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Full Time
3/28/2025
Rensselaer, NY 12144
(4.2 miles)
ADVANCING OUR OPERATIONSIn order for us to complete our missions, our technology simply cannot fail. Covering a wide range of specialties ranging from aeronautical and computer systems to flight test and mechanical, Developmental Engineers provide advanced skill and knowledge of their particular specialties. Responsible for everything from the planning to implementation of their projects, these experts are essential to the success of operations all over the world.REQUIREMENTSYou must meet several requirements before joining the Air Force. These concern your background, overall health and other standards set by the Air Force, Department of Defense and federal law.Minimum EducationBachelor’s degree in engineering related to one of the following specialties: aerospace, aeronautical, astronautical, computer, electrical, electronics, communication or mechanicalQualificationsCompletion of the Defence Acquisition UniversityFundamentals of SystemsAcquisition Management course or Acquisition Fundamentals courseCompletion of the Air Force Flight Test Engineer course or comparableMinimum of 24 months of experience in qualified position or a master’s degree in a specified discipline and 12 months’ experience or a Doctor of Philosophy degree in a specified disciplineCompletionof Officer Training School (OTS), AirForce Academy (AFA) or AirForce Reserve Officer Training Corps (AFROTC)Must be between the ages of 18 and have not reached your 42ndbirthday
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Full Time
3/25/2025
Glenmont, NY 12077
(0.8 miles)
Department/Unit:Work Shift:Day (United States of America)Salary Range:The clinical Nurse contributes to the creation of a compassionate and caring environment for patients, families and colleagues through displays of kindness and active listening. Recognizes and appreciates that each employee’s work is valuable and contributes to the success of the Mission.Job Description• Implements physician orders, administers medications, starts IVs, performs treatments, procedures and special tests, and document treatment as required by company policy and local/state/federal rules and regulations.• Orders, interprets, and evaluates diagnostic tests to identify and assess patients' conditions.• Assesses and evaluates patient needs for, and responses to, care rendered.• Applies sound nursing judgment in patient care management decisions.• Provides primary and emergency care for occupational and non-occupational injuries and illnesses.• Administers over-the-counter and prescription medications as ordered.• Collaborates with the nursing team to create a Plan of Care for all patients.• Directs and guides ancillary personnel and maintain standards of professional nursing.Minimum Qualifications• Graduate of a professional academic nursing program in which a Diploma, Associate Degree or Baccalaureate Degree is conferred• Must hold current NYS Registered Nurse license• Obtains and maintains certification in Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS)• Minimum of 1-3 years of previous clinical RN experience in Med-Surg or Progressive Care• Excellent communication, prioritization, organizational and time-management skills• Possesses knowledge of quality concepts, principles, and problem-solving tools and techniques and demonstrates ability to apply in support of departmental and patient care quality improvement.The clinical Nurse contributes to the creation of a compassionate and caring environment for patients, families and colleagues through displays of kindness and active listening. Recognizes and appreciates that each employee’s work is valuable and contributes to the success of the Mission.Essential Duties and Responsibilities include: Implements physician orders, administers medications, starts IVs, performs treatments, procedures and special tests, and document treatment as required by company policy and local/state/federal rules and regulations.Orders, interprets, and evaluates diagnostic tests to identify and assess patients' conditions.Assesses and evaluates patient needs for, and responses to, care rendered.Applies sound nursing judgment in patient care management decisions.Provides primary and emergency care for occupational and non-occupational injuries and illnesses.Administers over-the-counter and prescription medications as ordered.Collaborates with the nursing team to create a Plan of Care for all patients.Directs and guides ancillary personnel and maintain standards of professional nursing.Minimum Qualifications:Graduate of a professional academic nursing program in which a Diploma, Associate Degree or Baccalaureate Degree is conferredMust hold current NYS Registered Nurse licenseObtains and maintains certification in Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS)Minimum of 1-3 years of previous clinical RN experience in Med-Surg or Progressive CareExcellent communication, prioritization, organizational and time-management skillsPossesses knowledge of quality concepts, principles, and problem-solving tools and techniques and demonstrates ability to apply in support of departmental and patient care quality improvement.Thank you for your interest in Albany Medical Center! Albany Medical is an equal opportunity employer.This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that:Access to information is based on a “need to know” and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.
Full Time
3/25/2025
Albany, NY 12209
(3.2 miles)
Department/Unit:Neurosciences & Epilepsy Monitoring Unit (EMU) - D5NWork Shift:Staffing Options Program (United States of America)Salary Range:$0.00 - $0.00The clinical Nurse contributes to the creation of a compassionate and caring environment for patients, families and colleagues through displays of kindness and active listening. Recognizes and appreciates that each employee’s work is valuable and contributes to the success of the Mission.Hourly range: $43.50 /hr. - $48.50/hr.Job DescriptionImplements physician orders, administers medications, starts IVs, performs treatments, procedures and special tests, and document treatment as required by company policy and local/state/federal rules and regulations.Orders, interprets, and evaluates diagnostic tests to identify and assess patients' conditions.Assesses and evaluates patient needs for, and responses to, care rendered.Applies sound nursing judgment in patient care management decisions.Provides primary and emergency care for occupational and non-occupational injuries and illnesses.Administers over-the-counter and prescription medications as ordered.Collaborates with the nursing team to create a Plan of Care for all patients.Directs and guides ancillary personnel and maintain standards of professional nursing.Minimum QualificationsGraduate of a professional academic nursing program in which a Diploma, Associate Degree or Baccalaureate Degree is conferredMust hold current NYS Registered Nurse licenseObtains and maintains certification in Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS)Minimum of 1-3 years of previous clinical RN experience in Med-Surg or Progressive CareExcellent communication, prioritization, organizational and time-management skillsPossesses knowledge of quality concepts, principles, and problem-solving tools and techniques and demonstrates ability to apply in support of departmental and patient care quality improvement.­­­­­­­­­­­­­­­­­­­­­­­­­­Thank you for your interest in Albany Medical Center! Albany Medical is an equal opportunity employer.This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that:Access to information is based on a “need to know” and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.
Full Time
3/25/2025
Albany, NY 12209
(3.2 miles)
Department/Unit:Emergency DepartmentWork Shift:Staffing Options Program (United States of America)Salary Range:$0.00 - $0.00The Clinical Nurse contributes to the creation of a compassionate and caring environment for patients, families and colleagues through displays of kindness and active listening. Recognizes and appreciates that each employee’s work is valuable and contributes to the success of the Mission.Hourly Min= $43.50Hourly Max= $48.50• Implements physician orders, administers medications, starts IVs, performs treatments, procedures and special tests, and document treatment as required by company policy and local/state/federal rules and regulations.• Orders, interprets, and evaluates diagnostic tests to identify and assess patients' conditions.• Assesses and evaluates patient needs for, and responses to, care rendered.• Applies sound nursing judgment in patient care management decisions.• Provides primary and emergency care for occupational and non-occupational injuries and illnesses.• Administers over-the-counter and prescription medications as ordered.• Collaborates with the nursing team to create a Plan of Care for all patients.• Directs and guides ancillary personnel and maintain standards of professional nursing.• Graduate of a professional academic nursing program in which a Diploma, Associate Degree or Baccalaureate Degree is conferred• Must hold current NYS Registered Nurse license• Obtains and maintains certification in Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS)• Minimum of 1-3 years of previous clinical RN experience in Med-Surg or Progressive Care• Excellent communication, prioritization, organizational and time-management skills• Possesses knowledge of quality concepts, principles, and problem-solving tools and techniques and demonstrates ability to apply in support of departmental and patient care quality improvement.Thank you for your interest in Albany Medical Center! Albany Medical is an equal opportunity employer.This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that:Access to information is based on a “need to know” and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.
Full Time
3/25/2025
Albany, NY 12209
(3.2 miles)
Department/Unit:Childrens Hospital STAT RNsWork Shift:Night (United States of America)Salary Range:$74,484.00 - $122,907.00The clinical support nurse (CSN) assumes a leadership role by providing on-site expert consultation to Patient Care Services Staff in the Children’s Hospital. The CSN teaches and supports staff to learn patient care skills that may require additional education or training that are not easily met by unit specific opportunities. The CSN also has direct patient care responsibilities.Hourly Range: $35.81 - 59.09Demonstrate advanced knowledge and skills required to specialty nursingManage complex patient and system related issuesAssist staff develop clinical skills and problem solve in complex patient care situationsTeach and support staff to initiate access and manage intravascular therapyProvide direct care in selected complex patient care situationsCommunicate effectively to reach consensual decisions with the care team in the best interest of the patientEducation/Experience:Current NYS Nursing license; BSN preferredPediatric/Critical Care certification preferredMinimum 3 years of recent acute care clinical experience in PediatricsThank you for your interest in Albany Medical Center! Albany Medical is an equal opportunity employer.This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that:Access to information is based on a “need to know” and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.
Full Time
3/25/2025
Albany, NY 12209
(3.2 miles)
Department/Unit:Critical Care Support ServicesWork Shift:Night (United States of America)Salary Range:$74,484.00 - $122,907.00The “STAT” level Clinical Support Nurse is responsible for identifying the patient's alterations in health, assessing the patient's human response to actual and potential health problems, implementing nursing interventions to achieve outcomes for the patient that facilitate homeostasis, and determining the effectiveness of nursing interventions. The STAT Nurse makes independent decisions/judgments and takes action regarding a wide range of routine and complex patient problems and situations based on protocol. They will collaborate with other disciplines as appropriate, to coordinate continuity of patient care in support of medical and nursing plans of care. The STAT Nurse acts to support patient care needs in any acute medical/surgical unit, intensive care unit, and Emergency Department.Hourly Range: $35.81 - 59.09The STAT team is a group of critical care trained professional nurses who are available 24/7 for any issue within the hospital and medical college. STAT nurses provide specialized care to all patients, employees, and visitors requiring acute medical attention at Albany Medical Center and Albany Medical College. The team members also contribute their knowledge to educate staff, patients, and families to recognize clinical deterioration and how to make a proactive assessment and observation for patients at risk for deterioration. STAT team members give MOCK code training for nurses and ancillary staff to help facilitate better outcome in code situations.STAT Nurses respond to:Code stroke, Code Thrombectomy, Code STEMI, Code 10, Anesthesia Emergency, Code Blue, Code Malignant Hyperthermia, Code Pink, and Rapid Response pages. Any employee with questions about hospital policies, procedures, or patient care.STAT Nurses will:Use problem focused physical exams to evaluate and treat patients according to protocols.Stabilize decompensating patients on the floor and in ICUs.Manage ICU patients on the floor.Facilitate movement of patients to higher level of care when needed.Use the chain of command when resolving issues.Assist visitors and staff to ED after a Code Gray.Administer IV push medications on applicable floors (ex. Cardizem, Amiodarone, Hydralazine).Education Requirements:Graduate of a professional academic nursing program. Holds current RN Registration to practice in the State of New York.Experience: A minimum of three (3) years recent Intensive Care clinical experience in specific patient populations served. BLS/ACLS certified.Communication Skills:Communicates effectively with patients, family members, employees, and others. Listens actively and verifies and clarifies messages. Seeks the input of others to achieve consensus. Applies problem solving, negotiating, and conflict resolution skills into communication. Utilizes Chain of Command, as needed, to reach optimum outcomes. Reads and interprets documents such as Quality Reports and Hospital Policy and Procedures. Ensures that patient care is documented on established forms.Reasoning Ability:Identifies problems, collects data, establishes facts, and draws valid conclusions. Solves practical problems and deals with a variety of situations where only limited standardization exists. Interprets a variety of instructions in written, oral, diagram or schedule form.Thank you for your interest in Albany Medical Center! Albany Medical is an equal opportunity employer.This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that:Access to information is based on a “need to know” and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.
Full Time
3/25/2025
Albany, NY 12209
(3.2 miles)
Department/Unit:Float PoolWork Shift:Weekend_Day (United States of America)Salary Range:$74,484.00 - $122,907.00POSITION SUMMARY:The Clinical Support Nurse, (CSN) assumes a leadership role by providing on-site expertconsultation to Patient Care Services Staff in clinical patient care situations. The CSN teaches andsupports staff to learn patient care skills that require additional education, may require clinicalcertification and are not easily met by unit specific opportunities. The CSN also has specificdirect patient care responsibilities.ESSENTIAL DUTIES AND RESPONSIBILITIES Assist staff develop clinical skills and problem solve in complex patient care situations. Teach and support staff to initiate access and manage intravascular therapy. Provide direct care in selected complex patient care situations. Negotiate effectively to reach consensual decisions with staff and managers.QUALIFICATION REQUIREMENTS:To perform this job successfully, an individual must be able to perform each essential dutysatisfactorily as outlined in the attached annual competency assessment. Reasonableaccommodations may be made, where feasible, to enable qualified individuals with disabilities toperform the job’s essential functions.EDUCATION:Graduate of a professional academic nursing program. BSN or actively pursuing BSN preferred.Holds current RN Registration or a Limited Permit to practice in the State of New York.EXPERIENCE:Minimum of three years recent acute care clinical experience in specific patient populationsserved.COMMUNICATION SKILLS:Communicates effectively with patients, family members, employees and others. Listens activelyand verifies and clarifies messages. Seeks the input of others to achieve consensus. Appliesproblem solving, negotiating and conflict resolution skills into communication. Utilizes Chain ofCommand as needed to reach optimum outcomes. Reads and interprets documents such asQuality Reports and Hospital Policy and Procedures. Ensures that patient care is documented onestablished forms.PROFESSIONAL SKILLS:Carries out responsibilities in adherence to the highest standards of ethical conduct as defined byAMC and the tenets of the Professional Nursing Organization. Demonstrates conscientiousnessin such matters as record-keeping. Uses good judgment when performing the functions of the jobor when interacting with others. Accepts direction, carries out instructions, works cooperatively K:\Competency\Competency Documents by Job Title\Clinical Support Nurse\Clinical Support Nurse JD 8-11.doc - 2 -Revised 8/2011with others and avoids creating unnecessary conflict. Adheres to AMC’s policies, standards andpractices and utilizes AMC’s problem-solving processes for resolving grievances ordisagreements. Anticipates and resolves potential problems to ensure the delivery of appropriatequality patient care. Seeks professional education to improve job performance and maintainscompetency through completion of required continuing education.REASONING ABILITY:Identifies problems, collects data, establishes facts, and draws valid conclusions. Solves practicalproblems and deals with a variety of situations where only limited standardization exists.Interprets a variety of instructions in written, oral, diagram or schedule form.PHYSICAL DEMANDS:While performing the duties of this job, the employee is regularly required to stand, walk, usehands to probe, handle, or feel objects, tools, or controls, reach with hands and arms, and speakand hear. The employee is occasionally required to sit and stoop, kneel, or crouch.The employee must regularly lift and/or move up to 50 pounds. Specific vision abilities requiredby this job include close vision, distance vision, peripheral vision, depth perception, and theability to adjust focus.WORK ENVIRONMENT: While performing the duties of this job, the employee may be subject to infectiousmaterials and chemicals. (See MSDS information on-line.) The noise level in the work environment is usually moderate. This job requires as an essential function that the majority of the time the employee bephysically on-site as the work cannot be done from a remote location.OTHER REQUIREMENTS:All job requirements listed indicate the minimum level of knowledge, skills, and/or abilitydeemed necessary to perform the job proficiently. This job description is not to be construed asan exhaustive statement of duties, responsibilities, or requirements. Employees will be requiredto perform any other job-related instructions given by their supervisor subject to reasonableaccommodations.POSITION SUMMARY:The Clinical Support Nurse, (CSN) assumes a leadership role by providing on-site expertconsultation to Patient Care Services Staff in clinical patient care situations. The CSN teaches andsupports staff to learn patient care skills that require additional education, may require clinicalcertification and are not easily met by unit specific opportunities. The CSN also has specificdirect patient care responsibilities.ESSENTIAL DUTIES AND RESPONSIBILITIESAssist staff develop clinical skills and problem solve in complex patient care situations.Teach and support staff to initiate access and manage intravascular therapy.Provide direct care in selected complex patient care situations.Negotiate effectively to reach consensual decisions with staff and managers.REQUIREMENTS:To perform this job successfully, an individual must be able to perform each essential dutysatisfactorily as outlined in the attached annual competency assessment. Reasonableaccommodations may be made, where feasible, to enable qualified individuals with disabilities toperform the job’s essential functions.EDUCATION:Graduate of a professional academic nursing program. BSN or actively pursuing BSN preferred.Holds current RN Registration or a Limited Permit to practice in the State of New York.EXPERIENCE:Minimum of three years recent acute care clinical experience in specific patient populationsserved.Thank you for your interest in Albany Medical Center! Albany Medical is an equal opportunity employer.This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that:Access to information is based on a “need to know” and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.
Full Time
3/25/2025
Albany, NY 12209
(3.2 miles)
Department/Unit:Cardiovascular and Critical Care PRNWork Shift:Day (United States of America)Salary Range:$86,650.99 - $134,309.04The Nurse Clinician is a nurse who, through clinical experience, study and supervise practice in patient care at the masters or doctoral level, has gained expertise in a specific specialty area of patient care services.Essential Duties and ResponsibilitiesDemonstrates the advanced knowledge and skills required for specialty nursing.Responsible and accountable for the development and application of specialty practice standards, staff development, regulatory compliance and research to enhance the quality of care to the patient and the patient’s family.As an advanced practitioner, the Nurse Clinician is essential to the management of complex patient and systems related issues.QualificationsMaster's Degree in nursing.- requiredDemonstrated clinical competence and in depth knowledge in specialty area.Demonstrated effective leadership, teaching, research and communication skills.RN - Registered Nurse - State Licensure and/or Compact State Licensure Upon Hire - requiredPhysical DemandsStanding - ConstantlyWalking - ConstantlySitting - RarelyLifting - FrequentlyCarrying - FrequentlyPushing - OccasionallyPulling - OccasionallyClimbing - OccasionallyBalancing - OccasionallyStooping - FrequentlyKneeling - FrequentlyCrouching - FrequentlyCrawling - OccasionallyReaching - FrequentlyHandling - FrequentlyGrasping - FrequentlyFeeling - ConstantlyTalking - ConstantlyHearing - ConstantlyRepetitive Motions - ConstantlyEye/Hand/Foot Coordination - ConstantlySalary Range: $80,151.00 - $132,249.00Thank you for your interest in Albany Medical Center! Albany Medical is an equal opportunity employer.This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that:Access to information is based on a “need to know” and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.
Full Time
3/25/2025
Albany, NY 12209
(3.2 miles)
Department/Unit:Critical Care Support ServicesWork Shift:Night (United States of America)Salary Range:$74,484.00 - $122,907.00The STAT team is a group of critical care trained professional nurses who are available 24/7 for any issue within the hospital and medical college. STAT nurses provide specialized care to all patients, employees, and visitors requiring acute medical attention at AMCH and Albany medical college. The team members also contribute their knowledge educating staff, patients, and families to recognize clinical deterioration and how to make a proactive assessment and observation for patients at risk for deterioration. STAT team members give MOCK code training for nurses and ancillary staff to help facilitate better outcome in code situations.Hourly Range: $35.81 - 59.09STAT Nurses respond to:Code stroke, Code Thrombectomy, Code STEMI, Code 10, Anesthesia Emergency, Code Blue, Code Malignant Hyperthermia, Code Pink and Rapid Response pages. As well as any employee with questions about Hospital policies, procedures, or patient care.STAT nurses use problem focused physical exam to evaluate and treat patients according to protocols.Stabilize decompensating patients on the floor and in ICUs.Manage ICU patient on floor.Facilitate movement of patients to higher level of care when needed.Use the chain of command when resolving issues.Assisting visitors and staff to ED after a code gray.Administer IV push medications on applicable floors (ex. Cardizem, Amiodarone, Hydralazine)Utilizes the Clinical Emergency and Rapid Response Adult Protocol and ACLS to patients including but not limited to the following:Oxygen DesaturationIncreased work of breathingChest painCardiac arrhythmiasAcute RalesAcute BleedingSymptomatic HypertensionLethargyLethargy with depressed respiratory statusHypoglycemiaAnaphylaxis.Education Requirements:Graduate of a professional academic nursing program. Holds current RN Registration to practice in the State of New York.Experience: A minimum of three (3) years recent Intensive Care clinical experience in specific patient populations served. BLS/ACLS certified.Communication Skills:Communicates effectively with patients, family members, employees, and others. Listens actively and verifies and clarifies messages. Seeks the input of others to achieve consensus. Applies problem solving, negotiating, and conflict resolution skills into communication. Utilizes Chain of Command, as needed, to reach optimum outcomes. Reads and interprets documents such as Quality Reports and Hospital Policy and Procedures. Ensures that patient care is documented on established forms.Reasoning Ability:Identifies problems, collects data, establishes facts, and draws valid conclusions. Solves practical problems and deals with a variety of situations where only limited standardization exists. Interprets a variety of instructions in written, oral, diagram or schedule form.Thank you for your interest in Albany Medical Center! Albany Medical is an equal opportunity employer.This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that:Access to information is based on a “need to know” and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.
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