Nursing Jobs in Bowie, MD
Join our wonderful team as a Licensed Practical Nurse (LPN) today! Autumn Lake Healthcare at Waugh Chapel is an exceptional team-oriented company hiring for Licensed Practical Nurse (LPN) ! We provide our staff with the resources, tools, and training needed to succeed and grow in their current and desired future positions. We pride ourselves on our caring and compassionate management team who are there to fully support our staff and residents. Benefits for Licensed Practical Nurse (LPN) : Referral Bonuses! Competitive Rates! Wonderful Environment! Great Benefit package! Now Offering Same Day Pay! Qualifications & Experience Requirements for Licensed Practical Nurse (LPN) : Previous Experience as a Licensed Practical Nurse (LPN) preferred Licensed Practical Nurse (LPN) License in the State of MD HP $82,347.20 - $137,238.40 / year
Children's National Hospital is growing! This permanent Charge Nurse role is perfect for the experienced PICU nurse seeking advancement into leadership! Full-Time | Rotating Shifts The American Association of Critical-Care Nurses (AACN) previously awarded the Children's National Pediatric Intensive Care Unit with a silver-level Beacon Award for Excellence. The three-year award marked an important milestone on the path to exceptional patient care and achieving a healthy work environment. The silver-level designation signifies continuous learning and effective systems to achieve optimal patient care and shows alignment practices with AACN's six Healthy Work Environment Standards. The Pediatric Intensive Care Unit (PICU) is a 46-bed unit. We will be expanding to 60 beds in 2027! This unit serves as a regional referral center and is a designated Level I Trauma Center for comprehensive care to pediatric patients and their families. The PICU Patient Care Management Team coordinates interdisciplinary patient assessment and patient care and provided by pediatric intensivists and specialty nurses in conjunction with multiple specialty services within the Medical Center. Patients are admitted to the PICU from the ED, Trauma Services, the Operating Room, and transfers from in-house units as well as transports from other institutions via the Pediatric Transport team. Trauma patients comprise about 10%-15% of patients in the PICU. These patients often have multiple injuries or severe head trauma. The PICU is also a Pediatric Burn Center and receives referrals from the region. Other complex patients requiring general surgery, ENT, craniofacial, neurosurgical and other surgical subspecialties are also cared for in the PICU. Medical patients comprise 50%-60% of patients and include children with respiratory failure, meningitis or seizures, sepsis, multi-system organ failure and chronically ill children. Children with cancer also require PICU care for complications that develop as part of the underlying disease, chemotherapy or following bone marrow transplantation. Services are provided daily, 24 hours per day. The Division of Critical Care Medicine (CCM) provides services and care to all patients admitted to the Pediatric Intensive Care Unit (PICU). Specifically, care is provided for all patients in the PICU, patients within the hospital by request, patients within the hospital as part of all emergencies and resuscitations, and patients in the ED for “medical alerts” and “trauma stats”. The scope of services includes resuscitation, life support, monitoring and treatment for life threatening events and diagnostic issues related to these items. Patients may be admitted to and discharged from the PICU based on pre-established guidelines. See section on critical care units. The department utilizes a multi-disciplinary approach to care, utilizing the services of physicians, nurse practitioners, nurses, respiratory therapists, social services and other support services necessary to provide quality care. Attending physicians providing care are board eligible or certified in Pediatric Critical Care. The PICU provides CAT (Rapid Response Services) and Code Blue team leadership to support in house clinical emergencies. An attending or fellow along with an ICU nurse and Respiratory Therapist respond to assist in clinical rescues of in-house patients. This service can also be activated by a concerned parent. All nursing practice is based on the legal scope of practice, national and specialty nursing standards, CNMC Policies and Procedures, and in accordance with all applicable laws and regulations. The Professional Model of Care requires registered professional nurses to be responsible and accountable for their own practice. CNMC supports the development of RN relationships within the community; specifically those relationships associated with the health and well being of the community at large. The Shift Coordinator, on a shift to shift basis, directs the activities of and/or participates as a member of the patient care delivery team. In collaboration with unit leadership, participates in planning, managing and evaluating unit based clinical care and ensuring that continuity of care is maintained. Minimum Education Bachelor's Degree (Required) Minimum Work Experience 2 years Nursing experience. (Required) 1 year Recent pediatric experience in a comparable setting. (Required) Required Skills/Knowledge The Shift Coordinator, will successfully complete the hospital and nursing orientation at CNMC. Required Licenses And Certifications Registered Nurse in District of Columbia . Functional Accountabilities Professional Practice/Research Participate/support Shared Leadership. Contribute to CNMC’s Magnet Journey. Ensure that nursing is based on evidence of best practice. Accountable for supporting/participating in the Division of Nursing’s Performance Improvement process. Participate in community activities. Participates in Assessment, Planning, and Implementation of Nursing Process Continuously perform patient/family assessments as necessary to ensure needs are met. Assess and modify skill mix and staffing levels using manager or clinical coordinator for complex issues. Function as a resource in planning patient discharge and all clinical issues. Utilize multidisciplinary approach to meeting patient care needs. Demonstrates Ability to Communicate Effectively Demonstrate therapeutic communication skills by adopting techniques for specific situations. Provide performance feedback to all staff in a constructive, timely manner. Effectively manage conflict resolution. Serve as consumer advocate for patient/family concerns. Educates Patient/Family Facilitate learning opportunities for all staff. Ensure that patient/family educational needs are met. Safety Speak up when team members appear to exhibit unsafe behavior or performance Continuously validate and verify information needed for decision making or documentation Stop in the face of uncertainty and takes time to resolve the situation Demonstrate accurate, clear and timely verbal and written communication Actively promote safety for patients, families, visitors and co-workers Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and performance Organizational Accountabilities Demonstrates Demonstrate awareness of cost containment strategies by efficiently planning staffing patterns, level and mix to meet patient care needs. Ensure staff adherence to unit/hospital policies. Participate in the performance appraisal process for all staff. Implement change with a positive impact. Display strong leadership in a team environment through example. Demonstrate initiatives and leadership through involvement in projects and committee work. Organizational Commitment/Identification Partner in the mission and upholds the core principles of the organization Committed to diversity and recognizes value of cultural ethnic differences Demonstrate personal and professional integrity Maintain confidentiality at all times Customer Service Anticipate and responds to customer needs; follows up until needs are met Teamwork/Collaboration Demonstrate collaborative and respectful behavior Partner with all team members to achieve goals Receptive to others’ ideas and opinions Performance Improvement/Problem-solving Contribute to a positive work environment Demonstrate flexibility and willingness to change Identify opportunities to improve clinical and administrative processes Make appropriate decisions, using sound judgment Cost Management/Financial Responsibility Use resources efficiently Search for less costly ways of doing things Primary Location District of Columbia-Washington Work Locations CN Hospital (Main Campus) Job Nursing Organization Patient Services Position Status R (Regular) Shift Rotating Work Schedule FT, DNR, EOW, 12hr/ shifts Job Posting Apr 15, 2026, 9:01:34 PM Full-Time Salary Range 82347.2 
$75,108.80 - $133,099.20 / year
***Up to $25,000.00 Sign-on Bonus*** All nursing practice is based on the legal scope of practice, national and specialty nursing standards, Children's National Policies and Procedures, and in accordance with all applicable laws and regulations. The professional Model of Care require registered professional nurses to be responsible and accountable for their own practice. Children's National support the development of RN relationships with the community; specifically, those relationships associated with the health and well-being of the community at large. A RN is an independent practitioner who functions as an identified resource to staff in a patient care area. H/She will provide comprehensive patient care to a variety of patients. Incorporate all members of the health care team in the planning and delivery of patient care. Will deal successfully with complex clinical problems. Conduct quick assessment of patients and handle emergency situations appropriately . Demonstrate evidence based practice through participation in unit projects and activities. Minimum Education Minimum Work Experience BSN Graduated from an approved school of nursing (Preferred) 2 years P ACU experience required or related clinical nursing experience in a comparable setting such as critical care or Peds ED. (Required) Required Skills/Knowledge The licensed Registered Nurse will successfully complete the hospital and nursing orientation at Children’s National. Must have strong skills of airway management and knowledge of anesthetic agents. Excel in organizational skills, adjust for changes and be able to complete assignment on time. Role model critical thinking skills by problem-solving patient care and unit/system issues. Demonstrate a collegial and respectful relationship with peers, physicians and other departments. Care will incorporate best practices based on benchmarks and evidence within the literature. Required Licenses And Certifications Registered Nurse in District of Columbia (Required)Cardio-Pulmonary Resuscitation (CPR) (Required) Pediatric Advanced Life Support (PALS) (Required) Certified Pediatric Nurse (CPN) (Preferred) And Certified Post Anesthesia Nurse (CPAN) (Preferred) Functional Accountabilities Post-Anesthesia Clinical Care Activities Evaluate and manage patient's airway postoperatively including breakthrough laryngospasms; apply knowledge of the physiological changes to the airway postoperatively as a consequence of anesthesia and surgery . Perform manual intermittent positive pressure ventilation (IPPV). Be aware of the risk factors that contribute to the condition and make decisions when caring for patients and families. Monitor cardiopulmonary function, airway patency, and oxygen saturation. Provide prompt care to minimize the incidence of emergence delirium; maintain safety environment while patient experiencing emergence delirium. Evaluate and treat post-operative pain in a timely manner with appropriate intervention. Manage epidural administration of local anesthetics and opioids. Manage patients with central neuraxial and peripheral nerve blocks. Monitor complications associated with administration of analgesics and act promptly to minimize adverse incidents. Transformational Leadership Contribute to Magnet re-designation as evidenced by independent involvement or leadership in: committees, task force and/or community outreach. Communication reflects development of plan of care and ability to advocate to meet patients’ needs; make suggestions for resolution of system issues. Role model procedures for escalation of issues and utilize chain of command. Demonstrate proper use of identified hand off processes; follow up on inconsistent practice related to handoff. Take the lead in implementing change and support management decisions. Role model behavior reflecting empathy, concern and a desire to help others. Structural Empowerment Independently maintain regulatory requirements e.g. license, BLS. Initiate professional activities to enhance nursing practice. Engage in active review of peers giving constructive feedback through timely participation in evaluations. Role model adherence to national safety standards and service excellence standards; champion advancement of education and certification. Orchestrate involvement of the healthcare team and role model professional behavior and teamwork with co-workers. Serve as a resource as needed and know when to escalate to next level Exemplary Professional Practice Analyze assessment data gathered from patient and family to ensure completion of database and plan of care within identified timeframes. Role model excellent clinical skills with complex patients; care will reflect analysis of patient status and appropriate interventions. Direct prioritization and organization for complex patient with rapidly changing needs. Documentation will exemplify adherence to the highest standards of practice. Anticipate and proactively plan for educational needs verify with patient and family throughout the hospital/outpatient stay and prior to discharge. Role Model care in all encounters with patient and family as evidenced by feedback from parents and an increase in patient satisfaction scores. Safety Speak up when team members appear to exhibit unsafe behavior or performance Continuously validate and verify information needed for decision making or documentation Stop in the face of uncertainty and takes time to resolve the situation Demonstrate accurate, clear and timely verbal and written communication Actively promote safety for patients, families, visitors and co-workers Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and performance Organizational Accountabilities Professional Growth Initiate ways to improve operations through quality improvement and implement related solutions. Identify self-learning needs and take initiative to meet those needs. Serve as a resource for current, new information or changes in specialty area. Organizational Commitment/Identification Partner in the mission and upholds the core principles of the organization Committed to diversity and recognizes value of cultural ethnic differences Demonstrate personal and professional integrity Maintain confidentiality at all times Customer Service Anticipate and responds to customer needs; follows up until needs are met Teamwork/Communication Demonstrate collaborative and respectful behavior Partner with all team members to achieve goals Receptive to others’ ideas and opinions Performance Improvement/Problem-solving Contribute to a positive work environment Demonstrate flexibility and willingness to change Identify opportunities to improve clinical and administrative processes Make appropriate decisions, using sound judgment Cost Management/Financial Responsibility Use resources efficiently Search for less costly ways of doing things Primary Location District of Columbia-Washington Work Locations CN Hospital (Main Campus) Job Nursing Organization Surgery COE Position Status R (Regular) Shift Night Work Schedule 7p-7a, occasional wknd on-call Job Posting May 6, 2026, 8:47:33 PM Full-Time Salary Range 75108.8 
$69,720 - $103,771.25 / year
It’s inspiring to work with a company where people truly BELIEVE in what they’re doing! When you become part of the Chapters Health Team, you’ll realize it’s more than a job. It’s a mission. We’re committed to providing outstanding patient care and a high level of customer service in our communities every day. Our employees make all the difference in our success! Job Profile Summary Role: The RN, Case Manager is responsible for assessing and identifying patient/family needs, utilizing the nursing process, coordinating the Plan of Care with the Interdisciplinary Team (IDT), and providing clinical, palliative and supportive care to the patient/family unit in order to keep the participant in their home environment as long as possible. Job Description Qualifications: • Current license as RN in the state where the employee will be working • Minimum of one (1) year nursing experience; hospice or hospital experience preferred - Employees working at PACE, certification of completion of Alzheimer's Disease and Related Dementias Training through the Florida Department of Elder Affairs • Previous experience working with an EMR/EHR (Electronic Medical/Health Record) system • Mobile Driver - Valid driver’s license and automobile insurance per Company policy • Reliable transportation to meet visit schedule • Ability to use equipment with visual and auditory mechanisms • Ability to effectively communicate in English (verbal and written) • Ability to visit Participant in their homes to assessments • Ability to perform the essential functions and physical requirements (including, but not limited to: lifting patients and/or equipment, bending, pushing/pulling, kneeling) of the job with or without reasonable accommodation • Active BLS for healthcare professionals from the American Heart Association or Red Cross. Some locations may require: Provides reassurance on the phone to patients and families. Assists in finding solutions to their questions and/or recognizes the need for an in person visit. Coordinates in person visit when needed/or requested. Utilizes appropriate support/expert resources or personnel to resolve complex or difficult situations. Documents patient/family contact information in the EMR and communicates with the Interdisciplinary Team (IDT). Completes initial and semi-annual assessment for all Company services including, but not limited to: Explains services to patients/families and addresses questions regarding patient needs, fears, physical limitations, while putting the patient/family at ease; presents services in an empathetic and compassionate manner Provides information to Physicians and other IDT members and initiates Plan of Care to address patient’s immediate needs Initiates skilled nursing interventions to enhance prevention, prevent complications, alleviate symptoms and maximize physical and emotional comfort Obtains Physician orders Completes documentation per Company policy Acts as the Company representative at assigned facilities while facilitating referrals to all service lines; works closely with referring hospitals, physicians, facilities, patients, families, and the general public. Communicates frequently with other members of the IDT. Provides all necessary clinical communication timely using SBAR. Discusses any potential needs with after-hours staff. Develops strong relationships with case managers, physicians, etc. at facilities. Competencies: • Satisfactorily complete competency requirements for this position. Responsibilities of all employees: • Represent the Company professionally at all times through care delivered and/or services provided to all clients. • Comply with all State, federal and local government regulations, maintaining a strong position against fraud and abuse. • Comply with Company policies, procedures and standard practices. • Observe the Company's health, safety and security practices. • Maintain the confidentiality of patients, families, colleagues and other sensitive situations within the Company. • Use resources in a fiscally responsible manner. • Promote the Company through participation in community and professional organizations. • Participate proactively in improving performance at the organizational, departmental and individual levels. • Improve own professional knowledge and skill level. • Advance electronic media skills. • Support Company research and educational activities. • Share expertise with co-workers both formally and informally. • Participate in Quality Assessment and Performance Improvement activities as appropriate for the position. Job Responsibilities: • Provides and manages direct care to patients and families as part of Interdisciplinary Team (IDT), incorporating psychosocial, spiritual, cultural, physical and biological components, and appropriate nursing intervention and follow-up. • Coordinates the Plan of Care, ensuring that an individualized Plan of Care is developed that accurately reflects the patient’s evolving needs. • Educates patient, family, caregivers and other health professionals about disease process and decline, prevention, palliative interventions, care giving, dying process and safety practices. - Participant visit frequency dependent on risk score/needs to be determined - Home visits to assess home safety, medication compliance, nutritional compliance, DME compliance- ability to live safely in the community. • Reports changes in the patient’s condition to appropriate members of the IDT or other health professionals. • Participates with the IDT to evaluate hospice referrals/admissions for level of care appropriateness. - Attends daily IDT collaboration meetings • Presents concise and pertinent oral and written reports to IDT; respects and encourages input from all disciplines. • Communicates accurately and completely to physicians, staff members, patients, families, and supervisors; utilizes positive approaches when working with others. • Supervises patient care provided by Community Health Workers and Home Health Aides as requested. • During times of emergencies (i.e. Hurricanes, etc.), the RN, Case Manager may be required to report to work at a location designated by the company, to ensure continuity of services. This may include reporting to work ahead of your scheduled date/time due to planned lock down of unit, and staying overnight(s) based on duration of emergency. • Performs other duties as assigned. Physical Demands for Post Offer/Pre-Placement (The demands described below are representative of those that must be met by an individual to perform the essential functions of the job, with or without reasonable accommodation.): While performing the duties of this job, the following abilities are required: see; hear; talk; walk; use hands to finger, handle or feel. Frequently required to: stand; sit; reach with hands/arms; lift; bend; balance. Occasionally required to: pull; push; stoop/crouch; kneel; climb stairs. Compensation Pay Range: $69,720.00 - $103,771.25 This position requires consent to drug and/or alcohol testing after a conditional offer of employment is made, as well as on-going compliance with the Drug-Free Workplace Policy. All Chapters Health System employees performing services for Florida affiliates are submitted through the Florida Care Provider Background Screening Clearinghouse to verify eligibility after a conditional offer of employment is made as well as ongoing eligibility. For more information, please visit https://info.flclearinghouse.com/ . $89,752 - $149,593.60 / year
Child Psychiatric Unit The inpatient Child Psychiatric Unit is a 12-bed unit. It is a short-term child oriented program designed to provide crisis intervention and stabilization to children 3-13 years of age. The average length of stay is three to seven days. Each patient receives an initial psychiatric evaluation upon admission. While on the unit treatment may include additional psychological and medical evaluations as needed. Adolescent Psychiatric Unit The Adolescent Psychiatric Unit (APU) is a 14-bed short-term treatment unit that provides an extensive bio-psychosocial and treatment services to the adolescent population between 14-17 years of age. The program is designed to provide a safe and therapeutic environment to facilitate stabilization, evaluation, treatment, and follow up care of the hospitalized adolescent. Milieu Management is utilized to effect a positive change in the patient’s behavior by providing a supportive and nurturing environment that encourages and reinforces constructive interactions with others. The treatment team can consist of the following: Attending Psychiatrist, Individual Therapist (Residents/Fellows), Medical Students, Psychology Interns, Family Therapist (LSW), Expressive Art Therapist, Educational Assistant, Registered Nurses, and Child Psychiatric Specialists. All nursing practice is based on the legal scope of practice, national and specialty nursing standards, CNMC Policies and Procedures, and in accordance with all applicable laws and regulations. The Professional Model of Care requires registered professional nurses to be responsible and accountable for their own practice. CNMC supports the development of RN relationships within the community; specifically those relationships associated with the health and well being of the community at large. Directs, oversees, and maintains responsibility for clinical orientation for nursing clinical fellows. Serves as a "hands-on" direct care giving and teaching role with patients, families and nursing clinical fellows. Directly supervises activities of nursing clinical fellows. Minimum Education BSN (Required) Minimum Work Experience 5 years Nursing experience required; experience in care of children preferred. (Required) Functional Accountabilities Professional Practice/Research Discuss with each orientee the role expectations of orientee, Clinical Instructor, Advanced Practice Specialist and Staff Development Specialist related to orientation and ongoing education. Review individual orientee learning needs and develop an individualized education plan for orientee; Communicate orientation outcomes to all involved. Use teaching methods that facilitate education using adult learning principles. Participate in competency training for Unit. Identify patient and family educational needs with orientees. Education Discuss with each orientee the role expectations of orientee, Clinical Instructor, Advanced Practice Specialist and Staff Development Specialist related to orientation and ongoing education. Review individual orientee learning needs and develop an individualized education plan for orientee; Communicate orientation outcomes to all involved. Use teaching methods that facilitate education using adult learning principles. Participate in competency training for Unit. Identify patient and family educational needs with orientees. Clinical Instruction Provide direct patient care in area of specialty independently or in the role of a preceptor. Identify weekly clinical experience goals with each orientee in conjunction with Manager, Coordinator, Advanced Practice Specialist, and/or Staff Development Specialist; plan appropriate assignments and learning experiences according to didactic sequence and needs of each orientee. Plan patient care assignments - select experiences a day ahead and be flexible with changes; communicate w/ manager and charge nurse. Use individual & dual assignments. Individual – assign orientee to one or more clients–the orientee may be responsible for only certain aspects of care or total care. Dual –the orientee work along w/a staff member or CI to care for one or more clients; define role expectations of the orientee & specific objectives for the assignment (a very directed experience); dual assignments may also be two orientees assigned to one patient (important for clear communication re: aspects of care each will do). Develop follow-up activities with orientee after patient care experience. Arrange for “other” clinical experience - i.e. clinics, ORs, cath lab, etc., as appropriate for fellows and direct these experiences. Patient Care Instruction Participate in planning patient and family education, in collaboration with orientee and nursing staff; select teaching/learning methods appropriate to content and families learning preference. Participate in planning patient and family discharge needs, in collaboration with orientee, case manager, nursing staff, and physicians. Allow orientee to prepare for the patient care assignment by reviewing the patient's diagnosis, status of the patient, current management plan (meds and nursing care). Prior to patient care the orientee should be able to describe pathophysiology and explain nursing care; develop med cards; describe med action, desired effect, dosage range, side effects; major nursing implications and explain related diagnostic tests (if any had been done). Help orientee organize their patient care priorities; role play possible scenarios and provide support to the orientee by asking questions to encourage critical thinking. Post Clinical Conference – Facilitate patient care discussions at a post conference; have orientee record experiences related to the case history of the patient in their clinical log, care given, personal response to clinical encounters, and questions for follow-up; document achievement of competencies of each orientee. Participate in teaching content in the didactic and lab setting; facilitate socialization of the orientee to the work place; serve as a role model to the orientee in terms of patient care provider, teacher, and leader. Participate in providing direct patient care through: assignment with orientee; teaching patients and families utilizing selected teaching/learning methods; implement discharge activities as appropriate to patients and families; what must be done on schedule; what must be done sometime during the shift. Safety Speak up when team members appear to exhibit unsafe behavior or performance Continuously validate and verify information needed for decision making or documentation Stop in the face of uncertainty and takes time to resolve the situation Demonstrate accurate, clear and timely verbal and written communication Actively promote safety for patients, families, visitors and co-workers Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and performance Organizational Accountabilities Organizational Accountabilities (Staff) Organizational Commitment/Identification Anticipate and responds to customer needs; follows up until needs are met Teamwork/Communication Demonstrate collaborative and respectful behavior Partner with all team members to achieve goals Receptive to others’ ideas and opinions Performance Improvement/Problem-solving Contribute to a positive work environment Demonstrate flexibility and willingness to change Identify opportunities to improve clinical and administrative processes Make appropriate decisions, using sound judgment Cost Management/Financial Responsibility Use resources efficiently Search for less costly ways of doing things Safety Speak up when team members appear to exhibit unsafe behavior or performance Continuously validate and verify information needed for decision making or documentation Stop in the face of uncertainty and takes time to resolve the situation Demonstrate accurate, clear and timely verbal and written communication Actively promote safety for patients, families, visitors and co-workers Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and performance Primary Location District of Columbia-Washington Work Locations CN Hospital (Main Campus) Job Nursing Organization Ctr Neuroscience & Behav Med Position Status R (Regular) Shift Day Work Schedule occasional Weekend Job Posting Mar 24, 2026, 11:29:21 PM Full-Time Salary Range 89752 
Join our wonderful team as a Geriatric Nurse Assistant (GNA) today! Autumn Lake Healthcare at Arcola is an exceptional team-oriented company hiring for Geriatric Nurse Assistant (GNA) ! We provide our staff with the resources, tools, and training needed to succeed and grow in their current and desired future positions. We pride ourselves on our caring and compassionate management team who are there to fully support our staff and residents. Benefits for Geriatric Nurse Assistant (GNA): Referral Bonuses! Competitive Rates! Wonderful Environment! Great Benefit package! Now Offering Same Day Pay! Qualifications & Experience Requirements for Geriatric Nurse Assistant (GNA) : Previous Experience as a Geriatric Nurse Assistant (GNA) preferred L P 
