Specimen Collection (80% of duties): - Uses Hospital/Laboratory Information System(s) to access orders and check for completeness and accuracy of orders - Determines the proper method to collect specimen(s) based on tests to be performed and selects correct tubes, needles or other necessary supplies to collect specimen(s) - Locates patient and verifies patient identification using at least two patient identifiers - Prepares collection site - Utilizes a variety of techniques to collect blood specimens from patient by venipuncture, finger stick, or heel stick and/or instructs patient on the proper collection for urine, stool or sputum; checks condition of patient for fainting or bleeding - Bandages venipuncture site - Labels all specimen(s) with correct labels and prepares specimen(s) for delivery to appropriate laboratory - Enters collection information (time, date, collector, and method of collection) into Laboratory Information System, and defers and/or cancels uncollected specimen requests.   Clerical and Customer Service Responsibilities (10% of duties): - Greets patients - Reviews and reconciles orders for patient encounter - Enters off-hill orders - Telephones physicians and clinics to clarify orders and arrange specimen re-draws - Answers telephones and provides information to callers - Interacts with laboratories, medical staff, and patients to resolve problems associated with specimen collection - Maintains customer service focus at all times - Endeavors to make patients comfortable - Meets needs of patients, even if extra effort is required - Communicates professionally by phone and in person, with patients, nurses, providers, and staff Training duties (2% of duties): - Provides instruction to new employees, hospital staff, and students/externs on correct techniques for collecting specimens from patients; observes, monitors, and evaluates trainees’ progress   Specimen Transport (5% pf duties): - Prepares specimens for transportation to and from laboratory sites - Maintains specimen integrity by storing and transporting appropriately   Miscellaneous Tasks (3% of duties): - Ensures adequate supply levels - Discards expired supplies - Maintains cleanliness in area where specimen(s) are collected - Utilizes safety protection equipment and disposes of used supplies in correct containers - Observes safety and infection control policies - May order stocks and supplies for work area - Participates in unit meetings and training programs - Other duties as assigned by manager  

- Teach a variety of group exercise classes. Greet members by name. Evaluate, correct, and instruct members on proper exercise techniques. Proactively provide appropriate direction to members performing dangerous or harmful exercises. Maintain a safe and clean environment for members. - Design and lead special programs as necessary - Assist in planning, coordination, presentation and promotion of programs, classes, and events - Respond to all emergencies

The exercise specialist provides services under the direction of the physical therapist for patient care related assistance in Rehabilitation Services. The exercise specialist also provides non physical therapy exercise training and athletic training duties. When assisting therapists, the individual works under the direction of the and supervision of a licensed therapist, and in accordance with regulatory requirements and hospital policies and procedures. When providing non physical therapy exercise training the individual carries out a maintenance exercise plan. These duties do not require direct supervision. If functioning in the role of an athletic trainer (ATC) the individual provides at-event surveillance and injury management of athletes, athlete exercise education.  The individual also provides cleaning and preparation of treatment areas and stocking of linen, supplies and other duties. The Exercise Specialist recognizes and addresses age-appropriate needs when caring for patients.  In addition, the Exercise Specialist assists in maintaining the practice environment in a clean, orderly condition. The Exercise Specialist assist with the delivery of care in Cardiac Rehabilitation and may functions as a therapy aide in an inpatient setting.

Echo Procedures: Determines and instructs patient in proper preparation for exam; explains examination process and procedure to patient; positions patient for each examination to maximize effectiveness of image and minimize patient discomfort; adjusts equipment controls; modifies each study during the exam to demonstrate the anatomy, physiology, hemodynamics and/or pathology accurately; determines need for additional views depending on patient variables or demonstrated pathology; manipulates transthoracic transducer by hand over diagnostic area in order to image cardiac structures and visualize hemodynamic flow patterns as necessary; follows DCH imaging protocols when indicated; selects appropriate scan based on significant functional and/or anatomical pathology; records representative images for review by Cardiologist. Records and Reports: Schedules patients from phone or written physicians’ request; obtains clinical data from patient chart or referring physician; arranges digital images of exam findings in logical sequence for patient's permanent medical record; maintains patient files (e.g., records patient identification and corresponding examination procedures); verbally reports summary of patient's medical history and pertinent exam findings to Cardiologist.    Miscellaneous: Demonstrates pediatric echocardiography techniques; processes images in digital format; performs routine cleaning and adjustments on machines and reports any mechanical failures to supervisor; utilizes hazardous cleaning/sanitizing chemicals for esophageal probe; utilizes computer/ultrasound machine data for additional analysis; performs periodic quality control tests to ensure proper operation of equipment; keeps abreast of new techniques and technological changes by attending workshops and seminars. Follows and utilizes research protocols.

Clinical Responsibilities - Maintains and supports the philosophy of family centered care by helping the patients and families cope with the hospital experience. - Assesses and documents the emotional and psychosocial developmental needs, action and follow-up plan written in the patient’s record - Promotes coping with the hospital experience through expression of feelings in developmentally age appropriate, therapeutic activities. - Provides preoperative teaching, post op support and pre-op tours. - Provides emotional support to patient and family during medical/nursing procedures. - Provides child development expertise in the development of educational material for patients and families. - Participates in care conferences held to assess patient needs and receives suggestions for intervention from other care conference members. - Identifies needs of all children incorporating developmental level, mobility, chronicity of illness and psychosocial factors to facilitate activities fostering mastery of healthcare experiences. - Adapts play materials to meet individual needs. - Explains at the child’s level of understanding, the sequence, nature, and reason for medical procedures and routines; serves as a supportive non-medical person during medical procedures. - Promotes positive guest relations with the staff, patients, volunteers and visitors - Assists in training and supervision of volunteers to promote positive interactions for patients and families with volunteers. - Provides emotional, intellectual and social support for siblings of patient. - Provides grief support for families Promotes the Child Life professional and program through education and role modeling. - Participates in associations related to Child Life and maintains knowledge on current trends in Child Life. - Shares child development knowledge and communication skills with staff and providers as opportunities arise. - Orients patient care staff, volunteers and students to the needs of hospitalized children and adolescents. - Acts as a resource person for staff in identifying patient and family needs under stress and crisis. - Participates as a member on an organizational, multidisciplinary committee as possible - Role models professional competence and respectful communications. - Commits to teamwork in the Child Life Program through positive communication and collaboration. - Assists in preparation and dissemination of information representing the hospital and Child Life Program to community groups, organizations and the news media. Administrative Responsibilities - Maintains necessary medical play supplies and playrooms in good working order. - Accepts donations brought to DCH. - Maintains a supply of books/pamphlets for grief support, general information regarding hospitalization of children and other materials as patient needs dictate. - Processes donations including donor relations, organization, storage and/or distribution of donations. - Uses fiscal stewardship in requesting and ordering program materials. - Maintains accurate pager status, answers calls and emails promptly. - Supports DCH Foundation special events and requests as requested. - Coordinates and attends Child Life Program special events and/or entertainment activities for patients and families. 

$10,000 hiring bonus     Surgical Preparation and Assistance: - Checks schedule of surgeries to be performed during shift - Reviews procedures by checking manuals outlining procedure and instruments needed - Assembles supplies, instruments and equipment - Checks supplies and instruments for sterility and proper functioning - Reviews preferences of physicians performing surgery - Demonstrates working knowledge of sterile technique - Proficient in the scrub role in the surgical specialties - Arranges supplies and instruments in surgical procedure room - Counts with circulator at start and end of surgery or other applicable times - Opens sterile packs, and hands instruments to surgeon - Assists in providing patient comfort, safety and privacy   Post-Operative Assistance: - After surgery, follows processing of instruments at point of use in preparation for sending soiled instruments for decontamination and sterilization to Central SPD (CSPD) - Removes all disposable items; disposes of contaminated blood and water - Wipes down entire surgical procedure room with disinfectant including furniture, lamps, monitors, walls, and floors as applicable - Removes all supplies not necessary for next surgical procedure   Supply and Equipment Maintenance: - Troubleshoots problems with equipment and instruments - Contacts clinical engineering for equipment repairs and communicates with CSPD for instrument repairs - Checks inventory of supplies and equipment.   Other duties as assigned: - Examples: Transports soiled instruments to CSPD and/or brings back sterilized instruments from CSPD to CEI OR.

The Clinical Research Compliance & Education Specialist (TI Clinical Research Associate) will design and train individualized training and onboarding SOPs for new clinical research employees, as well as implementing standardized refresher or retraining for existing employees as necessary.   This role will specifically focus on achieving regulatory compliance, as well as providing standard work information necessary for completion of job duties related to the conduct of clinical research for employees who support cardiovascular-related research (e.g., clinical research assistants, coordinators, team leads, nurses, advanced practice practitioners, etc.).   The Clinical Research Compliance & Education Specialist will recognize and identify gaps in workflows and work closely with the Clinical Research Managers, Trials Administrator, and Clinical Research Medical Director to identify methods and tools to facilitate improvement. In addition to hands-on training, the Clinical Research Education and Compliance Specialist will work closely with the clinical research manager and clinical research medical director to develop group-wide training programs and materials necessary to address key audit findings or to facilitate training of other clinical research topics.   This role will also be responsible for management of all regulatory processes within the trials program at KCVI, including maintaining all regulatory documents, IRB protocols, and training certificates. Lastly, this role will also be responsible for performing internal monitoring and audits to ensure adherence to department SOPs and practices that are in line with FDA regulation and GCP requirements, while also identifying deficiencies.   The Clinical Research Education and Compliance Specialist will collaborate with KCVI Clinical Leaders and the Clinical Research Manager to identify at risk trials and will provide a comprehensive report of findings and action items to address with each study audited. They will also provide support for any external audits (FDA/Sponsor audit) and work with the clinical research manager, team lead, and Clinical Research Medical Director to ensure that any corrective action or response to audit findings are carried out appropriately

Specific duties:  The candidate will be expected to establish a high quality research program, establish collaborations as part of a collegial group of basic and clinical researchers, supervise a laboratory team, successfully apply for external grant support, publish manuscripts in high quality journals, and participate in occasional seminars, teaching and mentoring of interns.   Specific areas of research to be given highest priority would include:  1) Development of novel IRD disease models in rodents and primates or using human IPSCs; 2) Development of novel therapeutic agents for macular degeneration and IRDs including but not limited to: small molecule agents, gene augmentation, anti-sense oligonucleotides, gene editing and cell-based therapies.   The candidate would join a group of highly successful and collaborative researchers and clinician-scientists in the field of retinal disease.  The Casey Eye Institute has extraordinary facilities and resources for research in this area, including the Ophthalmic Genetics Division, a Clinical Trial center currently conducting a dozen IRD clinical trials, the Center for Ophthalmic Optics and Lasers that includes the pioneers in OCT and OCT angiography imaging, high level facilities for small animal research, and close collaboration with the Oregon National Primate Research Center which has state-of-the-art facilities for ophthalmic research in nonhuman primates and the availability of naturally-occurring and gene-edited IRD models.

The duties of the Family Medicine Maternal-Child Health Director at 0.25 FTE are to: - Check in with residents at the Family Birthing Center 2 – 3 days a week, reviewing learning environment, sign out process, interprofessional interactions, and offering guidance - Oversee or collaborate on the attending call schedule for the Cascades East OB/Peds Service and collaborate with others who are scheduling residency activities, call, including other collaborative call groups - Attend Faculty Meetings - Represent the Residency Program at the Peds and OB Collaborative Practice Committees - Serve on the RMT Inpatient service, Cascades East OB and Peds Call in a manner commensurate with other faculty - Facilitate a Quality Program for the Cascades East Maternity Care Service and Cascades East prenatal care and coordinate evaluation of critical quality incidents - Be responsive to the needs of Sky Lakes leadership as it relates to maternity care, and build relationships and collaborate with aligned services, e.g. OB/GYN, perinatology and Midwifery - Build relationships with the maternal child health providers in the community - Be responsive to the needs of Cascades East clinic leadership as it relates to prenatal care, proactive scheduling of pregnant patients, resident continuity OB experiences, precepting maternity care - Coordinate coverage of the OB and Peds call for special events such as Resident Graduation, Resident Retreat - Collaborate with external groups, including, but not limited to Klamath Health Partnership, pediatricians, obstetricians, perinatologists, to assure quality care of patients and respectful team-based care - Assist the residency director, medical directors, chair, and others in coordinating the credentialing and billing processes for maternity care - Assure full and part time faculty providing maternity care and precepting prenatal care maintain a culture of excellence with adequate delivery numbers. - Assist in onboarding and support for new faculty providing maternity care. - Coordinate and maintain ALSO course experiences, FHT tracing trainings, and other trainings for residents and faculty - Work with residency director and educational leadership to optimize the educational quality of resident experience, evaluation of faculty and residents on OB and Peds and oversee resident compliance with work hour requirements. - Assist in overseeing high quality sign-out process - Oversee the OB teach process, intern orientation, OB continuity experiences, C-section training experiences, procedural competency attainment for maternity care and peds - Assist and ensure resident training and compliance with Sky Lakes requirements - Be a source of support and mentoring for residents in maternity care training - Lead systems for resident evaluation of faculty and ensure that maternity care faculty receive timely and personalized feedback on OB-related teaching, professionalism, and maternity care and peds skillsets - Maintain participation by faculty in the curriculum and lead remediation and development efforts as identified by the faculty evaluation process - Work collaboratively with the Residency Director, other associate directors, and the DFM in identifying faculty development needs pertinent to maternity care faculty - Facilitate participation of residents in educational activities. This includes, but is not limited to coordination of orientation and intern assessments in collaboration with Education Associate Residency Director, inpatient didactics, and participation in appropriate interprofessional and multidisciplinary educational efforts - Meet frequently with the residency director to review curriculum, resident and faculty performance assessments, staffing, and other needs - Collaborate with faculty with an aim to support efforts for all three mission areas: scholarship, education, and service - Other duties as assigned by the Chair, Vice Chairs, Klamath Falls Cascades East Residency Program Director The duties of the Family Medicine Faculty Physician 0.75 FTE include: - Work collaboratively with full and part time faculty to maintain an active practice - The Appointee will directly see patients in their clinic eight half days per week and have two half day’s available for administrative duties. - Expectations for number of patients seen per half day will be commensurate with that of other faculty and with minimum target numbers of 8-10 visits per half day depending on complexity of the patient population. - The Appointee will be expected to document using the electronic health record and maintain complete and timely patient care documentation consistent with OHSU and Cascade East Family Medicine Center and Sky Lakes Medical Center policies and procedures. - The Appointee will be expected to participate in seeing patients during expanded access hours in the clinic, including their share of evenings and weekends, and call coverage. The Appointee will be expected to have a strong commitment to developing the practice into a vibrant clinical and academic operation, which is successful from both a professional and business perspective. - Be available for teaching activities.

The duties of this position revolve around teaching, research, and clinical activities. The teaching duties of the position involve participating in the education and training of medical and nursing students, house staff, and the regional medical community. The faculty member will be expected to make a didactic presentation at the Division’s Grand Rounds at least four times per year. The second component of the position involves establishing and maintaining scholarly research activity directed toward the improved understanding of the causes, detection, and treatment of diseases. The clinical component of the position involves providing clinical care to patients at the University Hospitals and Clinics, as well as affiliated hospitals and clinics, and engaging in public service through consultative activities in the appointee’s specialty with non-University groups. This position will maintain a broad reconstructive practice focusing on general plastic and reconstructive surgery including: free flap reconstruction for breast, lymphedema surgery, head and neck, trauma, lower extremity reconstruction and wound care.

The Adult Generalist Anesthesiologist shall provide services as assigned by the supervisor in furtherance of the University's missions and goals of teaching, research, patient care, outreach and public service.   Teaches trainees and support staff in their area of professional expertise.  Teaching is done through assigned lectures to be given during the course of the year and through teaching in the course of performing their own job by modeling best practices, mentoring trainees, guiding learning through delegating graduated and focused levels of responsibility.  Assistant Professors have a demonstrated competence in teaching and are knowledgeable about relevant guidelines from all applicable regulating bodies. (E.g. ACGME competencies for clinical faculty).   Provides an outstanding level of professional performance (e.g. quality of clinical care for clinical faculty).  Professional performance is to be delivered in a manner that is compliant with the regulations and guidelines of all relevant regulating bodies (e.g. the American Society of Anesthesiologists, JCAHO, Centers for Medicare and Medicaid, OHSU IRB, NIH and all other state, federal, and institutional regulatory guidelines).  Treats all patients, research subjects, trainees and co-workers with dignity and respect.   May maintain a program of scholarly research activity directed toward improved understanding of the causes, detection, and treatment of diseases.  May develop and direct scholarly research activities focused toward improving the educational foundation within anesthesiology and perioperative medicine.  May engage in public service through consultative activities with OHSU and non-University groups as approved by the Chair.  May also participate in additional departmental or hospital administration as approved by the Chair or supervising Vice Chair.   This posting is being used to fill multiple positions.

The primary purpose of this position will be to work with the project team in the Picker lab and the VGTI community to coordinate/assist daily lab operations to satisfy business and scientific objectives. Responsibilities include communicating with the Picker lab project teams, collecting information for any new and future project for ordering any necessary lab supplies, following current projects’ progress and participates planning for future project under the direction of the PI and the project coordinators. And assists providing information to the project leaders for the manusript preparations.   This person will coordinate all of VGTI collaborations to support and maintain multiple research projects. This includes high-level communication skills required to effectively convey important information daily among the stakeholders. This person will assist organizing experimental schedules, contribute and develop a database system, and quality improvement of better workflow performance.    In addition, help with the inventory control, tracking orders, accessioning and distributing received materials, maintaining an inventory database, testing and tittering reagents, and formulating and aliquoting reagents. This involves some hands-on laboratory work. Expected to be an entry level position to develop a strong foundation for research project coordination and management.   The Picker Lab is a vaccine-development immunology research group, and works with both human and Rhesus monkey samples, often containing dangerous pathogens, and so the position involves handling biohazardous materials.

$10,000 hiring bonus   Surgical Tech's (ST) provide intra-operative technical assistance to physicians and RN's caring for pediatric patients experiencing a surgical intervention/other invasive procedure. The role requires completion of annual clinical competencies, attending staff meetings and educational events during the day, and actively participating in all quality improvement opportunities assigned. The role requires that all policies, procedures, and patient safety initiatives will be followed.   Surgical Techs are an integral part of the team providing surgical care to patients. Must possess expertise in application of surgical technique, human anatomy, and surgical procedures. The ST must also be competent in the implementation of tools and technologies to facilitate safe care of the patient during invasive therapeutic and diagnostic procedures. The surgical technologist role requires extended periods of standing, lifting heavy instrumentation, and potential exposure to Blood Borne Pathogens.

$10,000 hiring bonus   No weekend or holiday work required! No overnight call!   Surgical Preparation and Assistance. - Assembles supplies and instruments  - Checks supplies and instruments for sterility and proper functioning - Reviews procedure card  - Counts needles and sponges at start and end of surgery     Orientation for this position is approximately 12 weeks, but can vary based on candidate's experience.

$3,000 hiring bonus   Surgical Tech's (ST) provide intra-operative technical assistance to physicians and RN's caring for pediatric patients experiencing a surgical intervention/other invasive procedure. The role requires completion of annual clinical competencies, attending staff meetings and educational events during the day, and actively participating in all quality improvement opportunities assigned. The role requires that all policies, procedures, and patient safety initiatives will be followed.   Surgical Techs are an integral part of the team providing surgical care to patients. Must possess expertise in application of surgical technique, human anatomy, and surgical procedures. The ST must also be competent in the implementation of tools and technologies to facilitate safe care of the patient during invasive therapeutic and diagnostic procedures. The surgical technologist role requires extended periods of standing, lifting heavy instrumentation, and potential exposure to Blood Borne Pathogens.   Additional requirement Relief staff for DCH OR include required holidays, weekends and/or variable shifts: - Work twelve (12) weekend/ night shifts per fiscal year, provided work is available and the Relief staff is needed - Work a major holiday each fiscal year, provided work is available and the Relief staff is needed. The holiday requirement will rotate from year to year between the major winter holidays (Thanksgiving and Christmas) and the major summer holidays (Independence Day and Labor Day). 

$10,000 hiring bonus   Surgical Tech's (ST) provide intra-operative technical assistance to physicians and RN's caring for pediatric patients experiencing a surgical intervention/other invasive procedure. The role requires completion of annual clinical competencies, attending staff meetings and educational events during the day, and actively participating in all quality improvement opportunities assigned. The role requires that all policies, procedures, and patient safety initiatives will be followed.   Surgical Techs are an integral part of the team providing surgical care to patients. Must possess expertise in application of surgical technique, human anatomy, and surgical procedures. The ST must also be competent in the implementation of tools and technologies to facilitate safe care of the patient during invasive therapeutic and diagnostic procedures. The surgical technologist role requires extended periods of standing, lifting heavy instrumentation, and potential exposure to Blood Borne Pathogens.

1. Decontamination and Cleaning: Sorts used soiled instruments and decontaminates by utilizing proper manual and mechanical techniques; decontaminates medical equipment; tests equipment and instruments for proper operation; shelves decontaminated equipment and supplies according to type of equipment, date decontaminated and unit or department using item; cleans hospital equipment such as infusion pumps, suction machines and heating and cooling units; may make minor repairs or refers to repair person; assist in maintaining instrument trays for intubation sets; may operate flash sterilizers according to standards of practice and maintains sterility assurance at all times including transport sterile instruments to the operating room under strict sterile conditions. 2. Cleaning and Sanitizing: Cleans and sanitizes all surfaces and floors in clinical and non-clinical areas. 3. Waste Removal: Collects and empties trash and linen. 4. Patient Transportation. Transports patient using wheelchair or stretcher; assists with patient transfer to procedure table, stretcher, bed or chair. 5. Materials Transportation. Transports equipment, supplies and other materials. 6. Customer Service & Patient Experience: High level engagement to respond to patient and team member requests in a customer-focused and timely manner; effectively utilizes customer service techniques to deliver an excellent patient experience. 7. Patient Care Support: Helps with patient prep and positioning. Assists the OR team with needs and is immediately available inside/outside the OR. 8. Equipment and Room Set up: May function in the role of material assistant including: core support, picking cases, assisting with set up of procedure rooms or ORs. 9. Miscellaneous: Maintaining stock or ordering as needed. May function as part of the Code Blue Team to provide BLS chest compressions during Code Blue Events. Other duties as assigned.  

1. Direct Services Provides direct mental health clinical services in a culturally-competent manner by providing evaluation, individual, group, family counseling, case management, and timely documentation of clinical services consistent with program standards and relevant OARs. 2. Patient Referrals and Intakes Triages inquiries from potential clients, family members, and/or service providers (Primary Care, Emergency Departments) regarding the scope of treatment and services provided by IPP. Collaborates with medical providers in reviewing cases and scheduling clients for psychiatric evaluations and follow-up. 3. Assessment and Treatment Planning Conducts initial mental health assessment including bio/psycho/social components, resulting in a DSM 5 diagnosis and annual mental health assessment updates. Develops and revises treatment plans. Assesses for risk and develops safety plans. 4. Documentation Completes all clinical documentation in EMR including assessments, treatment plans, progress notes, and other required documentation for all services. Submits electronic charge for all billable services. Completes all periodically required insurance authorization documentation. 5. Interpretation Provides cultural and linguistic interpretation services,, during patient-doctor visits. Verifies that both patient and doctor have completed required visit paperwork, including any required signatures. Assists medical provider and administrative staff in scheduling subsequent doctor visits. 6. Clinic Operations  Participates in general clinic operations, including scheduling and arranging transportation for clients, responding to language-specific telephone inquiries, and other appropriate duties as needed. 7. Staff Meetings and Development Attends and actively participates in required staff meetings, development activities, and utilization review. Attends required individual and group clinical supervision sessions with designated supervisor. Seeks consultation with psychiatrists other clinic providers. Provides mentoring and clinical supervision of student interns and students as needed. Keeps current relevant certifications/licenses. 8. Prevention, Education, and Outreach Conducts prevention, education, and outreach activities as defined in county/CCO contracts to serve OHP members. 9. Research Activities. May provide limited assistance to medical staff in performing research specific to the activities carried out in the Intercultural Psychiatric Program.

$2,500 hiring bonus   Under direct supervision of a Registered Nurse or Clinician (includes physicians, nurse practitioners, certified nurse midwives, physician assistants) collects, records and reports patient care data, carries out age-specific, direct patient care, performs/assists with general and specialized procedure and treatments, teaches patients, coordinates patient care, carries out assignments and documents/communicates care given and patient's response to care.  The LPN contributes to the planning, implementation, and evaluation of the plan of care.    

$5,000 hiring bonus   The Perianesthesia CNA works as a member of an interdisciplinary team in the South PACU. Provides support to the nursing team for Pre/Post and PACU in Perioperative Services by performing simple procedures and treatments and maintaining a safe, clean, efficiently stocked, and friendly environment. The CNA is expected to float within the Perioperative Division.