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UPGRADE TO LED - Replace older over-bed fixtures with energy-efficient, long-life fixtures from Sunlite. Unlike fluorescent fixtures, they are instant on at full brightness with no buzzing or flickering. Ideal for use in patient rooms at hospitals, clinics, nursing care facilities, emergency rooms, examination rooms and more. 3-WAY LIGHTING - Three-way switching via pull-chain on these 36-inch fixtures provides up lighting, down lighting, or both simultaneously. Up lighting reflects off the ceiling, providing comfortable, indirect room lighting. Down lighting shines on the bed area for reading, examinations, and performing patient-related tasks. MAINTENANCE FREE - Integrated LEDs make this fixture a maintenance-free lighting solution. No bulbs, starters, or ballasts to replace. Easy wall installation on standard junction box with hardware included. LONG LIFE SPAN - This bed light fixture produces a bright selectable color with a robust high lumen output that varies depending on the selected wattage, it can range from 1675 to 5311 lumens. This dimmable fixture long life provides 50,000 hours of maintenance-free service LED technology. Estimated annual energy costs of $1.81 or $3.61 or $5.42 (Based on 3 Hrs/Day at $0.11/kWh). A SAFER CHOICE - These fixtures are ETL Listed for damp location installation and remain cool to the touch even when illuminated. It is mercury-free, making it a safer choice for your home. It is also safety rated for totally enclosed fixtures and safety rated for use in the USA. Dimensions 4.06” H x 36” W x 4.22” D.