Physician Assistant or Nurse Practitioner program. Previous experience in oncology as provider or nursing preferred. Licensure/Certification Licensure as an advanced practice clinician (PA or NP) in the state of Delaware or ability to obtain with offer letter. DEA licensure or ability to obtain prior to credentialing. Current BLS certification per American Heart Associate guidelines. Other Information Education/Experience Graduate from an accredited Physician Assistant or Nurse Practitioner program. Previous experience in oncology as provider or nursing preferred. Licensure/Certification Licensure as an advanced practice clinician (PA or NP) in the state of Delaware or ability to obtain with offer letter. DEA licensure or ability to obtain prior to credentialing. Current BLS certification per American Heart Associate guidelines. Entry USD $126,471.00/Yr. Max USD $172,088.00/Yr.
Beebe Healthcare

RN / REGISTERED NURSE - MED/SURG TELEMETRY - PART TIME

Why Beebe? Become part of the Beebe team - an inclusive team positioned in a vibrant, coastal community. Enjoy a fulfilling career as you support the health of our patients and a team focused on excellence. Join our Nursing Team and Cultivate your Career: At Beebe, we care about your professional nursing path and want to foster the growth and development of your career. Whether you decide to further your education, gain professional certifications, learn a new specialty area, educate or lead – we support it all. We do so by offering a nursing graduate residency program, clinical ladder, professional certification reimbursement, certification preparation curriculums, generous tuition assistance, flexible scheduling and shared governance where you can help guide nursing professional practice and have a voice as a bedside nurse. Benefits In addition to competitive compensation and wellness benefits (medical, dental, vision and prescription) Beebe Healthcare also offers: Sign-on and Referral Bonuses for select positions Tuition Assistance up to $5,000 Paid Time Off Long Term Sick accrual Employer Contribution Plan Free Short and Long-Term Disability for Full Time employees Zero copay for drugs on prescription plan for certain conditions College Bound 529 Savings Plan Life Insurance Beebe Perks via WorkAdvantage Employee Assistance Program Pet Insurance Overview Are you an adaptable and skilled Registered Nurse ready to take on an exciting challenge? Join our innovative Acuity Adaptable Unit, where you will provide top-notch nursing care to patients with varying levels of acuity. This unique environment allows for a seamless transition of care, ensuring patients receive consistent and high-quality medical attention throughout their stay. As an RN in our Acuity Adaptable Unit, you will: Deliver comprehensive and compassionate nursing care to patients across a spectrum of medical conditions, from stable to critical. Utilize your broad clinical expertise to assess, plan, implement, and evaluate individualized patient care plans. Work in a flexible and dynamic setting, adapting quickly to changes in patient acuity and care requirements. Collaborate closely with a multidisciplinary team of healthcare professionals to ensure optimal patient outcomes. Provide education and support to patients and their families, empowering them with the knowledge and confidence to manage their health. If you are a dedicated RN with a passion for providing exceptional patient care in a versatile and fast-paced environment, we invite you to join our Acuity Adaptable Unit. This is an incredible opportunity to grow your skills, make a meaningful impact, and be part of a forward-thinking healthcare team. Apply today and take the next step in your nursing career! Responsibilities Facilitates, implements, and evaluates the Patient Plan of Care and outcomes. Collaborates with the health care team to promote positive patient outcomes. Is seen as a patient advocate. Timely implementation of nursing interventions. Technical Skills: demonstrates appropriate clinical skills and technical competence in providing patient care. Critical Thinking: demonstrates appropriate clinical judgment. Assesses, analyzes and communicates patient information in a timely manner. Documentation: Accurately and promptly documents all patient assessments, interventions , responses and provider communication. Assess patient safety risk factors and identifies those patients requiring specific safety interventions including skin integrity, fall risk & appropriate use of restraints. Follows medication safety policy. Promptly initiates appropriate interventions for safety needs. Completes Safety Tracking Tools as required. Delegation and supervision: supervises assigned staff, delegates appropriately, takes responsibility for all care provided to patients assigned. Reports all performance issues of team members to ensure all patients receive appropriate care and attention. Educational needs of patient: Assesses educational needs of patient and family, provides appropriate written and verbal instructions. Documents assessment and education provided. Provider orders: Performs ongoing review, initiation and implementation of patient orders in a timely manner every shift. Prioritization: prioritizes responsibilities and issues, taking into account urgency, patient needs, and seeks appropriate resources. Problem solves independently. Multitasks efficiently and demonstrates effective time management skills. Professional Accountability: Independently seeks out other clinical experiences to enhance knowledge base. Actively assists others and accepts additional duties or assignments. Timely completion of assigned education and annual competencies. Actively engaged in unit based councils and performance improvement. Recognizes unit needs and works to help facilitate solutions. Qualifications ACLS preferred at hire or must be successfully obtained within 90 days of hire Competencies Skills Essential: * Experience In Hospital Or Acute Care Setting * Clear Communication Skills Both Written And Verbal * Able To Keep Confidential Information Regarding Patients, Team Members * Able To Withstand Crisis Situations * Has Skills To Provides Customer Service To Patients, Team Members And Visitors * Knowledge And Experience With Electronic Health Records Credentials Essential: * RN - Registered Nurse * BLS - Basic Life Saving certification * NIH - Stroke Certification Education Essential: * RN Diploma/RN Graduate Program Entry USD $36.20/Hr. Max USD $59.73/Hr.
Beebe Healthcare

RN / REGISTERED NURSE - RN FIRST ASSIST - OPERATING ROOM (PART TIME)

Why Beebe? Become part of the Beebe team - an inclusive team positioned in a vibrant, coastal community. Enjoy a fulfilling career as you support the health of our patients and a team focused on excellence. Benefits In addition to competitive compensation and wellness benefits (medical, dental, vision and prescription) Beebe Healthcare also offers: Sign-on and Referral Bonuses for select positions Tuition Assistance up to $5,000 Paid Time Off Long Term Sick accrual Employer Contribution Plan Free Short and Long-Term Disability for Full Time employees Zero copay for drugs on prescription plan for certain conditions College Bound 529 Savings Plan Life Insurance Beebe Perks via WorkAdvantage Employee Assistance Program Pet Insurance Overview Part-Time RNFA – Perioperative Nursing | Beebe Healthcare Join the surgical team at Beebe Healthcare , where your skills and experience as a Registered Nurse First Assistant (RNFA) will make a lasting impact. We are currently seeking a part-time RNFA to support our perioperative services in delivering safe, efficient, and expert surgical care to patients across Sussex County. As a clinically competent, registered professional nurse , the RNFA demonstrates advanced proficiency in perioperative nursing and intraoperative first assisting. This position plays an integral role in the surgical team by collaborating with surgeons and operating room staff to ensure high-quality patient outcomes. The RNFA uses the full scope of the nursing process – assessment, planning, intervention, implementation, and evaluation – to deliver comprehensive surgical care and support throughout the perioperative continuum. Responsibilities Demonstrates competency in performance of scrub/surgical routines and aseptic technique--utilizes proper scrub, gown and gloving technique for self, surgeon, and assistant; ongoing monitoring of asepsis in all roles--scrub, circulator, and assistant; anticipates needs of surgeon; consistently recognizes sequence of procedures in all roles--scrub, circulator, and assistant; passes instruments correctly; appropriate review and preparation for assigned procedures. Understands and utilizes established guidelines for operation of autoclaves and steris units--performs daily A-Test/Biological tests as required; performs proper care, handling, and assembly of instruments for processing; ensures complete/thorough documentation of all flash and steris cycles as per protocol. Accepts personal accountability for proper handling, judicious use, and optimum care of all department supply, instrument, and equipment inventory. Utilizes the nursing process throughout the perioperative setting per patient assessment--collecting, interpreting, recording, and communicating pertinent data relevant to patient care in surgery; care planning--utilization of collected data to plan appropriately for intraoperative nursing care; implementing--provides direct patient care to meet physical and psychological needs; evaluating care--continuously evaluates patient response to nursing intervention and modifies care plan to achieve desired outcome. Demonstrates and conveys theoretical knowledge and skills related to perioperative nursing care--understands the "why" concept as well as the "how" process. Thorough/Accurate/Complete documentation of intraoperative patient care. Understands / Demonstrates / Conveys knowledge related to proper intraoperative patient positioning--universal skin care precautions; prevention of nerve damage; prevention of pressure related skin breakdown. Assists with completion and accuracy of surgical sponge, sharps/miscellaneous items, and instrument counts as per established policies and guidelines. Assists with maintenance of up-to-date preference sheets in conjunction with Resource RNs and department Nurse Managers. Effectively demonstrates critical thinking, prioritization of duties, and time management skills throughout the perioperative arena. Maintains accuracy with patient charge process, cost efficient usage of case supplies, and ensures all pertinent data is provided to post case data personnel to facilitate a time efficient billing process. Strives to ensure efficiency in turn around time between procedures--readily available; communication with OR Desk/Charge RN and/or department Nurse Manager; gross cleaning of body fluid spills to confine contamination throughout the procedure; prioritization of case completion process; assists with room clean up tasks as necessary; prioritizes case set up process toward maximum efficiency. Initiate appropriate intraoperative behaviors unique to first assisting: provide hemostasis to reduce potential for fluid volume deficit by clamping and/or legating vessels using ESU, direct pressure, applying chemical agents that promote coagulation and other means as directed by the surgeon; provide exposure of the operative site through appropriate use of retractors, other instruments, and through suctioning and sponging; use surgical instruments skillfully in ways consistent with their design and purpose as directed by the surgeon. Accreditation/Regulatory Compliance Qualifications Current RN license in the State of Delaware or compact state Completion of an accredited RNFA program CNOR certification preferred Minimum of 2 years of recent perioperative nursing experience Strong clinical judgment, communication skills, and commitment to patient-centered care Competencies Skills Essential: * Experience In Hospital Or Acute Care Setting * Clear Communication Skills Both Written And Verbal * Able To Keep Confidential Information Regarding Patients, Team Members * Able To Withstand Crisis Situations * Has Skills To Provides Customer Service To Patients, Team Members And Visitors * Knowledge And Experience With Electronic Health Records Credentials Essential: * RN - Registered Nurse * BLS - Basic Life Saving certification Nonessential: * CNOR - Certified Nursing - OR Education Essential: * RN Diploma/RN Graduate Program Entry USD $39.88/Hr. Max USD $65.80/Hr.
Beebe Healthcare

Advanced Practice Clinician (APC): Nurse Practitioner (NP) or Physician Assistant (PA) - Primary Care - MILTON

Why Beebe? Why Beebe?Become part of the Beebe team - an inclusive team positioned in a vibrant, coastal community. Enjoy a fulfilling career as you support the health of our patients and a team focused on excellence. Overview This individual provides direct patient care as the Center's Physician Assistant or Nurse Practitioner according to established protocols, policies, procedures, and accepted standards of care. Functions within approved scope and credentials as approved by Beebe Medical Center credentialing committee. Follow established nursing standards, procedures, and practices, and gives specific patient care directions to nursing and other staff. Responsibilities Provide accurate and timely assessment. evaluation and treatment of patients from six (6) months to the geriatric population. Diagnostics- Ability to accurately interpret electrocardiogram and lab tests results. Provide accurate and timely diagnosis and care management to patients with chronic illnesses, such as hypertension, diabetes mellitus and asthma. Promote disease prevention by using effective risk assessment, coaching and counseling skills. As appropriate, provide timely and accurate completion of Annual Medicare Wellness physicals in accordance with Beebe Medical Group policy and Medicare guidelines. Ability to appropriately handle unexpected emergent medical situations. Ability to communicate effectively and in a professional manner with patients, co-workers and healthcare providers. Possess an energetic, compassionate and efficient work ethic with strong organizational skills and effective customer service skills. Other duties as assigned, including but not limited to working at other Primary Care locations within Beebe Medical Group as necessary. Qualifications Prefer previous experience in Family Medicine, Wellness Center, or Internal Medicine. Competencies Skills * Clear Communication Skills Both Written And Verbal * Knowledge Of Basic Computer Programs * Able To Keep Confidential Information Regarding Patients, Team Members * Able To Withstand Crisis Situations * Has Skills To Provides Customer Service To Patients, Team Members And Visitors * Knowledge And Experience With Electronic Health Records Credentials *NP - Nurse Practitioner *PA - Physician Assistant *BLS - Basic Life Saving certification Education Other Information Prefer previous experience in Family Medicine, Wellness Center, or Internal Medicine. Entry USD $0.00/Hr. Max USD $300.00/Hr.
Beebe Healthcare

RN FIRST ASSIST - OPERATING ROOM - PER DIEM

Why Beebe? Become part of the Beebe team - an inclusive team positioned in a vibrant, coastal community. Enjoy a fulfilling career as you support the health of our patients and a team focused on excellence. Overview This individual is a clinically competent, registered, professional nurse who has demonstrated expertise in the perioperative field. He/she effectively delivers perioperative care to the surgical patient through the nursing process of assessment, planning, intervention, implementation, and evaluation. Has completed RN First Assist training. Responsibilities Demonstrates competency in performance of scrub/surgical routines and aseptic technique--utilizes proper scrub, gown and gloving technique for self, surgeon, and assistant; ongoing monitoring of asepsis in all roles--scrub, circulator, and assistant; anticipates needs of surgeon; consistently recognizes sequence of procedures in all roles--scrub, circulator, and assistant; passes instruments correctly; appropriate review and preparation for assigned procedures. Understands and utilizes established guidelines for operation of autoclaves and steris units--performs daily A-Test/Biological tests as required; performs proper care, handling, and assembly of instruments for processing; ensures complete/thorough documentation of all flash and steris cycles as per protocol. Accepts personal accountability for proper handling, judicious use, and optimum care of all department supply, instrument, and equipment inventory. Utilizes the nursing process throughout the perioperative setting per patient assessment--collecting, interpreting, recording, and communicating pertinent data relevant to patient care in surgery; care planning--utilization of collected data to plan appropriately for intraoperative nursing care; implementing--provides direct patient care to meet physical and psychological needs; evaluating care--continuously evaluates patient response to nursing intervention and modifies care plan to achieve desired outcome. Demonstrates and conveys theoretical knowledge and skills related to perioperative nursing care--understands the "why" concept as well as the "how" process. Thorough/Accurate/Complete documentation of intraoperative patient care. Understands / Demonstrates / Conveys knowledge related to proper intraoperative patient positioning--universal skin care precautions; prevention of nerve damage; prevention of pressure related skin breakdown. Assists with completion and accuracy of surgical sponge, sharps/miscellaneous items, and instrument counts as per established policies and guidelines. Assists with maintenance of up-to-date preference sheets in conjunction with Resource RNs and department Nurse Managers. Effectively demonstrates critical thinking, prioritization of duties, and time management skills throughout the perioperative arena. Maintains accuracy with patient charge process, cost efficient usage of case supplies, and ensures all pertinent data is provided to post case data personnel to facilitate a time efficient billing process. Strives to ensure efficiency in turn around time between procedures--readily available; communication with OR Desk/Charge RN and/or department Nurse Manager; gross cleaning of body fluid spills to confine contamination throughout the procedure; prioritization of case completion process; assists with room clean up tasks as necessary; prioritizes case set up process toward maximum efficiency. Initiate appropriate intraoperative behaviors unique to first assisting: provide hemostasis to reduce potential for fluid volume deficit by clamping and/or legating vessels using ESU, direct pressure, applying chemical agents that promote coagulation and other means as directed by the surgeon; provide exposure of the operative site through appropriate use of retractors, other instruments, and through suctioning and sponging; use surgical instruments skillfully in ways consistent with their design and purpose as directed by the surgeon.Accreditation/Regulatory Compliance Qualifications Completed RN First Assist Training Competencies Skills "Essential: * Experience In Hospital Or Acute Care Setting * Clear Communication Skills Both Written And Verbal * Able To Keep Confidential Information Regarding Patients, Team Members * Able To Withstand Crisis Situations * Has Skills To Provides Customer Service To Patients, Team Members And Visitors * Knowledge And Experience With Electronic Health Records " Credentials Essential: * RN - Registered Nurse * BLS - Basic Life Saving certification Nonessential: * CNOR - Certified Nursing - OR Education Essential: * RN Diploma/RN Graduate Program Entry USD $39.88/Hr. Max USD $65.80/Hr.
Beebe Healthcare

RN / REGISTERED NURSE - VASCULAR ACCESS TEAM - PER DIEM

Why Beebe? Become part of the Beebe team - an inclusive team positioned in a vibrant, coastal community. Enjoy a fulfilling career as you support the health of our patients and a team focused on excellence. Overview Beebe Healthcare is seeking a highly skilled Per Diem Vascular Access RN (PICC) to provide specialized nursing care for patients requiring vascular access services. This role is responsible for the direct and indirect nursing care of patients needing intermediate care, including the insertion and management of peripherally inserted central catheters (PICC) and other vascular access devices. Will be required to work varied shifts including some weekend and holiday requirements. The ideal candidate will possess advanced clinical expertise in vascular access, strong decision-making abilities, and the ability to direct and support team members in delivering high-quality patient care. This position requires knowledge of departmental and hospital policies related to nursing care, as well as excellent interpretive skills, interactive communication, and consultative collaboration. Key Responsibilities: Perform PICC and midline catheter insertions using ultrasound guidance following evidence-based protocols. Assess, plan, and implement vascular access interventions to optimize patient outcomes. Provide education to patients, families, and healthcare team members regarding vascular access management. Monitor for complications and ensure adherence to infection prevention protocols. Maintain accurate documentation of procedures and patient responses. Collaborate with physicians, nursing staff, and interdisciplinary teams to ensure seamless care. Support continuous quality improvement initiatives within the Vascular Access Team. Responsibilities Facilitates, implements, and evaluates the Patient Plan of Care and outcomes in collaboration with the health care team. Technical Skills. Critical Thinking. Documents assessments accurately and correctly and promptly. Assess patient safety facts and identifies those patients requiring specific safety devices. Evaluates test results reported immediately. Assesses sites daily and intervenes as appropriate. Educational needs of patient. Documents assessment on teaching form and modifies as needed. Transcription of orders. Prioritization. Qualifications Must have a minimum of 5 years nursing experience. Competencies Skills "Essential: * Experience In Hospital Or Acute Care Setting * Clear Communication Skills Both Written And Verbal * Able To Keep Confidential Information Regarding Patients, Team Members * Able To Withstand Crisis Situations * Has Skills To Provides Customer Service To Patients, Team Members And Visitors * Knowledge And Experience With Electronic Health Records " Credentials E ssential: * RN - Registered Nurse * BLS - Basic Life Saving certification * ACLS - Advanced Cardiac Life Support Education Essential: * RN Diploma/RN Graduate Program Entry USD $36.20/Hr. Max USD $59.73/Hr.
Beebe Healthcare

RN / REGISTERED NURSE - MED/SURG TELEMETRY

Why Beebe? Become part of the Beebe team - an inclusive team positioned in a vibrant, coastal community. Enjoy a fulfilling career as you support the health of our patients and a team focused on excellence. Join Our Nursing Team at Beebe Healthcare: Cultivate Your Nursing Career At Beebe Healthcare, your professional nursing journey matters. We are dedicated to fostering your career growth and development every step of the way. Whether you're looking to advance your education, gain professional certifications, explore new specialties, or move into nursing leadership, Beebe provides the support you need to succeed. Why Beebe? Nursing Graduate Residency Program – Seamless transition from student to professional nurse. Clinical Ladder – Opportunities for career advancement and recognition for expertise. Professional Certification Reimbursement – Financial support to achieve specialty certifications. Certification Preparation Curriculum – Comprehensive resources to help you prepare and succeed. Generous Tuition Assistance – Invest in your future with financial aid for continuing education. Flexible Scheduling – Achieve work-life balance with scheduling options that fit your lifestyle. Shared Governance – Have a voice in guiding nursing practice and shaping the future of patient care. At Beebe, you’ll have the tools, resources, and support to excel as a nurse and build the career you’ve always envisioned. Benefits In addition to competitive compensation and wellness benefits (medical, dental, vision and prescription) Beebe Healthcare also offers: • Sign-on and Referral Bonuses for select positions • Tuition Assistance up to $5,000 • Paid Time Off • Long Term Sick accrual • Employer Contribution Plan • Free Short and Long-Term Disability for Full Time employees • Zero copay for drugs on prescription plan for certain conditions • College Bound 529 Savings Plan • Life Insurance • Beebe Perks via WorkAdvantage • Employee Assistance Program • Pet Insurance Overview Are you an adaptable and skilled Registered Nurse ready to take on an exciting challenge? Join our innovative Acuity Adaptable Unit, where you will provide top-notch nursing care to patients with varying levels of acuity. This unique environment allows for a seamless transition of care, ensuring patients receive consistent and high-quality medical attention throughout their stay. As an RN in our Acuity Adaptable Unit, you will: Deliver comprehensive and compassionate nursing care to patients across a spectrum of medical conditions, from stable to critical. Utilize your broad clinical expertise to assess, plan, implement, and evaluate individualized patient care plans. Work in a flexible and dynamic setting, adapting quickly to changes in patient acuity and care requirements. Collaborate closely with a multidisciplinary team of healthcare professionals to ensure optimal patient outcomes. Provide education and support to patients and their families, empowering them with the knowledge and confidence to manage their health. If you are a dedicated RN with a passion for providing exceptional patient care in a versatile and fast-paced environment, we invite you to join our Acuity Adaptable Unit. This is an incredible opportunity to grow your skills, make a meaningful impact, and be part of a forward-thinking healthcare team. Apply today and take the next step in your nursing career! Responsibilities Facilitates, implements, and evaluates the Patient Plan of Care and outcomes. Collaborates with the health care team to promote positive patient outcomes. Is seen as a patient advocate. Timely implementation of nursing interventions. Technical Skills: demonstrates appropriate clinical skills and technical competence in providing patient care. Critical Thinking: demonstrates appropriate clinical judgment. Assesses, analyzes and communicates patient information in a timely manner. Documentation: Accurately and promptly documents all patient assessments, interventions , responses and provider communication. Assess patient safety risk factors and identifies those patients requiring specific safety interventions including skin integrity, fall risk & appropriate use of restraints. Follows medication safety policy. Promptly initiates appropriate interventions for safety needs. Completes Safety Tracking Tools as required. Delegation and supervision: supervises assigned staff, delegates appropriately, takes responsibility for all care provided to patients assigned. Reports all performance issues of team members to ensure all patients receive appropriate care and attention. Educational needs of patient: Assesses educational needs of patient and family, provides appropriate written and verbal instructions. Documents assessment and education provided. Provider orders: Performs ongoing review, initiation and implementation of patient orders in a timely manner every shift. Prioritization: prioritizes responsibilities and issues, taking into account urgency, patient needs, and seeks appropriate resources. Problem solves independently. Multitasks efficiently and demonstrates effective time management skills. Professional Accountability: Independently seeks out other clinical experiences to enhance knowledge base. Actively assists others and accepts additional duties or assignments. Timely completion of assigned education and annual competencies. Actively engaged in unit based councils and performance improvement. Recognizes unit needs and works to help facilitate solutions. Qualifications ACLS preferred at hire or must be successfully obtained within 90 days of hire Competencies Skills Essential: * Experience In Hospital Or Acute Care Setting * Clear Communication Skills Both Written And Verbal * Able To Keep Confidential Information Regarding Patients, Team Members * Able To Withstand Crisis Situations * Has Skills To Provides Customer Service To Patients, Team Members And Visitors * Knowledge And Experience With Electronic Health Records Credentials Essential: * RN - Registered Nurse * BLS - Basic Life Saving certification * NIH - Stroke Certification Education Essential: * RN Diploma/RN Graduate Program Entry USD $36.20/Hr. Max USD $59.73/Hr.
Wellpath

Licensed Practical Nurse (LPN)

You Matter • Make a difference every day in the lives of the underserved• Join a mission driven organization with a people first culture• Excellent career growth opportunities Join us and find a career that supports: • Caring for overlooked, underserved, and vulnerable patients• Diversity, equity, inclusion, and belonging• Autonomy in a warm team environment• Growth and training Perks and Benefits In addition to comprehensive benefits including medical, dental, vision, paid time off, and 401k, we foster a work, life balance for team members and their family to support physical, mental, and financial wellbeing including: • DailyPay, receive your money as you earn it! • Tuition Assistance and dependent Scholarships• Employee Assistance Program (EAP) including free counseling and health coaching• Company paid life insurance• Tax free Health Spending Accounts (HSA)• Wellness program featuring fitness memberships and product discounts• Preferred banking partnership and discounted rates for home and auto loans *Eligibility for perks and benefits varies based on employee type and length of service. Why Us Now is your moment to make a difference in the lives of the underserved. If there is one unifying characteristic of everyone on our team, it is the deep desire to make a difference by helping society's most vulnerable and often overlooked individuals. Every day we have the distinct honor and responsibility to show up with non-judgmental compassion to provide hope and healing to those who need it most. For those whose calling it is to serve others, now is your moment to join our mission to provide quality care to every patient with compassion, collaboration, and innovation, to live our mantra to “Always Do The Right Thing!”, and to collectively do our part to heal the world, one patient at a time. Wellpath sees hundreds of thousands of unique individuals in their facilities month over month and a very large percent of those individuals receive direct clinical care, which includes lives saved by Narcan. We offer ongoing training and development opportunities for licensed and unlicensed healthcare team members, and have best in class clinical resources for training, education, and point of care support. How you make a difference The Licensed Practical Nurse (LPN) plays a vital role in patient care by contributing to the nursing process of assessment, planning, implementation, and evaluation. Working under the supervision of RN(s), the LPN provides direction and guidance in patient education and activities that align with their education and demonstrated competencies. Key Responsibilities Under RN supervision, assesses patients' physical, psychological, and social dimensions in both the Health Care Unit and housing units, contributing to individualized treatment planning and consulting with RNs and staff as needed. Implements treatment programs directed by Health Care Practitioners, administering medications, including IV therapy (if certified), and performing diagnostic tests according to established protocols and procedures. Collaborates in controlled substance counts at the beginning of each shift, adhering to safety techniques, procedures, and standard precautions while responding to codes or health emergencies within standard guidelines. Assists in medical or minor surgical procedures, implements nutrition and therapeutic diet plans, and documents nursing encounters using SOAP charting, ensuring effective communication with nursing staff, physicians, and other relevant personnel. Attends mandatory staff meetings and training sessions, demonstrating a commitment to continuous professional development and adherence to policies and procedures in providing high-quality patient care. Qualifications & Requirements Education Graduate from an accredited school of nursing. Experience Prefer a minimum of one (1) year clinic experience Licenses/Certifications Have and maintain current licensure as a Licensed Practical/Licensed Vocational Nurse within the state of employment. Must be able to obtain and maintain CPR certification. We are an Equal Employment Opportunity Employer We are committed to fostering, cultivating, and preserving a culture of uniqueness. We celebrate a variety of backgrounds and are committed to creating an inclusive environment for all employees. We encourage you to apply! If you are excited about a role but your experience doesn’t seem to align perfectly with every element of the job description, we encourage you to apply. You may be just the right candidate for this, or one of our many other roles. Deadline to apply to this position is contingent upon applicant volume. Those positions located in Colorado will have a specific deadline posted in the job description. We are an Affirmative Action Employer in accordance with applicable state and local laws.