Career Opportunities

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Emergency Medical Services – EMT – Full-Time Status / 24 Hour Shifts

Job Posting
Emergency Medical Services
EMT
Full-Time Status / 24 Hour Shifts

Summary: Under the general supervision of the Director of Emergency Medical Services, and the direct supervision of the Paramedic and the respective charge nurse, the EMT is responsible for providing Basic Life Support for patients both emergency and routine transport, with similar capacity in the ED. Responsible for checking the ambulances for supplies and vehicle inspection, documenting accurately on the MARF report and patient’s ED charts.

Education: High School Diploma or GED. Graduate of EMT course.

Experience: One year preferred but not required.

Licensure, Registration, Certification: Current Missouri licensure as EMT-B and Class E Missouri Driver’s license (with a clean driving record.) Candidate must have current BTLS.

Mental/Physical Requirements: (may be met with or without reasonable accommodations): Considerable mental concentration required. Standing, walking, sitting, lifting, turning carrying, pushing, pulling, stooping, crouching, twisting, and reaching are required. Must be able to lift 20 lbs. from floor and from overhead, 40 lbs. from waist height and be able to handle, move or transfer articles of 100 lbs. regularly and over 100 lbs. periodically; in concert with other employee(s)/person(s) and/or lifting device; exercise good body mechanics in execution of essential duties, including appropriate back and neck posture.

Working Conditions: Frequent exposure to communicable disease via blood and body fluids. Frequent exposure to infectious diseases, radiation, anti-neoplastic agents, and hostile persons at times. Works with sharps and other potentially biohazardous material.

Age-Specific Competencies: Persons generally grow and develop in stages that are related to their age. Age specific competence means that the employee is aware of physical, psychosocial and/or learning needs of patients of different ages. Employees consider these needs when planning and providing care for the patient or when interacting with the patient or family.
Human development can be divided into eight stages. In each stage the individual has a primary task to accomplish or master. Each task is important throughout the life span but is most critical at a particular stage.
• Infant (0-1 year): The infant must learn to trust that his/her needs will be met.
• Toddler (1-3 years): The toddler must learn to develop a sense of himself as an independent person and gain self-confidence and self-control.
• Pre-school child (3-6 years): The pre-school child must develop a sense if initiating (being able to explore the world and start projects).
• School age child (6-12 years): The school age child must develop a sense to his/her own self-worth through accomplishments and interaction with others.
• Adolescent (13-20 years): the adolescent must develop his/her own identity.
• Young adult (21-43 years): The young adult must develop close relationships.
• Middle adult (44-65 years): The middle adult must develop a sense of community and assume responsibility for others.
• Older adult (65 years and older): The older adult must come to understand the meaning of his/her life in terms of what has been accomplished.

Texas County Memorial Hospital is a tobacco-free smoke-free facility.

Registration – Registration Clerk – PRN Status

Job Posting
Registration
Registration Clerk
PRN Status

Summary: Under the supervision of the Registration Supervisor, the Registration Team Member obtains and collects all patient consent signatures, demographic information and insurance billing information at the time of registration. Registration Team Members answer the TCMH switchboard.

Education: High school diploma or equivalent.

Experience: At least one year of experience in a health care organization preferred, but not required. Must type 40 words per minute and possess mathematical skills. Computer experience and knowledge of medical terminology preferred. Good customer service skills. Must be a good team player and have good work ethic. Must be able to work flexible hours.

Licensure, Registration, Certification: Not applicable.

Mental/Physical Requirements: (may be met with or without reasonable accommodations): Normal mental concentration on variable operations for short periods of time and moderate concentration with repetitive operations for long periods of time. Standing, walking, sitting, lifting, turning, carrying, pushing, pulling, stooping, crouching, twisting, and reaching are required. Must be able to lift 20 lbs. from the floor and from overhead, and 40 lbs. from waist height; exercise good body mechanics in execution of essential duties, including appropriate back and neck posture.

Working Conditions: Standard office conditions with more than average noise. Periodic contact with conditions such as fumes, noise, chemicals, hazards and/or diseases. Potential exposure to infectious disease. Possibility of exposure to radiation, anti-neoplastic agents and hostile persons. Minimal physical discomfort, with frequent auditory distractions.

Texas County Memorial Hospital is a tobacco-free smoke-free facility.

Clinic Biller – TCMH Mountain Grove Clinic – Full-Time

Job Posting
TCMH Mountain Grove Clinic
Clinic Biller
Full-Time

Summary: Under general supervision, the Assistant Biller is responsible for assisting the Clinic Coordinator in posting the daily clinic charges and payments, as well as physician hospital and nursing home charges. Prepares daily productivity report of claims filed. Must work effectively with physicians, staff, patients, public and external agencies. Uses skills in gathering and interpreting data in a physician office setting. Must have the ability to take initiative and to exercise independent judgment, decision making and problem solving expertise. Monitor insurance filing for accuracy and timeliness. Provides expertise and knowledge in all facets of health insurance and third-party payer rules and regulations. Analyzes third-party payer denials and assists with corrections and refilling of charges. Complies with contractual terms agreed to by contract. Maintains a system of confidentiality as defined by HIPAA and hospital policies and procedures. Utilize policy and good judgment to establish limits in independent decision-making. Identifies problems which interfere with practice and develops an action plan for resolution. Consults with physician practice manager when appropriate. Knows policies/procedures relating to fire, safety, disaster and infection control as they apply to the hospital in general, as well as the clinic. Attends in-services of these as required. Substitutes for/assists receptionist as needed. Reviews, researches and responds to account inquiries/patient complaints, resolves problems and questions via telephone or mail with complete follow through and resolution.

Education: High school diploma, GED or equivalent.

Experience: At least one year of medical billing experience in managed care setting preferred. Knowledge of ICD-9 and CPT coding and how it affects reimbursement from third party payers. Knowledge of medical terminology. Knowledge/experience of standard office equipment. Experience with computer systems and their applications.

Licensure, Registration, Certification: Not applicable.

Mental/Physical Requirements: (may be met with or without reasonable accommodations): Effective and appropriate communications skills, both verbal and written. Accuracy and attention to detail required. Sitting, walking, standing, pushing, pulling, twisting, lifting/transitioning documents, files, papers and forms, stooping, and reaching are required. Must have tactile ability relative to assigned tasks, ability to reach, hold, grasp and release items and equipment. Must be able to lift 20 lbs. from floor and overhead, and 40 lbs. from waist height; exercise good body mechanics in execution of essential duties, including appropriate back and neck posture.

Working Conditions: Minimal physical discomfort. Largely sedentary position. Frequent distractions and interruptions. Potential exposure to infectious diseases and hostile persons. Ability to perform duties under stress required.

Texas County Memorial Hospital is a tobacco-free smoke-free facility.

Receptionist – TCMH Licking Family Clinic – Full-Time

Job Posting
TCMH Licking Family Clinic
Receptionist
Full-Time

Summary: Under the direct supervision of the Clinic Coordinator, the Receptionist is responsible for performing the reception and secretarial duties of the clinic while functioning as the primary/focal communication source. Performs under hospital and clinic policies and procedures. Demonstrates behaviors which exemplify professional conduct and teamwork.

Essential duties/responsibilities: Fluctuating clinic activities necessitate flexibility. Must be highly motivated to complete assigned duties within prescribed time limits. Exercise extreme tact when dealing with patients, employees, hospital departments, physicians and the public. Maintains a strong ethical code regarding patient rights as evidenced in professional attitude (i.e., privacy, confidentiality and empathy). Must promote professional, positive and cooperative demeanor. Performs receptionist duties, to include, but not limited to: answering telephone calls, screening telephone calls, processing and/or relaying of messages, assisting clinic visitors and directing them to the appropriate personnel. Responsible for patient check-in and check-out functions. These include: new chart preparation, photocopying insurance cards/crucial documents, scheduling appointments for clinic patients, completing new patient registration forms, printing daily encounter forms, totaling patient charges upon check-out, collecting appropriate payment. Scheduling functions include: notifying nursing of additions/cancellations to the provider’s schedule, rescheduling of patients if the physician is unavailable or detained, pulling medical charts/records for next day’s appointments. Additional daily tasks: insure that all correspondence is signed, copied, addressed and mailed or faxed, keeping log of daily patient information, filing of charts, filing of correspondence in patient charts, maintaining an inventory of office supplies. End of day duties: batch encounter forms and receipts, prepare appropriate corresponding paperwork/documentation, lock and secure office. Knows the policies and procedures relating to fire, safety, disaster and infection control as they apply to hospital, as well as clinic practice. Attend in-services of these as required. Performs other duties/projects as assigned by authorized personnel.

Education: High school diploma, GED or equivalent.

Experience: least one year of experience in clerical, receptionist and/or medical office preferred. General office procedures: filing, typing, and basic computer skills required. Knowledge of standard office machinery.

Licensure, Registration, Certification: Not applicable.

Mental/Physical Requirements: (may be met with or without reasonable accommodations): Effective and appropriate communications skills, both verbal and written. Accuracy and attention to detail required. Standing, walking, sitting, lifting, turning, carrying, pushing, pulling, stooping, crouching, twisting, and reaching are required. Must be able to lift 20 lbs. from the floor and from overhead, and 40 lbs. from waist height; exercise good body mechanics in execution of essential duties, including appropriate back and neck posture.

Working Conditions: Minimal physical discomfort. Frequent distractions and interruptions. Potential exposure to infectious diseases and hostile persons. Ability to perform duties under stress required.

Looking for a candidate that can work in a fast-paced environment, eager to learn, friendly and outgoing. If you are that candidate, please submit a transfer form or submit your application to Melanie Scavone, Clinic Manager.

Texas County Memorial Hospital is a tobacco-free smoke-free facility.

Transport Service Driver – Part-Time

Job Posting
Transport Service Driver
Part-Time

Summary: Under the general direction of the Project/Foundation Coordinator, the Transport Service Driver will be responsible for providing community members in the TCMH service area with non-emergent transportation services to and from their personal residences or healthcare facilities to TCMH or a TCMH affiliate or other healthcare-related service providers for treatment or diagnostic procedures. He/she is responsible for the safe operation of the vehicle, scheduling of trips, maintaining appearance of the vehicle, accountable for the moneybox, providing quality customer service, and complying with MEDIVAN general policies.

The Transport Driver will notify the Project/Foundation Coordinator of problems or issues related to the transporting of riders and/or vehicle failure.

Safety: Responsible for obeying all Federal, State, and local traffic laws. Operate van in a conscientious manner with regards to occupant safety. Maintain required licensure to operate vehicle.

Trip Scheduling: Coordinates and communicates route pick-ups and drop-offs with riders and health care facilities; will do so in an organized and efficient manner. Exhibits flexibility in the work schedule as needed to best serve the customers.

Maintenance: Keeps transportation vans neat, cleaned, and maintained at all times. Conducts a daily pre-trip inspection of the van for road-worthiness and reports any maintenance issues to the Project/Foundation Coordinator. Maintains all transportation logs and maintenance records on the vehicles as directed.

Money: Accountable for all cash and payments received from riders as well as any expenses incurred. Will provide weekly drivers log sheet and any other supporting documentation as required to reconcile books.

Customer Service: Enhance passengers’ experience by providing a high level of quality customer service from curb-to-curb or door-to-door. Greet and communicates with passengers in a polite, kind, and courteous manner.

Compliance: Will follow the guidelines stated in the MEDIVAN General Policies handbook when applicable.

Education: High school diploma or equivalent.

Experience/Skills: At least one year experience in a service related field, preferably healthcare. Public and health care transportation experience preferred. Knowledge of local streets and highways.

Licensure, Registration, Certification: CPR certification and current Missouri Class E licensure.

Mental/Physical Requirements: (may be met with or without reasonable accommodations): Physically handle sitting for long periods of time while driving. Assist passengers who are being transported, in and out of vans and into health care facilities as appropriate; Must remain mentally alert during extensive periods of driving time. Standing, walking, sitting, lifting, turning carrying, pushing, pulling, stooping, crouching, twisting, and reaching are required. Must be able to lift 20 lbs. from floor and from overhead, 40 lbs. from waist height and be able to handle, move or transfer articles of 100 lbs. regularly and over 100 lbs. periodically; in concert with other employees/person(s) and/or lifting device; exercise good body mechanics in execution of essential duties, including appropriate back and neck posture.

Working Conditions: Will be placed in a controlled environment inside the cabin while operating the vans. Subject to noise and some mental fatigue during the actual driving process. There will be some exposure to various outdoor working conditions during the loading/unloading of the passengers and while conducting van maintenance tasks.

Age-Specific Competencies: Persons generally grow and develop in stages that are related to their age. Age specific competence means that the employee is aware of physical, psychosocial and/or learning needs of patients of different ages. Employees consider these needs when planning and providing care for the patient or when interacting with the patient or family.
Human development can be divided into eight stages. In each stage the individual has a primary task to accomplish or master. Each task is important throughout the life span but is most critical at a particular stage.
• Infant (0-1 year): The infant must learn to trust that his/her needs will be met.
• Toddler (1-3 years): The toddler must learn to develop a sense of himself as an independent person and gain self-confidence and self-control.
• Pre-school child (3-6 years): The pre-school child must develop a sense if initiating (being able to explore the world and start projects).
• School age child (6-12 years): The school age child must develop a sense to his/her own self-worth through accomplishments and interaction with others.
• Adolescent (13-20 years): the adolescent must develop his/her own identity.
• Young adult (21-43 years): The young adult must develop close relationships.
• Middle adult (44-65 years): The middle adult must develop a sense of community and assume responsibility for others.
• Older adult (65 years and older): The older adult must come to understand the meaning of his/her life in terms of what has been accomplished.

Texas County Memorial Hospital is a tobacco-free smoke-free facility.

Business Office – Mail Receipts Clerk – Full-Time Day Shift

Job Posting
Business Office
Mail Receipts Clerk
Full-Time Day Shift

Summary: Under the supervision of the Chief Financial Officer, the Mail Receipts Clerk is responsible for processing and keying daily mail receipts, electronic review of EOBs, daily filing, preparation of daily deposits, acknowledging and receiving of all visitors to the department.

Education: High school diploma or equivalent.

Experience: At least one year of experience in a health care organization preferred but not required. Must type 40 words per minute and possess mathematical skills. Must be 10-key proficient. Computer experience preferred.

Licensure, Registration, Certification: Not applicable.

Mental/Physical Requirements: (may be met with or without reasonable accommodations): Normal mental concentration on variable operations for short periods of time and moderate concentration with repetitive operations for long period of time. Standing, walking, sitting, lifting, turning, carrying, pushing, pulling, stooping, crouching, twisting, and reaching are required. Must be able to lift 20 lbs. from the floor and from overhead, and 40 lbs. from waist height; exercise good body mechanics in execution of essential duties, including appropriate back and neck posture.

Working Conditions: Standard office conditions with more than average noise. Periodic contact with conditions such as fumes, noise, chemicals, hazards, and/or diseases.

Texas County Memorial Hospital is a tobacco-free smoke-free facility.

Registered Nurse – Med / Surg – Full-Time Night Shift

Job Posting
Med / Surg
Registered Nurse
Full-Time Night Shift

Summary: Under the general supervision of the Med/Surg Director, the Registered Nurse provides direct and indirect patient care in the Medical/Surgical setting. Communicates with physicians/nurse managers/co-workers about changes in in-patient’s clinical condition including results of diagnostic studies and symptomatology. Is able to respond quickly and accurately to changes in condition or response to treatment. Additionally, is able to perform general nursing duties with adequate supervision.

The Registered Nurse functions independently within the scope of the position. Regular communication with Med/Surg Director and Director of Nursing. The Charge Nurse provides direction of activities and guides priorities. Must be highly motivated to complete assigned duties within prescribed time limits. Uses extreme tact when dealing with patients, employees, other departments, physicians and the public. Maintains a strong ethical code regarding patient’s rights as evidenced in documentation and professional attitude and behavior (i.e., privacy, confidentiality and empathy). Must promote professional, positive and cooperative demeanor.

Education: Graduate of an accredited School of Nursing.

Experience: Charge nurse, one year of experience preferred.

Licensure, Registration, Certification: Current Missouri Licensure. Current PALS, CPR, BLS and certification in ACLS.

Mental/Physical Requirements: (may be met with or without reasonable accommodations): Considerable mental concentration required. Standing, walking, sitting, lifting, turning carrying, pushing, pulling, stooping, crouching, twisting, and reaching are required. Must be able to lift 20 lbs. from floor and from overhead, 40 lbs. from waist height and be able to handle, move or transfer articles of 100 lbs. regularly and over 100 lbs. periodically; in concert with other employees/person(s) and/or lifting device; exercise good body mechanics in execution of essential duties, including appropriate back and neck posture.

Working Conditions: Minimal physical discomfort. Moderate level of auditory distractions. Frequent exposure to communicable disease via blood and body fluids. Frequent exposure to infectious diseases and hostile persons at times. Works with sharps and other potentially biohazardous material. Ability to function under stress required.

Age-Specific Competencies: Persons generally grow and develop in stages that are related to their age. Age specific competence means that the employee is aware of physical, psychosocial and/or learning needs of patients of different ages. Employees consider these needs when planning and providing care for the patient or when interacting with the patient or family.
Human development can be divided into eight stages. In each stage the individual has a primary task to accomplish or master. Each task is important throughout the life span but is most critical at a particular stage.
• Infant (0-1 year): The infant must learn to trust that his/her needs will be met.
• Toddler (1-3 years): The toddler must learn to develop a sense of himself as an independent person and gain self-confidence and self-control.
• Pre-school child (3-6 years): The pre-school child must develop a sense if initiating (being able to explore the world and start projects).
• School age child (6-12 years): The school age child must develop a sense to his/her own self-worth through accomplishments and interaction with others.
• Adolescent (13-20 years): the adolescent must develop his/her own identity.
• Young adult (21-43 years): The young adult must develop close relationships.
• Middle adult (44-65 years): The middle adult must develop a sense of community and assume responsibility for others.
• Older adult (65 years and older): The older adult must come to understand the meaning of his/her life in terms of what has been accomplished.

Texas County Memorial Hospital is a tobacco-free smoke-free facility.

Registered Nurse – Home Health – Full-Time Status

Job Posting
Home Health
Registered Nurse
Full-Time

Summary: The Registered Nurse is responsible to the Department Director for the delivery of patient care through the nursing process of assessment, planning, implementation, and evaluation, and other duties as assigned. The Registered Nurse functions within the limits of the Missouri Nurse Practice Act and performs in a comparable manner to peers with similar training, experience, and circumstances.

Education: Graduate of an accredited Registered Nurse program, BSN preferred.

Experience: Minimum one (1) year professional nursing experience. Minimum one (1) year experience in a medical/surgical unit. Six (6) months home care experience preferred. Computer skills preferred.

Licensure, Registration, Certification: Current RN license in the state of Missouri. CPR certification. Current driver’s license, declaration of automobile liability insurance, and copy of driving history.

Mental/Physical Requirements: (may be met with or without reasonable accommodations): Ability to stand and walk for long periods of time and to walk up and down flights of stairs. Ability to receive and express detailed information through oral communications, visual acuity, and the ability to read and understand written directions. Excellent interpersonal and organizational skills. Ability to safely operate an automobile. Standing, walking, sitting, lifting, turning carrying, pushing, pulling, stooping, crouching, twisting, and reaching are required. Must be able to lift 20 lbs. from floor and from overhead, 40 lbs. from waist height and be able to handle, move or transfer articles of 100 lbs. regularly and over 100 lbs. periodically; in concert with other employee(s)/person(s) and/or lifting device; exercise good body mechanics in execution of essential duties, including appropriate back and neck posture.

Working Conditions: Frequent exposure to communicable disease via blood and body fluids. Frequent exposure to infectious diseases and hostile persons at times. Works with sharps and other potentially biohazardous materials. Variation in environmental temperatures. Exposure to various community environments.

Age-Specific Competencies: Persons generally grow and develop in stages that are related to their age. Age specific competence means that the employee is aware of physical, psychosocial and/or learning needs of patients of different ages. Employees consider these needs when planning and providing care for the patient or when interacting with the patient or family.
Human development can be divided into eight stages. In each stage the individual has a primary task to accomplish or master. Each task is important throughout the life span but is most critical at a particular stage.
• Infant (0-1 year): The infant must learn to trust that his/her needs will be met.
• Toddler (1-3 years): The toddler must learn to develop a sense of himself as an independent person and gain self-confidence and self-control.
• Pre-school child (3-6 years): The pre-school child must develop a sense if initiating (being able to explore the world and start projects).
• School age child (6-12 years): The school age child must develop a sense to his/her own self-worth through accomplishments and interaction with others.
• Adolescent (13-20 years): the adolescent must develop his/her own identity.
• Young adult (21-43 years): The young adult must develop close relationships.
• Middle adult (44-65 years): The middle adult must develop a sense of community and assume responsibility for others.
• Older adult (65 years and older): The older adult must come to understand the meaning of his/her life in terms of what has been accomplished.

Texas County Memorial Hospital is a tobacco-free smoke-free facility.

Laboratory – MLT or MT – Full-Time

Job Posting
MLT or MT
Laboratory
Full-Time

Summary: Under the general supervision of the Laboratory Supervisor or another Medical Technologist, the Medical Technician obtains and receives laboratory specimens, and competently performs clinical testing in the areas of hematology, immunology, microbiology, clinical microscopy, chemistry, and blood bank. He/she interprets results as to accuracy, acceptability and critical limits and uses quality control materials according to established procedures with appropriate documentation. In the absence of the supervisor, serves as a resource person for the technicians. Assists with investigating new procedures and instrumentation, performs quality assurance studies, and ordering of supplies as well as performing other duties as requested and assigned.

Education: Associate / Bachelor’s degree in Biological science, military training or documented equivalent.

Experience: None required. Experience working independently and unsupervised in a laboratory setting preferred.

Licensure, Registration, Certification: Certification as Laboratory Technician by accrediting agency (ASCP, ISCLT, AMT, HHS or NCA).

Mental/Physical Requirements: (may be met with or without reasonable accommodations): Close mental and visual attention required for sustained periods of time. Frequently works under stressful conditions due to time constraints and critical condition of some patients. 90% of time spent transporting self throughout department and hospital or working at a lab workstation. Standing, walking, sitting, lifting, turning, carrying, pushing, pulling, stooping, crouching, twisting, and reaching are required. Must be able to lift 20 lbs. from the floor and overhead, and 40 lbs. from waist height. Must exercise good body mechanics in execution of essential duties, including appropriate back and neck posture.

Working Conditions: Constant exposure to hazardous and infectious material. Works in air-conditioned environment with moderate noise level. May be required to work any time of day or night.

Texas County Memorial Hospital is a tobacco-free smoke-free facility.

Emergency Medical Services – Paramedic – Full-Time Status / 24 Hour Shifts

Job Posting
Paramedic
Emergency Medical Services
Full-Time 24 Hour Shifts

Summary: Under the general supervision of the Director of Emergency Medical Services and the respective charge Nurse, the Paramedic is responsible to perform emergency care to patients on the field and in the Emergency Department as well as providing Advanced Life Support for patients on both emergency and routine transport, with similar capacity in the ED. Responsible for checking the ambulances for supplies and vehicle inspection, documenting accurately on the MARF report and patient’s ED charts.

Education: High School education of equivalent. Graduate of approved EMT-P course.

Experience: One year preferred but not required.

Licensure, Registration, Certification: Current Missouri licensure as EMT-P. Current certification of BLS, ACLS, BTLS, and PALS required. (ACLS, BTLS, and PALS may obtain within six months of hire.)

Mental/Physical Requirements: (may be met with or without reasonable accommodations): Considerable mental concentration required. Standing, walking, sitting, lifting, turning carrying, pushing, pulling, stooping, crouching, twisting, and reaching are required. Fit for duty test is required for employment and includes:

• Walk three laps (3/4 mile) on the track in 10 minutes or less
• Walk three circuits of the stadium stairs (not timed but without stopping)
• Take ambulance cot and 180-200 pound subject in and out of ambulance alone
• Lift backboard and 180-200 pound subject from the ground and carry 25 feet with a partner
• Lift and carry backboard and 180-200 pound subject up and down 6-8 steps with a partner
• Use stair chair to move 180-200 pound subject up and down 6-8 steps with a partner
• Move 180-200 pound subject from seated position to cot alone

Exercise good body mechanics in execution of essential duties, including appropriate back and neck posture.

Working Conditions: Frequent exposure to communicable disease via blood and body fluids. Frequent exposure to infectious diseases, radiation, anti-neoplastic agents, and hostile persons at times. Works with sharps and other potentially biohazardous material.

Age-Specific Competencies: Persons generally grow and develop in stages that are related to their age. Age specific competence means that the employee is aware of physical, psychosocial and/or learning needs of patients of different ages. Employees consider these needs when planning and providing care for the patient or when interacting with the patient or family.
Human development can be divided into eight stages. In each stage the individual has a primary task to accomplish or master. Each task is important throughout the life span but is most critical at a particular stage.
• Infant (0-1 year): The infant must learn to trust that his/her needs will be met.
• Toddler (1-3 years): The toddler must learn to develop a sense of himself as an independent person and gain self-confidence and self-control.
• Pre-school child (3-6 years): The pre-school child must develop a sense if initiating (being able to explore the world and start projects).
• School age child (6-12 years): The school age child must develop a sense to his/her own self-worth through accomplishments and interaction with others.
• Adolescent (13-20 years): the adolescent must develop his/her own identity.
• Young adult (21-43 years): The young adult must develop close relationships.
• Middle adult (44-65 years): The middle adult must develop a sense of community and assume responsibility for others.
• Older adult (65 years and older): The older adult must come to understand the meaning of his/her life in terms of what has been accomplished.

Texas County Memorial Hospital is a tobacco-free smoke-free facility.

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