Description Job Description 19K annual ED volume 40 hospital beds 24-hour physician coverage 8-hour NP/PA coverage EMR: Meditech BC/BE EM or BC/BE FM or IM with experience, ATLS, ACLS and PALS Facility Information CHRISTUS Southeast Texas - Jasper Memorial is part of CHRISTUS Health, a not-for-profit system made up of long-term care facilities, community hospitals, walk-in clinics, and health ministries. CHRISTUS Southeast Texas - Jasper Memorial is a Level IV trauma center serving the residents of East Texas. The hospital offers a wide range of services including, 24/7 emergency care, general medical and surgical, imaging, laboratory, birthing, and much more. Community Information Jasper known as the "Jewel of the Forest" is a small town offering southern charm and modern amenities. Mild winters, low cost of living, high quality of life, abundant natural beauty, and K-12 education make Jasper a great place to live. Jasper is located in deep East Texas, about 130 miles from Houston, TX and 170 miles from Baton Rouge, LA.<img src="https://www.jobg8.com/Tracking.aspx?iOvp3n2dtZ5SlmWxS64ezgz" width="0" height="0" />

**Emergency Medicine Physician**

Join our team as an Emergency Medicine Physician in a facility with a 19K annual ED volume and 40 hospital beds. This position offers 24-hour physician coverage and 8-hour NP/PA coverage, utilizing the Meditech EMR system.

**Job Description**

- Provide emergency medical care in a Level IV trauma center
- Manage a wide range of services including 24/7 emergency care, general medical and surgical, imaging, laboratory, and birthing

**Requirements**

- Board-certified or board-eligible in Emergency Medicine or Family Medicine/Internal Medicine with experience
- ATLS, ACLS, and PALS certifications

**Facility Overview**

CHRISTUS Southeast Texas - Jasper Memorial is part of CHRISTUS Health, a not-for-profit system made up of long-term care facilities, community hospitals, walk-in clinics, and health ministries. The hospital offers a wide range of services to the residents of East Texas.

**Community Overview**

Jasper, known as the "Jewel of the Forest," is a small town offering southern charm and modern amenities. With mild winters, a low cost of living, high quality of life, and abundant natural beauty, Jasper is a great place to live. It is located in deep East Texas, about 130 miles from Houston, TX, and 170 miles from Baton Rouge, LA.

Physician / Emergency Medicine / Texas / Locum or Permanent / Emergency Medicine Physician Job

Description Summary:The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, with the ability to on long-range goals or plans. Continues to develop the ability to cope with and manage contingencies of clinical nursing. Makes appropriate assignments and delegates to other care providers as a means to help manage the clinical situation.Responsibilities: <ul><li>Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.</li><li>Consistent with the ANA Scope and Standards of Practice, provides nursing care utilizing the nursing process, including assessment, diagnosis, planning, intervention and evaluation for assigned patients.</li><li>Addresses increasingly complex psychological, emotional, cultural, and social needs of patient and families in accordance with their level of practice.</li><li>Using the appropriate protocol, administers medications and treatments; monitors for side-effects and effectiveness of the treatment prescribed.</li><li>Documents patient history, symptoms, medication, and care given.</li><li>Assess learning needs and provides education to patients, family members and/or care givers; identify issues and resources. </li></ul>Job Requirements: Education/Skills<ul><li>Bachelor of Science Degree in Nursing, preferred</li></ul>Experience<ul><li>1 year of experience in the related nursing specialty preferred</li></ul>Licenses, Registrations, or Certifications<ul><li>BLS required</li><li>RN License in state of employment or compact</li></ul>Position Requirements: Education/Skills<ul><li>All newly hired experienced RNs must attend New Nurses Orientation within the first 30 days of hire.</li><li>New hires are precepted by a designated trained staff member and initial on-boarding requirements are validated through successful completion of the designated organizational entry competency validation and an Emergency Department- specific competency validation.</li><li>All newly licensed RNs may participate in a residency program or other specific orientation. Skills completion and competency completion will be achieved with the preceptor at the bedside and documented through the program's tracking software.</li><li>Completion of all annual competency verification requirements.</li></ul>Experience<ul><li>One year of experience in a related nursing specialty preferred.</li></ul>Licenses, Registrations, or Certifications<ul><li>Current ACLS certification required</li><li>Current PALS certification required</li><li>Current TNCC certification required</li></ul>In accordance with the CHRISTUS Health License, Certification and Registration Verification Policy, all Associates are required to obtain required certifications for their respective positions within the designated time frame. Credential Grace Periods: If additional credentials are required per the Position Requirements section, a grace period to obtain the certification will apply, dependent on your experience level. <ul><li>Any Candidate/Associate with at least one year of acute care clinical experience in a similar service line within the past three years is considered an Experienced Associate.</li><li>Any Candidate/Associate who does not have at least one year of full-time acute care clinical experience in the same service line within the past three years is considered an Experienced Associate New to the Specialty. </li></ul>CredentialGrace Periods for Experienced AssociatesGrace Periods for New Graduates & Experienced Associates New to the SpecialtyBasic Life Support (BLS)No grace period. AHA or Red Cross accepted at time of hire.No grace period. AHA or Red Cross accepted at time of hire.Advanced Cardiac Life Support (ACLS)Within 30 days of hire.Within 90 days of hire.Pediatric Life Support (PALS)Within 30 days of hire.Within 90 days of hire.Trauma Nurse Core Curriculum (TNCC)Within 60 days of hire.Within 18 months of hire.Trauma Care After Resuscitation (TCAR)Within 60 days of hire.Within 18 months of hire.Neonatal Resuscitation Program (NRP)Within 30 days of hire.Within 60 days of hire.AWHONN INTERMEDIATE FHM (Fetal Heart Monitoring)Within 30 days of hire.Within 60 days of hire.STABLE (Neonatal Education)Within 30 days of hire.Within 60 days of hire. Work Schedule: TBDWork Type:Full Time<img src="https://www.jobg8.com/Tracking.aspx?iOvp3n2dtZ6xgLp1Vc96tAz" width="0" height="0" />

**Nurse**

The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, with the ability to focus on long-range goals or plans. Continues to develop the ability to cope with and manage contingencies of clinical nursing. Makes appropriate assignments and delegates to other care providers as a means to help manage the clinical situation.

**Job Description**

- Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
- Consistent with the ANA Scope and Standards of Practice, provides nursing care utilizing the nursing process, including assessment, diagnosis, planning, intervention, and evaluation for assigned patients.
- Addresses increasingly complex psychological, emotional, cultural, and social needs of patients and families in accordance with their level of practice.
- Using the appropriate protocol, administers medications and treatments; monitors for side effects and effectiveness of the treatment prescribed.
- Documents patient history, symptoms, medication, and care given.
- Assesses learning needs and provides education to patients, family members, and/or caregivers; identifies issues and resources.

**Requirements**

- Education/Skills: Bachelor of Science Degree in Nursing preferred.
- Experience: 1 year of experience in the related nursing specialty preferred.
- Licenses, Registrations, or Certifications: BLS required; RN License in state of employment or compact.
- All newly hired experienced RNs must attend New Nurses Orientation within the first 30 days of hire.
- New hires are precepted by a designated trained staff member and initial onboarding requirements are validated through successful completion of the designated organizational entry competency validation and an Emergency Department-specific competency validation.
- All newly licensed RNs may participate in a residency program or other specific orientation. Skills completion and competency completion will be achieved with the preceptor at the bedside and documented through the program's tracking software.
- Completion of all annual competency verification requirements.

**Licenses, Registrations, or Certifications**

- Current ACLS certification required.
- Current PALS certification required.
- Current TNCC certification required.

In accordance with the CHRISTUS Health License, Certification and Registration Verification Policy, all Associates are required to obtain required certifications for their respective positions within the designated time frame.

**Work Schedule**

TBD

**Work Type**

Full Time

RN job in Jasper TX

Description Summary:The Radiology Technologist will perform a wide variety of routine and advanced imaging procedures, will provide support for other imaging technologists as needed, and help to facilitate smooth and efficient patient flow. The technologist will demonstrate flexibility by working other shifts and/or at other campuses as needed or required. The technologist must be able to troubleshoot basic maintenance, participate in QA, and resolve issues related to image processing and the image archiving system. Expectation to participate in ongoing education, safety, and technical advances within their scope of licensure. The Technologist will adhere to, and maintain, the expected imaging competencies as outlined by management. Behavior and communication skills must align with the organization's mission, values, and culture. Responsibilities:<ul><li>Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.</li><li>Demonstrates adherence to the Core Values of CHRISTUS Health.</li><li>Maintains consistency with Administrative and Departmental policies with appropriate behavior, dress, attitude, attendance, confidentiality, professionalism, and reliability.</li><li>Promotes staff growth, development, and employee engagement by collaborating with management, coworkers, and physicians to create an optimal work environment.</li><li>Promotes exceptional physician satisfaction by providing meaningful assistance to radiologists and referring physicians.</li><li>Performs all duties in a manner that protects the confidentiality of patients and does not solicit or disclose any confidential information unless it is necessary in the performance of assigned job duties.</li><li>Appropriately adapt assigned patient assessment, treatment, and/or care methods to accommodate the unique physical, psychosocial, cultural, spiritual, age-specific, and other developmental needs of each patient served.</li><li>Ensures compliance with all policies, procedures, and standards of care as deemed appropriate by State and Federal agencies, the hospital, and other regulatory entities.</li><li>Performs examinations/procedures as needed to assist in patient throughput within the scope of the Manager's license(s), certification(s), and/or documented competencies.</li><li>Demonstrates flexibility by working other shifts and at other campuses as needed or required.</li><li>Ensures completed exams are scanned and stored correctly in PACS.</li><li>Ability to follow PACS downtime procedures as a PACS Superuser and escalate any problem(s) or issue(s) to the PACS administrator or Designee if needed.</li><li>Troubleshoots and reports any equipment malfunctions to the Director/Manager and/or Biomedical personnel; does appropriate follow-up.</li><li>Performs other duties as assigned.</li></ul>Requirements:Education/Skills<ul><li>Graduate of an accredited school of Radiology Technology or other accepted and approved equivalent required </li></ul>Experience<ul><li>1 year of experience in a hospital preferred </li><li>Basic computer experience required</li></ul>Licenses, Registrations, or Certifications<ul><li>Radiology (R) by ARRT required</li><li>State licensure required - Texas: MRT by TMB</li><li>BLS required</li></ul>Work Schedule: TBDWork Type:Per Diem As NeededEEO is the law - click below for more information: We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at .<img src="https://www.jobg8.com/Tracking.aspx?SgVhZ%2fXWBy7cmqfeYNeHEAl" width="0" height="0" />

**Radiology Technologist**

The Radiology Technologist will perform a wide variety of routine and advanced imaging procedures, provide support for other imaging technologists as needed, and help to facilitate smooth and efficient patient flow. The technologist will demonstrate flexibility by working other shifts and/or at other campuses as needed or required. The technologist must be able to troubleshoot basic maintenance, participate in QA, and resolve issues related to image processing and the image archiving system. Expectation to participate in ongoing education, safety, and technical advances within their scope of licensure. The Technologist will adhere to, and maintain, the expected imaging competencies as outlined by management. Behavior and communication skills must align with the organization's mission, values, and culture.

**Job Description**

- Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
- Demonstrates adherence to the Core Values of CHRISTUS Health.
- Maintains consistency with Administrative and Departmental policies with appropriate behavior, dress, attitude, attendance, confidentiality, professionalism, and reliability.
- Promotes staff growth, development, and employee engagement by collaborating with management, coworkers, and physicians to create an optimal work environment.
- Promotes exceptional physician satisfaction by providing meaningful assistance to radiologists and referring physicians.
- Performs all duties in a manner that protects the confidentiality of patients and does not solicit or disclose any confidential information unless it is necessary in the performance of assigned job duties.
- Appropriately adapts assigned patient assessment, treatment, and/or care methods to accommodate the unique physical, psychosocial, cultural, spiritual, age-specific, and other developmental needs of each patient served.
- Ensures compliance with all policies, procedures, and standards of care as deemed appropriate by State and Federal agencies, the hospital, and other regulatory entities.
- Performs examinations/procedures as needed to assist in patient throughput within the scope of the Manager's license(s), certification(s), and/or documented competencies.
- Demonstrates flexibility by working other shifts and at other campuses as needed or required.
- Ensures completed exams are scanned and stored correctly in PACS.
- Ability to follow PACS downtime procedures as a PACS Superuser and escalate any problem(s) or issue(s) to the PACS administrator or Designee if needed.
- Troubleshoots and reports any equipment malfunctions to the Director/Manager and/or Biomedical personnel; does appropriate follow-up.
- Performs other duties as assigned.

**Requirements**

- Graduate of an accredited school of Radiology Technology or other accepted and approved equivalent required.
  
**Experience**

- 1 year of experience in a hospital preferred.
- Basic computer experience required.

**Licenses, Registrations, or Certifications**

- Radiology (R) by ARRT required.
- State licensure required - Texas: MRT by TMB.
- BLS required.

**Work Schedule**

TBD

**Work Type**

Per Diem As Needed

Radiologic Technologist job in Jasper TX

Ready to make your next career move? VieMed Healthcare Staffing is a premier staffing agency that specializes in connecting skilled professionals with healthcare facilities, ensuring seamless continuity of care and unparalleled service delivery. We are committed to quality, reliability, and integrity for both our candidates and clients. Join us in our mission to elevate healthcare staffing to new heights. We take care of you, so you can take care of others. VHS is looking for a qualified Scientist - Laboratory. City: Jasper State: TX Start Date: 2025-06-30 End Date: 2025-09-28 Duration: 13 Weeks Shift: 10 Hours Overnight shift. Description: Temp to perm PREFERRED BILL RATE: 70SHIFT: NIGHTS - 7 ON/7 OFF THURS-WED 8P-6ASummary:Performs clinical testing in assigned section/s such as general laboratory Blood Bank and Microbiology sections with all duties necessary for accurate and timely results including quality control performance improvement proficiency testing and preventative maintenance of equipment. Recognizes abnormal critical values and follows proper guidelines for notifying medical team members of results. Performs clerical general and phlebotomy duties related to daily operations in the laboratory. Provides/dispenses blood products as requested by medical staff.Responsibilities:Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self Leader of Others or Leader of Leaders.Ensures that the company philosophy and core values are evident in the service delivered to customers.Specimen Collection/Handling/Processing obtains blood specimens via venipuncture and/or fingerstick accurately identifies and labels appropriately answers pneumatic tube system follows procedures for processing and testing specimens including operating various centrifuges obtains other designated patient specimens as listed in procedure manuals.Result Reporting recognizes errors or improbable results and takes appropriate action reports critical values per Policy and Procedure performs tests within established timeframe performs laboratory testing if designated in the following sections: Hematology Urinalysis Coagulation Chemistry Special Chemistry ER Stat Lab and Microbiology performs blood bank procedures including crossmatching ab id s and dispensing of blood products operates laboratory automated analyzers according to established procedures.Performs analyzes and records QC according to Policy amp Procedure following CLIA CAP AABB and JCAHO guidelines performs and records Performance Improvement indicators and reports results.Performs established daily and periodic preventative maintenance with documentation troubleshoots minor problems and initiates service calls as needed orders or notifies assigned associate and restocks supplies/reagents reviews policy amp procedure manual dates reagents and discards expired reagents.Takes responsibility for seeking and achieving professional growth and continued education.Assists in training new associates and students in Laboratory practices.Follows CAP AABB Compliance CLIA JCAHO and OSHA standards.Follows established protocols for safety infection control security compliance and the use of hazardous materials.Utilizes LIS and HIS computer systems appropriately to perform charge and report laboratory results.Completes annual competency assessment successfully and by assigned date.Job Requirements:Education/SkillsAssociates Degree or higher in clinical laboratory science or medical laboratory technology from an accredited institution or equivalent laboratory training and experience meeting the requirements defined in the CLIA regulation 42CFR493.1489:Successfully completed an official U.S. military medical laboratory procedures training course of at least 50 weeks duration and currently hold the military enlisted occupational specialty of medical laboratory specialist laboratory technicianOR60 semester hours or equivalent from an accredited institution that at a minimum includes either 24 semester hours of medical laboratory technology courses OR 24 semester hours of science courses that include six semester hours of chemistry six semester hours of biology and 12 semester hours of chemistry biology or medical laboratory technology in any combinationANDLaboratory training including either completion of a clinical laboratory training program approved or accredited by the ABHES NAACLS or other organization approved by HHS note that this training may be included in the 60 semester hours listed above or at least three months documented laboratory training in each specialty in which the individual performs high complexity testing. ExperienceNo experience required for graduates of a clinical laboratory training program approved or accredited by NAACLS or other organizations approved by HHS.ORSix Months of approved clinical laboratory experience which must include a clinical rotation through the following sections of the laboratory: Blood Banking Microbiology Chemistry and Hematology Immunology and Urinalysis/Body Fluids in the U.S. or with an accredited laboratory within the last 5 years. This meets the AMT MLT eligibility requirement.Licenses Registrations or CertificationsBoard Certified or eligibleWork Schedule:7 on 7 offNight ShiftThursday - Wednesday8PM - 6AMWork Type:Full Time Notes: N/A 1099 Pay Rate: $54.60 Certification Requirements: Please confirm credential requirements with VHS upon application. At VieMed, Live Your Life isn't just a company tagline. It's a passionate commitment to improving the lives of every patient and employee. Benefits Include: Competitive Pay Packages Weekly Pay Schedule via Direct Deposit Comprehensive Medical Benefits (W-2) Robust Referral Bonus Program 24/7 Dedicated team committed to your success throughout your time with VHS Paid sick time in accordance with all applicable state, federal and local laws Licensure, certification, travel and other reimbursements when applicable VHS is an Equal Opportunity Employer ( EEO )/Protected Veterans/Individuals with Disabilities/E-Verify Employer and welcomes all to apply<img src="https://www.jobg8.com/Tracking.aspx?hQJVT%2faSAQyMx6f3xcSiHgx" width="0" height="0" />

**Scientist - Laboratory**

Ready to make your next career move? VieMed Healthcare Staffing is a premier staffing agency that specializes in connecting skilled professionals with healthcare facilities, ensuring seamless continuity of care and unparalleled service delivery. We are committed to quality, reliability, and integrity for both our candidates and clients. Join us in our mission to elevate healthcare staffing to new heights. We take care of you, so you can take care of others.

**Job Description**

- Performs clinical testing in assigned sections such as general laboratory, blood bank, and microbiology with all duties necessary for accurate and timely results including quality control, performance improvement, proficiency testing, and preventative maintenance of equipment.
- Recognizes abnormal critical values and follows proper guidelines for notifying medical team members of results.
- Performs clerical, general, and phlebotomy duties related to daily operations in the laboratory.
- Provides/dispenses blood products as requested by medical staff.
- Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
- Ensures that the company philosophy and core values are evident in the service delivered to customers.
- Obtains blood specimens via venipuncture and/or fingerstick, accurately identifies and labels specimens, and follows procedures for processing and testing specimens including operating various centrifuges.
- Recognizes errors or improbable results and takes appropriate action; reports critical values per policy and procedure.
- Performs tests within established timeframes in the following sections: hematology, urinalysis, coagulation, chemistry, special chemistry, ER stat lab, and microbiology.
- Performs blood bank procedures including crossmatching, antibody identification, and dispensing of blood products.
- Operates laboratory automated analyzers according to established procedures.
- Performs, analyzes, and records quality control according to policy and procedure following CLIA, CAP, AABB, and JCAHO guidelines.
- Performs established daily and periodic preventative maintenance with documentation; troubleshoots minor problems and initiates service calls as needed; orders or notifies assigned associate and restocks supplies/reagents.
- Reviews policy and procedure manual dates, reagents, and discards expired reagents.
- Takes responsibility for seeking and achieving professional growth and continued education.
- Assists in training new associates and students in laboratory practices.
- Follows CAP, AABB compliance, CLIA, JCAHO, and OSHA standards.
- Follows established protocols for safety, infection control, security compliance, and the use of hazardous materials.
- Utilizes LIS and HIS computer systems appropriately to perform charge and report laboratory results.
- Completes annual competency assessment successfully and by assigned date.

**Requirements**

- Associates Degree or higher in clinical laboratory science or medical laboratory technology from an accredited institution or equivalent laboratory training and experience meeting the requirements defined in the CLIA regulation 42CFR493.1489.
- Successfully completed an official U.S. military medical laboratory procedures training course of at least 50 weeks duration and currently hold the military enlisted occupational specialty of medical laboratory specialist/laboratory technician OR 60 semester hours or equivalent from an accredited institution that at a minimum includes either 24 semester hours of medical laboratory technology courses OR 24 semester hours of science courses that include six semester hours of chemistry, six semester hours of biology, and 12 semester hours of chemistry/biology/medical laboratory technology in any combination.
- Laboratory training including either completion of a clinical laboratory training program approved or accredited by the ABHES, NAACLS, or other organization approved by HHS (note that this training may be included in the 60 semester hours listed above) or at least three months documented laboratory training in each specialty in which the individual performs high complexity testing.

**Experience**

- No experience required for graduates of a clinical laboratory training program approved or accredited by NAACLS or other organizations approved by HHS.
- Six months of approved clinical laboratory experience which must include a clinical rotation through the following sections of the laboratory: blood banking, microbiology, chemistry, hematology, immunology, and urinalysis/body fluids in the U.S. or with an accredited laboratory within the last 5 years. This meets the AMT MLT eligibility requirement.

**Work Schedule**

- 7 on 7 off night shift Thursday - Wednesday 8 PM - 6 AM

**Benefits**

- Competitive pay packages
- Weekly pay schedule via direct deposit
- Comprehensive medical benefits (W-2)
- Robust referral bonus program
- 24/7 dedicated team committed to your success throughout your time with VHS
- Paid sick time in accordance with all applicable state, federal, and local laws
- Licensure, certification, travel, and other reimbursements when applicable

At VieMed, "Live Your Life" isn't just a company tagline. It's a passionate commitment to improving the lives of every patient and employee.

Physician / Texas / Locum or Permanent / 31102 - Travel: Clinical Laboratory Scientist Job

Description Summary:Provides basic patient care under the direction of nursing staff and ensures patient safety and well-being.Responsibilities: <ul><li>Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.</li><li>Answering patient calls and helping patients with eating, bathing, dressing, grooming, and mobility.</li><li>Feeding patients, measuring and recording their food and liquid intake.</li><li>Monitoring and documenting patients' temperature, blood pressure, and other vital signs and reporting changes to nurses or doctors. </li><li>Assisting nurses or doctors with medical procedures and dressing wounds. </li></ul>Job Requirements: Education/Skills<ul><li>High School Diploma or equivalent preferred.</li></ul> Experience<ul><li>Experience in a hospital setting preferred.</li></ul> Licenses, Registrations, or Certifications<ul><li>BLS required.</li></ul> Work Schedule: TBDWork Type: Per Diem As Needed<img src="https://www.jobg8.com/Tracking.aspx?Ipgt3S7nL76udgHHACL5Ugr" width="0" height="0" />

**Patient Care Assistant**

Provides basic patient care under the direction of nursing staff and ensures patient safety and well-being.

**Job Description**

- Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
- Answering patient calls and helping patients with eating, bathing, dressing, grooming, and mobility.
- Feeding patients, measuring and recording their food and liquid intake.
- Monitoring and documenting patients' temperature, blood pressure, and other vital signs and reporting changes to nurses or doctors.
- Assisting nurses or doctors with medical procedures and dressing wounds.

**Requirements**

- High School Diploma or equivalent preferred.
- Experience in a hospital setting preferred.
- BLS required.

**Work Schedule**

TBD

**Work Type**

Per Diem As Needed