Nursing Jobs in Mount Vernon, NY
What You'll Be Doing The Registered Nurse (RN) is responsible for assessing, planning, implementing and evaluating the delivery of care. The RN assumes the responsibility and accountability for the delegation of patient care to other members of the health care team. As an integral member of the health care team, coordinates patient care and communicates and collaborates extensively with the other members of the healthcare team, patients and/or patient's family or significant other(s). Maintains and demonstrates high standards of professional ethics. What We're Looking Fo r Associate Degree in Nursing required. Bachelor’s degree (preferred) Valid NJ RN License required. BLS from AHA required. At least 2 years relevant work experience required. 2-4 years of relevant experience (preferred) Full-time, Night shift. 7pm to 7:30am Rotational weekend Saturday and Sunday. What You'll Be Doing Able to initiate and deliver nursing care to adult geriatric patients. Identify, demonstrate and evaluate appropriate nursing interventions utilizing the nursing process. Interpretation of cardiac arrhythmias and administration of appropriate therapy as ordered by the physician. Care of the patient requiring observation post cardiac monitoring and possible treatment of arrhythmias. Demonstrate ability to use equipment specific to the Critical Care Services. What We're Looking For Associate Degree in Nursing required. Bachelor’s degree (preferred) Valid NJ RN License required. BLS -AHA (required). 0-1 relevant work experience required. 2-4 years of relevant experience (preferred) Part-time with prorated benefits. Day shift, 7am to 7:30pm. 48-hours Per Pay Period. $90,000 - $110,000 / year
Overview The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms. The MJHS Difference At MJHS, we are more than a workplace; we are a supportive community committed to excellence, respect, and providing high-quality, personalized health care services. We foster collaboration, celebrate achievements, and promote fairness for all. Our contributions are recognized with comprehensive compensation and benefits, career development, and the opportunity for a healthy work-life balance, advancement within our organization and the fulfillment of having a lasting impact on the communities we serve. Benefits include: Sign-on Bonuses OR Student Loan Assistance for clinical staff Free MSN in Education program! Tuition Reimbursement for all full and part-time staff Dependent Tuition Reimbursement for clinical staff! Generous paid time off, including your birthday! Affordable and comprehensive medical, dental and vision coverage for employee and family members Two retirement plans ! 403(b) AND Employer Paid Pension Flexible spending And MORE! MJHS companies are qualified employers under the Federal Government’s Paid Student Loan Forgiveness Program (PSLF) Responsibilities The professional in this position will act as a patient advocate in facilitating, coordinating and communicating the transition of patients to next level of care in accordance with applicable law, regulations and agency policies and procedures. Works in a collaborative role with MJHC and select inpatient facilities to evaluate inpatients referred for transitional planning and/or home health services. The daily functions are carried out through a combination of telephonic outreach and collaborative efforts with facility discharge planners, MJHC, and in-house case management staff. managed care nurse, managed care rn, nursing, rn, nurse, care management Qualifications Associates in Nursing; Baccalaureate Degree preferred. Minimum of one year of acute, Medical-Surgical nursing experience. CHHA/LTHHCP experience preferred. Discharge Planning/Utilization Management experience preferred. Word and Excel Licensed with current Registration to practice as Registered Professional Nurse in NYS; Current CPR Certification. Excellent customer service skills. Ability to work within an integrated health care team. Ability to demonstrate effective critical thinking skills. Ability to problem solve independently. Ability to communicate in English both verbally and in writing. Proficiency in interviewing and physical assessment skills. Min USD $90,000.00/Yr. Max USD $110,000.00/Yr. 
$140,001.21 - $177,585.91 / year
Description The Nurse Manager (NM) is responsible for the management of nursing practice and operations on a designated unit/service setting such as inpatient, procedural, emergency department or ambulatory care. This includes, but is not limited to, the management of: clinical nursing practice, staff recruitment, retention, labor relations, supply chain and budget, daily staffing (as supported by the Center-Led Staffing Model), employee performance evaluation, quality improvement, staff education, medical record documentation, compliance with internal and external regulatory agency requirements and patient safety solution/corrective action plans. The Nurse Manager collaborates with multiple professionals to support and coordinate the provision / management of patient care inclusive of the patient admission throughout the discharge process appropriate to the setting. This individual works closely with the Nursing Director, unit Dyad partner and staff to ensure that the Service/Unit setting maintains the highest standards of patient care and is responsive to the needs of the patient & family as well as the organization. Responsibilities PATIENT CARE 1. Leads nursing practice using the tenets of the Professional Practice Model of Relationship Centered Care and the Care Delivery Model of Modified Primary Nursing for the promotion of patient experience. 2. Demonstrates proficiency in all aspects of Hourly Care Checks and role models expected behaviors. 3. Ensures the integration of Hourly Care Checks into clinical activities to enhance Relationship Centered Care validates staff members Hourly Care Checks on all patients by direct observation and patient feedback. 4. Assesses staff competency in Hourly Care Checks and provides consistent meaningful feedback with more focused feedback as needed. 5. Conducts rounding of identified patients on a daily basis (Monday-Friday.). Conducts rounding on staff on a weekly basis. 6. Communicates quantitative and qualitative information regarding the patient experience and staff engagement to the staff and the Interdisciplinary Patient Care Team that leads to the development and implementation of an action plan. 7. Collaborates with the physician dyad and escalates concerns as appropriate. 8. Follows up on all patient concerns in a timely manner and provides service recovery as needed. 9. Demonstrates caring, agility, respect, compassion, empathy and active listening through dialogue, body language and actions. PATIENT EXPERIENCE 1. Role models the tenets of Mount Sinai Relationship Centered Care (MSHRCC) by collaboratively facilitating patient-centered care processes appropriate to the clinical setting (inpatient, procedural, ambulatory) through facilitation of the following actions but not limited to: Admission or Visit Welcome, , Bedside Shift Report, HELP, AM/PM Care, Dedicated Sit Down, Purposeful Hourly Rounding (PHR)/Care Checks, or patient check-ins, Medication Review, Discharge Wrap Up or visit completion. 2. Participates and facilitates Communication Huddle with staff at the start of the shift, identifying high-risk patients who require special attention and escalates concerns in a timely manner for resolution. 3. Participates in Interdisciplinary Care Rounds, or other structured team communications as appropriate to the care setting, leading nursing practice while supporting the interdisciplinary teams use of evidence-based practice for care delivery, LOS reductions, transition of care and discharge planning, transition planning, and efficient access to care.. 4. Collaborates with physicians, nursing, case management, OT/PT, pharmacy, and ancillary services to identify and address patient care outcomes and barriers to safe, timely discharge. 5. Communicates to nursing leadership concerns or issues identified during huddle and throughout shift. 6. Initiates service recovery for patients and family members who have concerns and escalates to Nursing Director/designee and Patient Relations as needed. 7. Interprets and communicates patient experience scores and benchmarks and keeps staff informed of progress and areas of opportunity. 8. Considers the patient’s values, preferences, cultural diversity, expressed needs and knowledge in all aspects of care. 9. Empowers staff to use evidence-based practices to increase understanding of patients’ perceptions of care. 10. Identifies the Key Performance Indicator(s) of Patient Experience and oversees progress through the use of the Story Board performance improvement process within the Data Management Board (DMB). 11. Demonstrates caring, respect, compassion, empathy and active listening through verbal and body language and actions. QUALITY AND SAFETY 1. Plan, supports, and leads a safe, therapeutic, efficient, and patient-centered care environment that promotes professional nursing practice across inpatient, ambulatory, and procedural settings. 2. Identifies and investigates issues or variances in practice/operations by participating in the RCA/Patient Safety Solutions (PSS) processes and implements corrective action plans/safety solutions accordingly. 3. Partners with clinical and operational leaders to monitor quality, safety, and throughput metrics, using data to drive continuous improvement in length of stay and discharge processes. 4. Participates in unit and hospital-based quality, patient safety and patient experience process improvement initiatives. 5. Utilizes the principles of Lean methodology for process improvement through the use of the Daily Management Boards (DMB). 6. Identifies the Key Performance Indicators (KPI) for Quality and Safety with emphasis of the nurse sensitive indicators using the Story Board process within the DMB, utilizing Leader Standard Work appropriate to the practice setting.. 7. Fosters a fair and open Just Culture that encourages error and near-miss occurrence reporting. 8. Leads interdisciplinary quality improvement teams using the principles of high reliability. 9. Reviews unit progress, changes, and compliance with quality and safety metrics with clinical nurses and other members of the healthcare team. 10. Responds to escalations of potential safety hazards or gaps from best practice by correcting concerns following institutional chain of command protocol. 11. Monitors institutional information technology infrastructure and corrects gaps in clinical nursing documentation. 12. Leads staff participation in quality and safety initiatives and mandated compliance measures. 13. Demonstrates accountability for all unit quality and safety practices and compliance and ensures required evaluation of staff competencies is maintained. OPERATIONS AND ADMINISTRATION 1. Supports the implementation of the mission, vision, goals, and objectives of the department across inpatient, ambulatory, and procedural care settings, ensuring alignment throughout the clinical service and patient care areas. 2. Provides administrative and clinical oversight to ensure that all operational activities—including staffing, patient access and flow, support services, interdisciplinary collaboration, resource utilization, and financial stewardship—support organizational goals and high-quality patient care across all care settings. 3. Ensures compliance with all applicable staffing regulations, collective bargaining agreements, and regulatory requirements, including the staffing enforcement provisions of the applicable CBA, NYSDOH Staffing Committee Law, and inpatient, procedural and ambulatory staffing standards, as applicable. 4. Oversees patient care delivery and daily operations across assigned inpatient units and/or ambulatory practice areas, utilizing Leader Standard Work to ensure consistency in leadership practices, operational excellence, patient access, quality outcomes, and the implementation of evidence-based best practices. 5. Works collaboratively with the Center-led Staffing Department as needed to ensure staffing grids are met (as covered by this service) and optimize workforce deployment. 6. Support labor management strategies by collaboratively maximizing retention strategies and internal resource utilization and minimizing reliance on premium labor, verifying that staffing plans maintain quality, safety, and appropriate clinical expertise. 7. Monitors staffing trends and workforce metrics, validating and implementing data-driven recommendations to support informed staffing decisions and continuous workforce improvement. 8. Works collaboratively with physician dyads and all members of the healthcare team to promote patient care and regulatory standards. 9. Prioritizes recruitment and retention strategies in accordance with system and local hospital retention goals. 10. Implements and monitors unit salary and supply budgets, including capital equipment allocation according to MSHS financial goals. 11. Monitors availability and maintenance of nursing equipment and supplies 12. Maintains position control of established positions and manages the recruitment and retention of qualified staff. 13. Maintains patient/employee confidentiality in the management of information. 14. Evaluates nursing staff performance and mentors, coaches, counsels and disciplines staff as needed. 15. Evaluates all newly hired/transferred staff and participates in the decision about passing the probationary period. 16. Participates in the ongoing and completes the annual performance appraisals for all staff. 17. Completes performance improvement plans of employees as needed and shares feedback with the Associate Directors/Directors and Senior Directors accordingly. 18. Interprets and implements the associated collective bargaining agreements and System and Hospital policies and procedures. 19. Performs disciplinary actions as necessary with collaboration with Nursing and Labor Relations. 20. Acts as a management witness in disciplinary activities. 21. Ensures all staff have met their orientation goals/weekly progress reports and annual competency requirements and participates in the Competency Planning Tool for unit/service. 22. Conducts regular staff meetings to ensure communication with staff about progress, changes and compliance with all hospital policies and procedures. Maintains records of minutes for staff team meetings. 23. Encourages, recognizes and rewards staff participation in quality and safety initiatives, compliance and successes. 24. Facilitates organizational change initiatives by using effective strategies. 25. Leads a shared decision-making model by establishing a structure of shared governance, just culture and staff engagement in structured unit, procedural or practice, practice councils, departmental meetings and initiatives. 26. Responds to protest of assignment in a timely manner as detailed in the collective bargaining agreement and discusses the resolution in unit staff meetings. 27. Ensures assigned inpatient units, ambulatory practices, and clinical departments maintain compliance with all applicable regulatory, accreditation, and professional practice standards, including those established by the New York State Department of Health (NYSDOH), The Joint Commission, and other governing agencies, as applicable. PROFESSIONAL DEVELOPMENT 1. Performs as a clinical leader who actively creates and supports nursing practice and an environment of care that reflects clinical excellence. 2. Organizes the environment of care to support clinical colleagues, patients and their families and members of the healthcare team. 3. Projects and cultivates a professional image to colleagues by communicating caring, respect, compassion, empathy and trust. 4. Incorporates ethical principles into decision making for patients and family in collaboration with the clinical nursing staff and the healthcare team. 5. Fosters a spirit of scholarship, inquiry, life-long learning and innovation for self and others. 6. Acquires and disseminates knowledge and skills relative to the role, patient population, clinical specialty and global or local health community needs. 7. Leads shared decision making through unit/service practice councils, nursing department and hospital committees, and clinical service/unit initiatives. 8. Serves as a professional role model and preceptor for new leadership staff and students. 9. Integrates the values of research and evidence-based practice and its application to nursing practice and the environment of care. 10. Contributes to the profession of nursing through leadership and participation in professional organizations. Qualifications Bachelor of Science with a major in nursing required; Master's Degree in Nursing or healthcare-related field or be enrolled in a program preferred Licensed as a registered nurse with current registration in New York State Basic Life Support (BLS) Issuing Agency: AHA Advanced Cardiovascular Life Support (ACLS) Issuing Agency: AHA Pediatric Advanced life Support (PALS) Issuing Agency: AHA Care Course (or equivalent) required within 6 months of hire. Certified Post Anesthesia Nurse (CPAN ® ) required within 6 months of hire Must have relevant clinical competence in the area of Post-anesthesia -care 3-5 years of nursing clinical care with Charge Nurse/Supervisory experience preferred. Employer Description Strength through Unity and Inclusion The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount Sinai’s unparalleled legacy of achievement, education, and innovation as we work together to transform healthcare. We encourage all team members to actively participate in creating a culture that ensures fair access to opportunities, promotes inclusive practices, and supports the success of every individual. At Mount Sinai, our leaders are committed to fostering a workplace where all employees feel valued, respected, and empowered to grow. We strive to create an environment where collaboration, fairness, and continuous learning drive positive change, improving the well-being of our staff, patients, and organization. Our leaders are expected to challenge outdated practices, promote a culture of respect, and work toward meaningful improvements that enhance patient care and workplace experiences. We are dedicated to building a supportive and welcoming environment where everyone has the opportunity to thrive and advance professionally. Explore this opportunity and be part of the next chapter in our history. About the Mount Sinai Health System: Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time — discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients’ medical and emotional needs at the center of all treatment. The Health System includes more than 9,000 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report’s “Best Children’s Hospitals” ranks Mount Sinai Kravis Children's Hospital among the country’s best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 11 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek’s “The World’s Best Smart Hospitals” ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally. Equal Opportunity Employer The Mount Sinai Health System is an equal opportunity employer, complying with all applicable federal civil rights laws. We do not discriminate, exclude, or treat individuals differently based on race, color, national origin, age, religion, disability, sex, sexual orientation, gender, veteran status, or any other characteristic protected by law. We are deeply committed to fostering an environment where all faculty, staff, students, trainees, patients, visitors, and the communities we serve feel respected and supported. Our goal is to create a healthcare and learning institution that actively works to remove barriers, address challenges, and promote fairness in all aspects of our organization. Compensation The Mount Sinai Health System (MSHS) provides salary ranges that comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $140001.21 - $177585.91 Annually. Actual salaries depend on a variety of factors, including experience, education, and operational need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits. $72,627 - $155,538 / year
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Title: Registered Nurse Company: Oak Street Health Role Description: The purpose of a Registered Nurse at Oak Street Health is to build strong relationships with Oak Street Health patients by coordinating their care and providing a seamless experience to patients and their support team. At Oak Street Health you will use an integrated approach toward achieving desired patient outcomes by utilizing standards, guidelines and pathways for care delivery. Through clinical assessment, intervention and education you will ensure our patients are provided competent nursing care in a timely manner. Our Registered Nurses drive quality care, it is of vital importance that our nurses incorporate data and information to improve care and enhance our patient outcomes. You will work to create an engaging and welcoming environment through team communication and delegation to empower other members of the care team to deliver the best care to our patients. Our Registered Nurses report to the Practice Manager or Nurse Supervisor (where applicable). Core Responsibilities: Provide competent nursing care by displaying proficiency in this role and executing job responsibilities in a safe and consistent manner Respond to incoming telephonic requests in a dependable manner, ensuring we are responsive to their needs and exceeding expectations Provide clinically competent triage and symptom management to patients who may or may not be physically present Utilize standardized protocols for medication management, prescription refills and prior authorizations. Conduct thorough and accurate reviews of patient medications and update as needed Provide comprehensive education and direct patient care, particularly around chronic conditions; may occur in person, over the phone or in group settings Actively collaborate and monitor the implementation and progress of the care plan for patients on multiple provider panels Form relationships with patients and their caregivers to support preventative care and ED/hospital diversion where appropriate Create a welcoming and engaging environment to meet the needs of our patients, communities, families and teams where they are Delegation of activities to other clinical care team members to support the needs of our patients Participate in care team meetings to discuss patient care and clinic operations Deliver an exceptional patient experience through service, responsiveness and respectful care Perform point of care testing, procedures and specimen collection (including phlebotomy) as needed Performs other related duties as assigned What we're looking for Required Qualifications: Active Registered Nurse (RN) Licensure in good standing with the applicable state BLS Certification Electronic Medical Record (EMR) experience Ability to maintain patient confidentiality and process information in a confidential manner US work authorization Ability to assess patients without face-to face interaction, strong communication and assessment skill Strongly Preferred Qualifications: Ability to collaborate and communicate with members of an interdisciplinary care team Excellent computer skills with ability to read, interpret and analyze data from various computer systems Effective problem solving and prioritization skills 2+ years of healthcare experience, working as an RN Preferred Qualifications: Previous experience in clinic setting Ability to work independently Fluency in Spanish, Polish, Russian, or other languages spoken by people in the communities we serve Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $72,627.00 - $155,538.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments . We anticipate the application window for this opening will close on: 01/01/2027 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. 
$136,400 - $225,100 / hour
About Us: The people of Memorial Sloan Kettering Cancer Center (MSK) are united by a singular mission: ending cancer for life. Our specialized care teams provide personalized, compassionate, expert care to patients of all ages. Informed by basic research done at our Sloan Kettering Institute, scientists across MSK collaborate to conduct innovative translational and clinical research that is driving a revolution in our understanding of cancer as a disease and improving the ability to prevent, diagnose, and treat it. MSK is dedicated to training the next generation of scientists and clinicians, who go on to pursue our mission at MSK and around the globe. Exciting Opportunity: At MSK, we recognize and champion the role of the Clinical Nurse Specialist and how it enhances the clinical setting and the value it provides to our patient population. Our highly skilled nursing team includes over 40 Clinical Nurse Specialists. Each of us is dedicated to delivering excellence in the art and science of professional nursing, consistent with our mission to provide compassionate, evidence-based nursing care to patients and families living with cancer in a healing and innovative environment. Role overview: A good decision-maker, with proven success at making timely decisions that keep the organization moving forward. Able to work effectively in an environment notable for complex, information across multiple treatment sites Adept at planning and prioritizing work to meet commitments aligned with organizational goals. A successful collaborator with the ability to engage others with different points of view and priorities Key Qualifications: Current NY RN license with CNS qualification required (NJ State RN and CNS qualification preferred, can be obtained during the first 6 months of employment) RNs currently enrolled in a CNS program may be considered at the CN IV level pending receipt of NYS CNS licensure Master's in Nursing National certification 3+ years of related pediatric and/or adolescent and young adults experience Experience in an advanced nursing role is strongly preferred Oncology experience strongly preferred Self-direction and strong interpersonal skills are essential Core Skills: Provide clinical leadership in the areas of evidence-based oncology nursing practice, education, consultation, and research. Provide support to MSK's patients with cancer diagnosis and the nursing staff who care for them. Coordinate implementation of practice standards with colleagues across sites. Demonstrate positive quality outcomes as it relates to nurse-sensitive indicators and patient and staff satisfaction. Promote a patient-centered environment through collaboration with nursing leaders and multidisciplinary teams. Support and cultivate Relationship Based Care in all aspects of care delivery. Disseminate MSK oncology nursing practice standards and outcomes through abstract submission, podium presentation and evidence-based research findings. Additional Information: Schedule: 4 x10-hour shifts day shift, with weekend coverage. Location: Main Campus, 1275 York Avenue Reports To: Associate Director, Nursing Pay Range: $136,400.00 - $225,100.00 FSLA Status: Exempt Closing : At MSK, we believe in fair, competitive pay that reflects your job, experience, and skills. MSK is an equal opportunity and affirmative action employer committed to diversity and inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration without regard to race, color, gender, gender identity or expression, sexual orientation, national origin, age, religion, creed, disability, veteran status or any other factor which cannot lawfully be used as a basis for an employment decision. Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please tell us if you require a reasonable accommodation to apply for a job or to perform your job. Examples of reasonable accommodation include making a change to the application process or work procedures, providing documents in an alternate format, using a sign language interpreter, or using specialized equipment. 
