Clinic Registered Nurse jobs at Dartmouth-Hitchcock - 216 jobs

Under the general direction of the Nurse Manager, the Clinical Leader is responsible for the day to day oversight of clinical operations and clinical staff, ensuring quality patient care, access and department goals are met and sustained. The clinical leader is responsible for ensuring education/training and development plans for staff to optimize clinical outcomes and engagement. This position supervises an average of 30 staff members. Reporting directly to the Nurse Manager, and in collaboration with the Administrative Director and Medical leadership, the Clinical Leader is responsible for operational productivity, flow and access, fiscal and human resource management and development and engagement of workforce. Specifically, the Clinical Leader will effectively supervise staffs; elevate issues to the Manager to ensure resolution; facilitate high levels of patient and employee engagement to improve the overall patient experience; ensure policies and protocols are followed; assist with budget and payroll; maintain clinical competency with direct patient care worked/productive time to support clinical services. . Education Four years of formal training or education beyond the high school level (e.g., Bachelor's Degree). Certification, Registration & Licensure * Licensure: Active Registered Nurse through the New Hampshire Board of Nursing * Certification: Basic Life Support (BLS), other certifications as indicated for specialty. Experience Minimum of five years as a Registered Nurse and minimum of one year in a leadership/supervisory role. Demonstrated ability to utilize nursing process in clinical/management. Responsibilities * Supervises clinical staff, including nurses, LNA/technicians, HUCS. Recruits, retains and manages performance. * Supervises the daily activities of the department and provides on-site leadership. Ensures proper scheduling and coverage. * Creates, implements and maintains financial performance efficiency and productivity targets. * Develops and implements clinical protocols and work flows and monitors compliance with regulations required by DNV, OSHA, CLIA and other regulatory bodies. * Responsible for ensuring competency, educational/training, growth and development of staff. * Manages general onboarding and orientation activities and ensures communications are documented. * Conducts annual performance evaluation of staff in collaboration with Manager. * Responsible for customer relations and service recovery. * Maintains an account of staff attendance and reliability. Processes payroll in accordance with best practices. * Establishes positive working relationships with providers and other leadership teams. Demonstrates a high level of professionalism toward patients, providers, staff, peers and administrators reflective of Concord Hospital Service Behaviors. Accountable for effective and timely communication. * Takes responsibility for individual performance goals. * Other clinical and managerial duties as defined in collaboration with manager and director. Concord Hospital is an Equal Employment Opportunity employer. It is our policy to provide equal opportunity to all employees and applicants and to prohibit any discrimination because of race, color, religion, sex, sexual orientation, gender, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. Know Your Rights: Workplace Discrimination is Illegal Applicants to and employees of this company are protected under federal law from discrimination on several bases. Follow the link above to find out more. If you are an individual with a disability and require a reasonable accommodation to complete any part of the application process, you may contact Human Resources at ************. Physical and Work Requirements The physical demands and characteristics of the work environment described here are representative of those that will be encountered by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The Dictionary of Occupational Titles Material Handling Classification is MEDIUM. The employee must regularly lift, carry or push/pull up to 10 pounds, frequently lift, carry or push/pull up to 10 - 25 pounds, and occasionally lift, carry or push/pull up to 20 - 50 pounds. While performing the duties of this job, the employee is regularly required to bend, hear, and speak. The employee is frequently required to kneel, perform activities that require fine motor skills, reach, sit, squat, and walk. The employee is occasionally required to climb, do repetitive motion, smell, and stand. Specific vision abilities required by this job include color vision, depth perception, far vision, near vision, and peripheral vision. While performing the duties of this job, the employee is regularly exposed to bodily fluids. The employee is frequently exposed to airborne pathogens, moving mechanical parts, and toxic or caustic chemicals. The employee is occasionally exposed to airborne contaminants, bloodborne pathogens, chemotherapeutic agents, radiation, and slippery surfaces. The noise level in the work environment is usually moderate.

DO YOU LOVE TEACHING? The New Hampshire Dartmouth Family Medicine Residency (NHDFMR) is seeking an experienced, board-certified Osteopathic Physician Preceptor (per diem) to teach in a community family medicine residency. NHDFMR is celebrating 30 years as an innovative program developing clinically excellent physicians who model a team-based approach to care and complexity. Our mission is to teach residents and care for all patients, including underserved populations in our region. Concord Hospital is a three-hospital system in Concord, Laconia, and Franklin with a mission to meet the health needs of individuals in the communities we serve. Concord Hospital Medical Group (CHMG), part of Concord Hospital, includes 560+ employed providers representing 40 subspecialties in over 50 locations across Central New Hampshire. Requirements • BE/BC Family Medicine Physician • NH Professional Licensure • DEA Certificate Concord Hospital is an Equal Employment Opportunity employer. It is our policy to provide equal opportunity to all employees and applicants and to prohibit any discrimination because of race, color, religion, sex, sexual orientation, gender, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. Know Your Rights: Workplace Discrimination is Illegal Applicants to and employees of this company are protected under federal law from discrimination on several bases. Follow the link above to find out more. If you are an individual with a disability and require a reasonable accommodation to complete any part of the application process, you may contact Human Resources at ************. Physical Demands and Work Environment Requirements The Dictionary of Occupational Titles Material Handling Classification is LIGHT. The employee must regularly lift, carry or push/pull less than 10 pounds, frequently lift, carry or push/pull up to 10 pounds, and occasionally lift, carry or push/pull up to 20 pounds. The employee is regularly required to hear and speak. The employee is frequently required to walk, sit, do repetitive motion and perform activities that require fine motor skills. The employee is occasionally required to bend, climb, reach, drive, smell, squat and stand. Specific vision abilities required by this job include color vision, depth perception, far vision, near vision, and peripheral vision. The employee is frequently exposed to airborne pathogens, bloodborne pathogens, and bodily fluids. The employee is occasionally exposed to airborne contaminants, radiation, chemotherapeutic agents, toxic or caustic chemicals, electrical hazards-shock, non-weather related heat or cold, variable weather conditions, moving mechanical parts and slippery surfaces. The noise level in the work environment is usually moderate.

Genie Healthcare is looking for a RN to work in Intensive Care Unit (ICU) for a 13 weeks travel assignment located in Manchester, NH for the Shift (3x12 nights, 19:00:00-07:00:00, 12.00-3). Pay and benefits packages are estimated based on client bill rate at time the job was posted. These rates are subject to change. Exact pay and benefits vary based on several things, including, but not limited to, guaranteed hours, client changes in bill rate, experience, etc. Benefits: Medical Insurance, Dental Insurance, Vision Insurance, 401(k) with company matching (50% up to 6% of what you contribute)

Genie Healthcare is looking for a RN to work in Cardiac PCU for a 13 weeks travel assignment located in Manchester, NH for the Shift (3x12 nights, 19:00:00-07:00:00, 12.00-3). Pay and benefits packages are estimated based on client bill rate at time the job was posted. These rates are subject to change. Exact pay and benefits vary based on several things, including, but not limited to, guaranteed hours, client changes in bill rate, experience, etc. Benefits: Medical Insurance, Dental Insurance, Vision Insurance, 401(k) with company matching (50% up to 6% of what you contribute)

Continuous evaluation and monitoring of patients for signs of recovery or worsening of their condition Changing dressings, starting IV lines and inserting catheters Preparing medical equipment and maintaining supplies to be ready for immediate use Administering medication as directed by a physician or within the nurses' own schedule of drugs Accurately reporting on patients' progress to the other members of the care team, as well as to families and medical decision-makers Assisting doctors with monitoring and with bedside procedures performed in the progressive care unit

Coordinates the delivery of nursing care for critically ill, post-operative, ventilator, post cardiac arrest, post heart cath, hemodynamic stabilization and other critically ill patients in the units.

Responsible for the delivery of direct patient care using the nursing process and as defined by the healthcare facility in their unit specific job description. Requirements: -Graduate of an RN program -Previous work experience as an RN -Current unrestricted RN license in the state Workplace conditions: -Frequent lifting, bending, and reaching -May require lifting to 80 pounds (using proper techniques) -May require standing and walking 2-5 hours at a time -May have exposure to chemicals, radiation, infectious diseases/waste and/or blood borne pathogens

```html RN - PCU - Cardiac Schedule & Contract Shift: Nights, 12-hour shifts Contract Length: 13 weeks Weekends: Every other weekend Call: None Requirements Current and unrestricted RN license in the applicable state Minimum 2+ years PCU experience EPIC experience required ACLS, BCLS required EKG test on arrival Compliance & Submission NY Temporary Health Care Service Agency License required at submission 14-panel drug screen required within 14 days of start RTO must be submitted at upload Non-billable orientation: 24 hours Facility may cancel up to 5 shifts per 13-week contract with 2-hour notice ```

The Registered Nurse (RN) in the Progressive Care Unit (PCU) provides intermediate care for patients who require a higher level of monitoring and treatment than in a general medical-surgical unit but do not require the intensive care provided in an ICU. The RN in PCU delivers critical care to patients recovering from surgery, medical procedures, or acute conditions, monitoring their progress and responding to changes in health status. The RN will work collaboratively with the healthcare team to ensure the best possible outcomes for patients in the PCU setting. Key Responsibilities: Patient Assessment: Conduct comprehensive assessments of patients with moderate to high acuity, monitoring their physical and emotional needs. Continuously evaluate vital signs, lab results, and cardiac rhythms for any changes that may indicate a need for intervention. Identify potential risks and complications, such as arrhythmias, respiratory distress, or post-operative issues, and act accordingly. Patient Care and Monitoring: Administer prescribed medications and treatments, including IV medications, pain management, and blood products. Monitor patients with telemetry, arterial lines, and other continuous monitoring devices, adjusting care as necessary. Provide post-surgical care for patients who have undergone major surgery, including cardiovascular, neurological, or orthopedic procedures. Manage patients with complex conditions, such as heart failure, respiratory distress, and diabetes. Collaboration: Work closely with physicians, nurse practitioners, and other healthcare professionals to develop and implement individualized care plans. Participate in daily rounds and communicate with the team regarding patient condition, response to treatments, and any changes in care plans. Patient Education: Educate patients and families about the recovery process, treatment plans, medications, and any required lifestyle changes. Provide guidance on managing chronic conditions, improving health, and preventing readmissions. Documentation: Accurately document all nursing interventions, patient assessments, outcomes, and any changes in condition using electronic health records (EHR). Ensure compliance with all legal, regulatory, and hospital-specific documentation requirements. Safety & Infection Control: Follow infection control protocols and use appropriate personal protective equipment (PPE) to minimize the risk of hospital-acquired infections. Respond to changes in patient condition quickly and appropriately, including initiating emergency procedures if needed. Emergency Response: Recognize and respond promptly to emergencies, including code blue situations or significant changes in patient vital signs. Perform advanced life support (ALS) or other emergency interventions as required. Teamwork and Support: Collaborate with PCU colleagues, support staff, and interdisciplinary teams to ensure safe and efficient patient care. Serve as a resource to less experienced nursing staff and participate in mentoring or training initiatives. Quality and Compliance: Follow all hospital protocols and national standards to maintain high-quality care, safety, and patient satisfaction. Participate in quality improvement activities and patient safety initiatives to enhance patient outcomes.

```html Registered Nurse - Step-Down Unit Facility & Unit Facility: Not specified Unit/Department: Step-Down Unit Schedule Shift: Nights (19:00 - 07:00) Weekends: Every other weekend required Requirements 2 years of experience required ACLS, BLS, NIHSS certifications required Epic experience required Compliance & Submission References are required Drug Screen must be obtained within 14 days of start Dress Code Any color scrubs ShiftShield - Powered by TLC Nursing ShiftShield is TLC Nursing's exclusive placement guarantee program. Rapid placement into your next assignment, or Up to 4 weeks of income protection between assignments ```

The Stepdown Registered Nurse (RN) delivers patient care utilizing the nursing process through data collection and assessment, identifying and determining the priority of patient's problems/needs, and evaluating the process and outcome of nursing care, all in collaboration with the interdisciplinary care team.

Much of the work they do centers on assessing and tracking changes in patients' conditions and reporting this information to the doctor heading the treatment team. They also frequently change dressings, provide wound care and perform minor bedside procedures, such as IV or catheterization.

Genie Healthcare is looking for a RN to work in Stepdown for a 13 weeks travel assignment located in Manchester, NH for the Shift (3x12 nights, 19:00:00-07:00:00, 12.00-3). Pay and benefits packages are estimated based on client bill rate at time the job was posted. These rates are subject to change. Exact pay and benefits vary based on several things, including, but not limited to, guaranteed hours, client changes in bill rate, experience, etc. Benefits: Medical Insurance, Dental Insurance, Vision Insurance, 401(k) with company matching (50% up to 6% of what you contribute)

Makes nursing diagnosis of the medical and emotional status of patients and recommends treatment options. Consults with psychiatrists and other behavioral health staff in designing appropriate treatment plans for clients. Administers and notes reactions to psychotropic drugs and other medications.

An Emergency Room Nurse is primarily responsible for developing a patient care plan after a quick and thorough evaluation of a patient's injuries. Common responsibilities include bone setting, blood transfusions, wound care, medication administration, and much more.

Minimum Years of Experience: 2 years experience Traveler Experience: Unit accepts first time travelers If have 350+ bed facility experience. ACLS, BLS - AHA Required. NIHSS Required. Coordinates the delivery of nursing care for critically ill, post-operative, ventilator, post cardiac arrest, post heart cath, hemodynamic stabilization and other critically ill patients in the units.

The Registered Nurse - Baylor Plan (BP) job exists within designated inpatient specialty areas. This job is the same as the OR/ICU/ED RN 2 job in terms of job requirements and responsibilities, except that it works weekends, primarily, resulting in elevated compensation and full-time benefits eligibility (see Baylor Plan memo). If the employee works additional hours frequently, a second position is required, paid without the 25% premium factored into the base. Therefore, merit increases on this primary (BP) position require the additional step of applying the same percentage increase to the RN second position. The Registered Nurse (RN) 2 is responsible for assessing, planning, implementing and evaluating nursing care for a group of population specific patients for the department /unit, from simple to complex, with multi-system issues in a safe and therapeutic environment. The RN uses knowledge of the principles of growth and development over the life span, assesses data reflective of the patient's status and interprets information needed to identify each patients requirements relative to his/her age specific needs. The RN engages in caring relationships with patient's, families, and significant others, works collaboratively with other health care workers, and uses sound judgments while performing nursing and medical interventions. The RN adheres to specialty standards and organizational standards, policies, procedures, guidelines and protocols. Reports to the Director and/or Nurse Manager. May participate in supervision of Licensed Nursing Assistants and unlicensed personnel. Education Graduated from an accredited School of Nursing, BSN preferred. Certification, Registration & Licensure Registered Nurse - New Hampshire Board of Nursing Basic Life Support - American Heart Association Experience One year prior clinical nursing experience. Evidence of experience in working effectively and positively with patients, care providers, and the multi-disciplinary team. Evidence of the ability to perform as a member of a team. Shift- Overnight 7p-7a Weekend shift Friday, Saturday, Sunday Contract required Responsibilities Bases nursing actions by applying principles of purposeful, organized thinking to make clinical judgment/decisions. Gathers data through history taking and physical assessment and interprets data in order to plan and implement interventions to meet patient care needs. Develops, evaluates and revises patient's plan of care and nursing actions in response to patient's needs. Documents care provided and patient's progress toward attainment of desired outcomes. Directs and supervises others in the performance of delegated nursing activities. Teaches the patient and/or significant other(s) about the plan of care. Prepares patients to manage their care after discharge, transfer or preparation for procedure/test. Manages time and resources to deliver patient care. Administers medications to patients. Provides direct patient care. Leads the health care team. Serves as a Resource Person for assigned shift. Serves as a preceptor for new employees. Performs job specific requirements and other duties as assigned. Concord Hospital is an Equal Employment Opportunity employer. It is our policy to provide equal opportunity to all employees and applicants and to prohibit any discrimination because of race, color, religion, sex, sexual orientation, gender, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. Know Your Rights: Workplace Discrimination is Illegal Applicants to and employees of this company are protected under federal law from discrimination on several bases. Follow the link above to find out more. If you are an individual with a disability and require a reasonable accommodation to complete any part of the application process, you may contact Human Resources at ************. Physical and Work Requirements The physical demands and characteristics of the work environment described here are representative of those that will be encountered by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The Dictionary of Occupational Titles Material Handling Classification is MEDIUM. The employee must regularly lift, carry or push/pull up to 10 pounds, frequently lift, carry or push/pull up to 10 - 25 pounds, and occasionally lift, carry or push/pull up to 20 - 50 pounds. While performing the duties of this Job, the employee is regularly required to do fine motor, hear, speak, and walk. The employee is frequently required to bend, reach, sit, squat, and stand. The employee is occasionally required to climb, do repetitive motion, kneel, and smell. Specific vision abilities required by this job include color vision, depth perception, far vision, near vision, and peripheral vision. The employee is frequently exposed to airborne pathogens, blood borne pathogens, and bodily fluids. The employee is occasionally exposed to airborne contaminants, chemotherapeutic agents, electrical hazards - shock, moving mechanical parts, non-weather related heat or cold, slippery surfaces, and toxic or caustic chemicals. The noise level in the work environment is usually moderate.

The Registered Nurse (RN) 3 is a proficient nurse who is responsible for assessing, planning, implementing and evaluating nursing care for a group of population specific patients for the department/unit, from simple to complex, with multi-system issues in a safe and therapeutic environment. The RN uses knowledge of the principles of growth and development over the life span, assesses data reflective of the patient's status and interprets information needed to identify each patients requirements relative to his/her age specific needs. The RN engages in caring relationships with patient's, families, and significant others, works collaboratively with other health care workers, and uses sound judgments while performing nursing and medical interventions. The RN adheres to specialty standards and organizational standards, policies, procedures, guidelines and protocols. Reports to the Director and/or Nurse Manager. May participate in supervision of Licensed Nursing Assistants and unlicensed personnel. Education Graduated from an accredited School of Nursing, BSN preferred. Certification, Registration & Licensure Registered Nurse - New Hampshire Board of Nursing Basic Life Support - American Heart Association Refer to "Management of Mandatory Required Certification, Competencies, Education/Training-Nursing" Policy for department specific certifications. Experience Demonstrated proficiency in clinical specialty with at least 3 years of experience as an RN 2 if has BSN or specialty certification, or 4 years of experience as RN 2 if has ADN or Diploma in Nursing. Demonstrated ability to effectively and positively interact with multi-disciplinary staff, patients, and others. Demonstrated ability to perform as a member of a team. Responsibilities Bases nursing actions by applying principles of purposeful, organized thinking to make clinical judgment/decisions. Gathers data through history taking and physical assessment and interprets data in order to plan and implement interventions to meet patient care needs. Develops, evaluates and revises patient's plan of care and nursing actions in response to patient's needs. Documents care provided and patient's progress toward attainment of desired outcomes. Directs and supervises others in the performance of delegated nursing activities. Teaches the patient and/or significant other(s) about the plan of care. Prepares patients to manage their care after discharge, transfer or preparation for procedure / test. Manages time and resources to deliver patient care. Administers medications to patients. Provides direct patient care. Leads the health care team. Serves as a Resource Person for assigned shift Serves as a preceptor for new employees. Manages a Registered Nurse 3 track and requirements that supports unit's and/or organizational initiatives. Performs job specific requirements and other duties as assigned. Concord Hospital is an Equal Employment Opportunity employer. It is our policy to provide equal opportunity to all employees and applicants and to prohibit any discrimination because of race, color, religion, sex, sexual orientation, gender, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. Know Your Rights: Workplace Discrimination is Illegal Applicants to and employees of this company are protected under federal law from discrimination on several bases. Follow the link above to find out more. If you are an individual with a disability and require a reasonable accommodation to complete any part of the application process, you may contact Human Resources at ************. Physical and Work Requirements The physical demands and characteristics of the work environment described here are representative of those that will be encountered by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The Dictionary of Occupational Titles Material Handling Classification is MEDIUM. The employee must regularly lift, carry or push/pull up to 10 pounds, frequently lift, carry or push/pull up to 10 - 25 pounds, and occasionally lift, carry or push/pull up to 20 - 50 pounds. While performing the duties of this Job, the employee is regularly required to do fine motor, hear, speak. The employee is frequently required to bend, reach, sit, squat, stand, and walk. The employee is occasionally required to climb, do repetitive motion, kneel, and smell. Specific vision abilities required by this job include color vision, depth perception, far vision, near vision, and peripheral vision. The employee is frequently exposed to airborne pathogens, bloodborne pathogens, bodily fluids. The employee is occasionally exposed to airborne contaminants, chemotherapeutic agents, electrical hazards - shock, moving mechanical parts, non-weather related heat or cold, slippery surfaces, toxic or caustic chemicals. The noise level in the work environment is usually moderate.

Professional Development Nurse (RN) - Heart & Vascular Unit Monday - Friday, 8:00am - 5:00pm, Days Why this role? Join a centralized Nursing Education team aligned with the Chief Nursing Officer and Center for Nursing Excellence to mentor and grow nurses across their careers-through orientation, competency, preceptor excellence, and continuous professional development. These are just a few highlights of being a nurse at Dartmouth Health in New Hampshire. * We have loan repayment up to $20,000 * We offer Relocation Assistance and a Housing Coordinator to take on the burden of finding a home. * We have new, updated nursing rates * We offer generous tuition reimbursement * We have a very popular "earned time" plan * We have extensive CEU/Training programs * Our 8,000 ft Patient Safety and Training Simulation Center is state-of-the-art * Our nurses serve as central figures in the success of our system through our shared governance nursing model * We offer a rigorous, research-focused environment Why are we so unique? We are a nationally recognized Academic Medical Center in the middle of the White Mountains of New Hampshire. We understand that "quality of life" means different things to different people, but we are confident you will love it here as we have beautiful, rural and suburban housing options, world-class primary, secondary and graduate schools, hundreds of lakes, thousands of miles of hiking trails and some of the best skiing in the country. This means you can be a happy nurse with more quality time with friends, family, pets, or maybe just quiet hikes by yourself. Our idea of traffic is a line at the chair lift on the ski mountain. Read more about Dartmouth Hitchcock and why YOU should work here. Responsibilities * 1. Orientation and Onboarding * Coordinates and implements unit based orientation programs for nursing staff (RNs, LPNs, LNAs, patient care assistants, and others) new to DHMC or transferring to assigned unit * Delivers training and ensures new staff competency regarding organizational systems, including, but not limited to, point of care testing, medication dispensing systems, electronic health record * Assigns preceptors in collaboration with unit leadership * 2. Competency Management * Manages competencies for nursing staff on assigned unit * Collaborates with unit leadership to identify appropriate competencies and ensure program is carried out in a timely and coordinated fashion * Participates in the development of and implements staff competencies based on needs assessments, regulatory requirements, policy/procedure changes, new equipment and quality metrics * 3. Education * Conducts and participates in practice gap analysis and learning needs assessments * Participates in the development of, implements and evaluates education programs related orientation, competency and continuing nursing education * Demonstrates innovation within designated programs * Integrates technology into educational programming * Participates in the development of new educational programs as identified through needs assessment, gap analyses or regulatory requirements * 4. Role Development * Implements and maintains unit-based orientation programs for new to practice staff and staff transitioning from one specialty or role to another in alignment with accreditation criteria * Participates in the development of and implements initial and ongoing preceptor development programs * Supports succession planning * Conducts career coaching * Supports clinical advancement models * 5. Collaboration * Collaborates with other departments to facilitate high quality, cost effective patient care * Participates in the development of and implements interprofessional education in collaboration with interprofessional colleagues * Participates in interprofessional committees * Supports and is a champion for excellence initiatives and shared governance * 6. Inquire * Participates in research, evidence-based practice and quality improvement initiatives * Collects, analyzes and presents data related to educational programs Qualifications * Graduate from an accredited Nursing Program required. * Bachelor's Degree in Nursing required OR * Non-nursing bachelor's degree AND Associate's Degree in Nursing with commensurate experience and matriculation into a Master's in Nursing program required * 3 years of clinical experience in identified specialty. * Excellent informatics, verbal and written communications skills desired * Nursing Professional Development-Board Certified preferred within 1 year Required Licensure/Certifications * Licensed Registered Nurse with NH eligibility * Basic Life Support (BLS) Certificate required.