Operation Room Nursing Surgical Technology Travel Nursing Jobs in Wailuku, HI for STs

Wailuku, Hawaii – 96793
8 D,
December 8, 2026
13 weeks

$2,041 to $2,167

Ewa Beach, Hawaii – 96706
Distance from Wailuku: 101 miles
12 D, 12 E, 12 N,
November 30, 2026
16 weeks

$2,252 to $2,368

Travel Surgical Technologist,OR jobs in Ewa Beach, HI offer perioperative experience with access to beaches, ocean recreation, scenic trails, and year-round outdoor activities. The Queen’s Medical Center – West O’ahu provides acute care and surgical services within a collaborative, patient-focused environment. You must complete a certified surgical technologist, operating room technician, or comparable program, or have 3 years of qualifying OR experience. Current Basic Life Support for Healthcare Providers certification is required, while surgical technologist certification is recommended. AMN Healthcare supports your travel career with dedicated recruiters and a clinical team, plus 24/7 support through the AMN Passport career app. Apply now to join this Travel Surgical Technologist,OR assignment in Ewa Beach, HI.

San Rafael, California – 94903
Distance from Wailuku: 2,341 miles
12 D, 12 N,
November 26, 2026
8 weeks

$1,750 to $1,840

Join our team as a Travel RN-OR at a well-regarded surgery center in Marin, CA. This role offers you the opportunity to provide exceptional surgical care in a facility known for its comprehensive service lines and patient-centered approach. The surgery center is a state-of-the-art facility that fosters a collaborative and supportive environment for both staff and patients. Marin, CA, is a beautiful area known for its stunning natural landscapes, including the Marin Headlands and Mount Tamalpais. The region offers a variety of outdoor activities such as hiking, biking, and kayaking. Marin is also home to charming towns with unique shops, restaurants, and cultural attractions. The area provides a perfect blend of outdoor adventure and relaxed living, making it an ideal location for travel healthcare professionals. Apply now to join this Travel RN-OR assignment in Marin, CA, and become part of a dedicated team committed to delivering high-quality patient care. AMN Healthcare offers excellent compensation, dedicated recruiters, and access to the AMN Passport mobile app for career support.

Redwood City, California – 94063
Distance from Wailuku: 2,345 miles
10 D, 10 N,
December 14, 2026
8 weeks

$1,963 to $2,063

Travel ST-OR jobs in Redwood City, CA at Stanford Medicine Outpatient Center place you in a state-of-the-art, multi-specialty outpatient facility known for advanced care and patient comfort. You will work in a modern environment focused on team-based, patient-centered care and innovation. Required qualifications include an active surgical technologist certification, recent operating room experience in outpatient surgery, and proficiency with electronic medical record (EMR) systems. Recommended skills include adaptability, strong communication, and experience with a variety of surgical specialties. AMN Healthcare offers excellent compensation, discounts and perks, dedicated recruiters and clinical support, and the AMN Passport mobile app for 24/7 career management. As a publicly traded company, AMN Healthcare upholds high ethical standards. Apply now to join this Travel ST-OR assignment in Redwood City, CA.

Palo Alto, California – 94304
Distance from Wailuku: 2,349 miles
12 D,
November 16, 2026
13 weeks

$2,645 to $2,781

ST OR travel jobs at the facility in Palo Alto, CA let you assist in pediatric surgical procedures in a collaborative hospital environment focused on family-centered care and continuous improvement. You must have completed an accredited surgical technologist program and hold a Basic Life Support (BLS) certification. At least 2 years of recent operating room experience is required. Experience with electronic medical record (EMR) systems is recommended. Skills in sterile technique, surgical instrumentation, and teamwork are important for this role. Palo Alto offers a vibrant community, access to cultural events, and beautiful outdoor spaces. With AMN Healthcare, you benefit from excellent compensation, discounts and perks, dedicated recruiters and clinical support, the AMN Passport app for 24/7 career assistance, and the confidence of working with a publicly traded company committed to ethical standards. Apply now to join this Travel ST OR assignment in Palo Alto, CA.

Palo Alto, California – 94304
Distance from Wailuku: 2,349 miles
10 D,
December 7, 2026
13 weeks

$2,163 to $2,274

ST-OR travel Surgical Technologist jobs at the facility in Palo Alto, CA let you support pediatric surgical teams in a state-of-the-art operating room environment. You will prepare instruments, assist surgeons during procedures, and maintain aseptic technique while documenting care using electronic medical record (EMR) systems. You must have completed an accredited surgical technology program recognized by the National Board of Surgical Technology and Surgical Assisting or a formal structured surgical program. At least two years of recent operating room experience are required, along with a current Basic Life Support (BLS) certification. Proficiency in EMR systems, strong teamwork, and communication skills are recommended. The facility is known for its collaborative culture, advanced pediatric service lines, and commitment to diversity and patient-centered care. With AMN Healthcare, you benefit from excellent compensation, discounts and perks, dedicated recruiters and clinical support, the AMN Passport app for 24/7 career assistance, and the confidence of working with a publicly traded company committed to ethical standards. Apply now to join this Travel ST-OR assignment in Palo Alto, CA.

Palo Alto, California – 94304
Distance from Wailuku: 2,349 miles
10 D,
December 7, 2026
13 weeks

$2,163 to $2,274

Palo Alto, California – 94304
Distance from Wailuku: 2,349 miles
10 D, 10 N,
November 26, 2026
26 weeks

$2,091 to $2,199

Stanford Hospital & Clinics is a Magnet Facility known worldwide for advanced patient care provided by its physicians and staff. They are consistently ranked among the top hospitals in the nation for advanced care in such areas as cancer treatment, cardiac care, neurology, orthopedic surgery, and organ transplants. This travel friendly facility will take your travel nursing career to new heights and help develop your skill set as a travel nurse.

Palo Alto, California – 94304
Distance from Wailuku: 2,349 miles
8 D,
November 23, 2026
13 weeks

$1,385 to $1,456

Pleasanton, California – 94588
Distance from Wailuku: 2,368 miles
12 D,
November 26, 2026
13 weeks

$1,782 to $1,873

Stanford Health Care – ValleyCare formed in 2015 when ValleyCare Health System became part of Stanford Health Care. Now, we combine the expertise of local physicians with the innovative strength of Stanford Health Care. This provides the community an ideal collaboration between community medicine and leading-edge specialty care. Stanford Health Care – ValleyCare continues the mission to heal humanity through science and compassion, one patient at a time. A Brief Overview: The Surgical Technologist acts as a member of the surgical team in providing patient care to patients undergoing surgical procedures. Prepare the appropriate instrumentation and materials for use on the surgical field, passing instruments to the surgeon during the procedure and room turnover. Perform surgical scrub duties as directed under supervision.

Pleasanton, California – 94588
Distance from Wailuku: 2,368 miles
12 E,
November 26, 2026
13 weeks

$1,782 to $1,873

San Luis Obispo, California – 93405
Distance from Wailuku: 2,383 miles
8 D, 8 E, 8 N,
December 7, 2026
13 weeks

$1,620 to $1,703

RN First Assist jobs at the facility in San Luis Obispo, CA let you work alongside surgeons in the operating room, providing direct patient care and assisting with surgical procedures. You will support preoperative and postoperative care, maintain sterile technique, and collaborate with the surgical team for optimal outcomes. You must hold an active California RN license and have completed an accredited nursing program. Certification as a Registered Nurse First Assist (RNFA) and Basic Life Support (BLS) are required. Experience with electronic medical record (EMR) systems and at least 2 years of perioperative nursing experience are recommended. You will thrive in a facility known for its advanced surgical services and commitment to patient safety. With AMN Healthcare, you benefit from excellent compensation, discounts and perks, dedicated recruiters and clinical support, the AMN Passport app for 24/7 career assistance, and the confidence of working with a publicly traded company committed to ethical standards. Apply now to join this Travel RN First Assist assignment in San Luis Obispo, CA.

Templeton, California – 93465
Distance from Wailuku: 2,386 miles
10 D, 10 E, 10 N,
November 23, 2026
13 weeks

$1,605 to $1,688

Located in Templeton amongst the oak trees, Adventist Health Twin Cities has been serving northern San Luis Obispo County since 1977. Comprised of a 122-bed acute care facility, our team provides exceptional care in emergency medicine, orthopedics, obstetrics, digestive disorders, wound care, and various medical, surgical and outpatient services. Locals enjoy weekly farmers markets in downtown Templeton, farm-to-fork dining, beautiful landscapes for hiking and biking, and beach days just fifteen minutes away at Cambria and Morro Bay. Job Summary: Perform the professional functions of a Registered Nurse in assessing, planning, implementing, and evaluating the care of patients. Coordinate, manage, provide and delegate patient care. Responsible for meeting the established Standards of Nursing Practice, and promoting cooperation among the health care team. In addition, the Registered Nurse shall meet personal accountabilities as defined in the Tenet Standards of Conduct, Service, People, Quality, Growth and Cost. Assit under the direction of the primary operating surgeon in the perioperative care of the patients undergoing a surgical experience. The RNFA functions within the policies and guidelines established by the facility and reports directly to Director of Perioperative Services. The RNFA is an expanded role of the registered nurse and is accountable for exemplifying leadership and professionalism in the implementation of the role. This position is represented by CNA. Job Requirements: Education and Work Experience: Graduate of a school of nursing: Required Certification of completion of an approved didactic RNFA course: Required Three years scrub and circulate experience in an acute care facility: Required Annual surgeon review: Required Licenses/Certifications: Current RN license in state of practice: Required Basic Life Support (BLS OR HS-BLS OR RQIBLS) certification: Required ACLS (Advanced Cardiovascular Life Support): Required Certified Nurse, Operating Room (CNOR): Required Pediatric Advanced Life Support (PALS OR HS-PALS OR RQIPALS) certification: Preferred Current Professional Liability insurance: Required Registered Nurse (RN) license in state of practice: Required Advanced Cardiac Life Support (ACLS) or Healthstream Advanced Cardiac Life Support (HS-ACLS) or RQIACLS: Required Professional Liability Insurance (PLI): Required Essential Functions: Assures patients personal needs are met. Assist in reducing noise level of nursing unit. Participates in the Standards of Conduct. Shows a commitment to co-workers. Works as a team to assure all patients have their needs met. Maintains patient, co-worker, and hospital privacy. Documentation is clear, concise, and legible. Delivers a clear, concise report. Completes all assigned quality monitors as directed by department manager. Follows infection control guidelines. Obtains history/physical assessment according to unit specific nursing protocol for all age groups. Reviews medical history, physical examination, and all available assessment data. Identifies abnormal diagnostic data and reports to appropriate person. Provides information needed to begin discharge planning in a timely manner, and to the appropriate personnel. Recognizes sings and symptoms of cardiac or respiratory distress, or other impending emergencies. Demonstrates knowledge and ability to effectively function in Code Blue and other emergency situations. Accurately administers and charts medications according to hospital policies and procedures using patient?s 6 rights. Implements and /or assists others in implementation and documentation of planned education. Assesses patient?s educational needs. Demonstrates intraoperative competency as an RNFA: manual dexterity, suturing and litigating, providing hemostasis, exposing the surgical site, position, prepping and draping. Assist in the development and education of new staff members. Attends and participates in staff meetings. Completes education, training, and competencies for department specific skills. Successfully adapts to changes in the unit, environment, and work flow. Assures all patient charge items are charged and documented correctly. Utilizes department resources appropriately. Minimizes incidental overtime. Performs other job-related duties as assigned. Organizational Requirements: Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply.

Redding, California – 96001
Distance from Wailuku: 2,416 miles
8 D,
November 30, 2026
13 weeks

$1,805 to $1,897

Featuring advanced technology in addition to compassionate care, this esteemed Operating Room (OR) unit is looking to welcome a new member to its nursing team. Innovative care teams deliver optimal care to their patients at this cutting-edge facility. You can expect to work on complex cases with a driven team of passionate Operating Room (OR) professionals, utilizing the best patient care models.

Sonora, California – 95370
Distance from Wailuku: 2,452 miles
10 D,
November 26, 2026
13 weeks

$1,606 to $1,689

This outstanding Operating unit, based in exciting Sonora is looking for the right Technologist to join their team of compassionate and driven health care professionals. Join this highly motivated team of caregivers and enjoy a challenging and welcoming environment based on optimal patient care.

Sonora, California – 95370
Distance from Wailuku: 2,452 miles
12 D,
November 26, 2026
13 weeks

$1,420 to $1,493

Delano, California – 93215
Distance from Wailuku: 2,469 miles
8 D,
November 26, 2026
13 weeks

$1,933 to $2,032

Focused on growth and technological expertise since 1974, Adventist Health Delano is a full-service community and regional teaching hospital. We are comprised of a 156-bed medical center serving 10 rural Central California cities with primary and specialty care services. Delano is central to all that California has to offer and is the second-largest city in Kern County. A nice balance of small-town community and cultural diversity, Delano offers vitality and energy to our community. Job Summary: Facilitates physician’s performance of invasive and therapeutic and diagnostic procedures. Handles the instruments, supplies, and equipment necessary during the surgical procedure. Ensures quality patient care during the operative procedure and is constantly monitoring the maintenance of the sterile field. Job Requirements: Education and Work Experience: Associate Degree or Certificate of Program Completion in Surgical Technology: Required Relevant acute care experience: Preferred Licenses/Certifications: National Board of Surgical Technologists or Association of Surgical Technologists certified: Preferred Cardiopulmonary Resuscitation (CPR) or Basic Life Support (BLS OR HS-BLS OR RQIBLS) certification: Preferred Facility Specific License/Certifications: Certified Surgical Technologist (CST) or Tech in Surgery (NCCT-ST): Required Department Specific License/Certifications: Basic Life Support (BLS OR HS-BLS OR RQI BLS) certification: Required Essential Functions: Verifies surgery to be performed with consent forms and brings patient to assigned operating room. Passes instruments to surgeon during procedure. Anticipates surgeon?s needs of additional supplies. Performs appropriate counts with circulator prior to the operation and before incision is closed. Prepares sterile dressings. Secures dressings after incision closure. Checks supplies and equipment needed for surgical procedure. Obtains appropriate sterile and unsterile items needed for procedure. Sets up sterile table with instruments, supplies, equipment, and medications/solutions needed for procedure. Helps drape sterile field. Cleans and prepares instruments for terminal sterilization. Assists other members of team with cleaning of room for turnover. Assists in prepping room for the next patient. Performs other job-related duties as assigned.

Delano, California – 93215
Distance from Wailuku: 2,469 miles
12 E,
November 26, 2026
12 weeks

$1,678 to $1,764

Bakersfield, California – 93301
Distance from Wailuku: 2,475 miles
10 E,
November 16, 2026
13 weeks

$1,605 to $1,687

Formerly known as Bakersfield Heart Hospital since 1999, Adventist Health Specialty Bakersfield is building upon a legacy of exceptional heart care and expanding our ability to better serve Kern County for decades to come. We are comprised of a 47-bed hospital with three operating rooms, four cardiac catheterization labs and offer a range of specialty services to the community. As one of America’s fastest growing cities, Bakersfield offers affordable housing on the West Coast, beautiful weather, high-quality education and it is just a few hours away from Yosemite and Sequoia National Parks, the Central California Coast and Southern California’s great sports, theaters, concerts and amusement parks. Job Summary: Facilitates physician’s performance of invasive and therapeutic and diagnostic procedures. Handles the instruments, supplies, and equipment necessary during the surgical procedure. Ensures quality patient care during the operative procedure and is constantly monitoring the maintenance of the sterile field. Job Requirements: Education and Work Experience: Associate Degree or Certificate of Program Completion in Surgical Technology: Required Relevant acute care experience: Preferred Licenses/Certifications: National Board of Surgical Technologists or Association of Surgical Technologists certified: Preferred Facility Specific License/Certifications: Basic Life Support (BLS OR HS-BLS OR RQI BLS) certification: Required Certified Surgical Technologist (CST) or Tech in Surgery (NCCT-ST): Required Essential Functions: Verifies surgery to be performed with consent forms and brings patient to assigned operating room. Passes instruments to surgeon during procedure. Anticipates surgeon?s needs of additional supplies. Performs appropriate counts with circulator prior to the operation and before incision is closed. Prepares sterile dressings. Secures dressings after incision closure. Checks supplies and equipment needed for surgical procedure. Obtains appropriate sterile and unsterile items needed for procedure. Sets up sterile table with instruments, supplies, equipment, and medications/solutions needed for procedure. Helps drape sterile field. Cleans and prepares instruments for terminal sterilization. Assists other members of team with cleaning of room for turnover. Assists in prepping room for the next patient. Performs other job-related duties as assigned.

Tillamook, Oregon – 97141
Distance from Wailuku: 2,508 miles
12 D, 12 E, 12 N,
November 26, 2026
13 weeks

$1,532 to $1,610

Shifts are 4 9s – 36 hours a week 72 hours in a pay period Total Bed Count: 3 ORs /1 Endoscopy Staffing Ratios: Days 1:4 teams Nights 1:1 call team_ Weekends 1:1 call team Types of procedures: Joints – no spine No robots C-sections General Gynecology Urology ENT Podiatry Endoscopy – EGD and Colon poly screening – no interventional procedures. Certified Technologist, at least 2 or 3 years experience. Surgical Technologists support decontamination room by cleaning instruments and endoscopes scopes – Training is provided but past experience is helpful._ For all staff: at the minimum call 1 night a week 1 weekend a month. For all staff: shifts are 4 9s – 36 hours a week 72 hours in a pay period Schedule Requirements: Call Required: Yes, 24/7 Float Required: No Weekend Coverage: Yes, 24/7 Scheduling Type: ; Excel document for staffing plan Support: IV Teams: No Lift Teams: No Pharmacy: Yes Phlebotomy: Yes Transportation: House Sup or Radiology usually can help with transporting patients. Unit Secretary: Yes, 0800-1600 – also, schedules cases Provider Coverage: Intensivist: No Hospitalist: Yes, 24/7″ Located off the beautiful Oregon Coast, Adventist Health Tillamook has been one of the area’s leading healthcare providers since 1950. We are comprised of a 25-bed critical access medical center, rural health and urgent care medical offices, home care services, and a vast scope of services located throughout Tillamook County and the surrounding areas. Tillamook is known for its small-town charm, lively art scene and delicious Tillamook Cheese. The allure of Tillamook’s community is complimented by access to outdoor adventures and the scenic Oregon Coast. Job Summary: Assists the surgical team in the preparation of surgical procedures in the operating room. Prepares surgical cases by creating and maintaining a sterile field, retracting and passing instruments, supplies and medications to surgeons during cases. Performs a variety of technical skills, including the maintenance of supplies. Job Requirements: Education and Work Experience: High School Education/GED or equivalent: Preferred Associate?s/Technical Degree or equivalent combination of education/related experience: Preferred Scrub technician experience: Preferred Operating room experience and/or training course: Preferred Licenses/Certifications: Surgery Technician certification: Preferred Cardiopulmonary Resuscitation (CPR) or Basic Life Support (BLS OR HS-BLS OR RQIBLS) certification: Required Certified Nursing Assistant (CNA) certification: Preferred Department Specific License/Certifications: Certified Surgical Technologist (CST): Required Essential Functions: Prepares for each surgical case by accurately checking required supplies and equipment prior to case. Assembles appropriate supplies/equipment prior to operative procedures. Reviews equipment inventory for specialty as assigned. Sets up operative instrumentation/sterile field for expedient retrieval/utilization. Collects data on assigned surgical cases by the unit based Performance Standards of Care. Cleans equipment and facilities as necessary. Performs housekeeping duties as requested. Transports patients according to unit schedules and priorities. Provides clerical duties. Completes instrument, sponge, needle and blade counts with the Registered Nurse (RN) according to established standards. Sets up/maintains neat and orderly sterile field demonstrating careful attention to aseptic technique. Labels solutions according to established standards. Performs other job-related duties as assigned.

Tillamook, Oregon – 97141
Distance from Wailuku: 2,508 miles
12 D,
November 23, 2026
13 weeks

$1,532 to $1,610

Total Bed Count: 3 ORs /1 Endoscopy Staffing Ratios: Days 1:4 teams Nights 1:1 call team_ Weekends 1:1 call team Types of procedures: Joints – no spine No robots C-sections General Gynecology Urology ENT Podiatry Endoscopy – EGD and Colon poly screening – no interventional procedures. Certified Technologist, at least 2 or 3 years experience. Surgical Technologists support decontamination room by cleaning instruments and endoscopes scopes – Training is provided but past experience is helpful._ For all staff: at the minimum call 1 night a week 1 weekend a month. For all staff: shifts are 4 9s – 36 hours a week 72 hours in a pay period Schedule Requirements: Call Required: Yes, 24/7 Float Required: No Weekend Coverage: Yes, 24/7 Scheduling Type: ; Excel document for staffing plan Support: IV Teams: No Lift Teams: No Pharmacy: Yes Phlebotomy: Yes Transportation: House Sup or Radiology usually can help with transporting patients. Unit Secretary: Yes, 0800-1600 – also, schedules cases Provider Coverage: Intensivist: No Hospitalist: Yes, 24/7″ Located off the beautiful Oregon Coast, Adventist Health Tillamook has been one of the area’s leading healthcare providers since 1950. We are comprised of a 25-bed critical access medical center, rural health and urgent care medical offices, home care services, and a vast scope of services located throughout Tillamook County and the surrounding areas. Tillamook is known for its small-town charm, lively art scene and delicious Tillamook Cheese. The allure of Tillamook’s community is complimented by access to outdoor adventures and the scenic Oregon Coast. Job Summary: Assists the surgical team in the preparation of surgical procedures in the operating room. Prepares surgical cases by creating and maintaining a sterile field, retracting and passing instruments, supplies and medications to surgeons during cases. Performs a variety of technical skills, including the maintenance of supplies. Job Requirements: Education and Work Experience: High School Education/GED or equivalent: Preferred Associate?s/Technical Degree or equivalent combination of education/related experience: Preferred Scrub technician experience: Preferred Operating room experience and/or training course: Preferred Licenses/Certifications: Surgery Technician certification: Preferred Cardiopulmonary Resuscitation (CPR) or Basic Life Support (BLS OR HS-BLS OR RQIBLS) certification: Required Certified Nursing Assistant (CNA) certification: Preferred Department Specific License/Certifications: Certified Surgical Technologist (CST): Required Essential Functions: Prepares for each surgical case by accurately checking required supplies and equipment prior to case. Assembles appropriate supplies/equipment prior to operative procedures. Reviews equipment inventory for specialty as assigned. Sets up operative instrumentation/sterile field for expedient retrieval/utilization. Collects data on assigned surgical cases by the unit based Performance Standards of Care. Cleans equipment and facilities as necessary. Performs housekeeping duties as requested. Transports patients according to unit schedules and priorities. Provides clerical duties. Completes instrument, sponge, needle and blade counts with the Registered Nurse (RN) according to established standards. Sets up/maintains neat and orderly sterile field demonstrating careful attention to aseptic technique. Labels solutions according to established standards. Performs other job-related duties as assigned.

La Jolla, California – 92037
Distance from Wailuku: 2,516 miles
12 D,
November 26, 2026
13 weeks

$2,088 to $2,195

The Surgical Tech position in La Jolla, CA allows you to work in a dynamic operating room environment at the facility, supporting a wide range of surgical specialties including trauma, cardiovascular, orthopedics, and obstetrics. You will prepare operating rooms, ensure all supplies and equipment are sterile, and assist the surgical team throughout procedures. Required qualifications include completion of an accredited surgical technologist training program or at least 1 year of recent experience as a surgical technologist. You must hold a current American Heart Association Basic Life Support (BLS) for Healthcare Provider certification. Experience with electronic medical record (EMR) systems is needed. Recommended skills include excellent communication, basic computer proficiency, attention to detail, and the ability to multitask and work well in a fast-paced, high-stress team environment. AMN Healthcare offers excellent compensation, discounts and perks, dedicated recruiters and clinical support, the AMN Passport app with 24/7 assistance, and operates with higher ethical standards as a publicly traded company. Apply now to join this Travel Surgical Tech assignment in La Jolla, CA.

travel Exclusive

San Diego, California – 92123
Distance from Wailuku: 2,543 miles
8 D,
December 7, 2026
13 weeks

$2,257 to $2,397

San Diego, California – 92123
Distance from Wailuku: 2,543 miles
12 D,
November 26, 2026
13 weeks

$1,613 to $1,695

Featuring advanced technology in addition to compassionate care, this esteemed Cardiovascular Operating Room (CVOR) unit is looking to welcome a new member to its nursing team. Innovative care teams deliver optimal care to their patients at this cutting edge facility. You can expect to work on complex cases with a driven team of passionate Cardiovascular Operating Room (CVOR) professionals, utilizing the best patient care models.