Ultrasound Technologist demonstrates competency in performing all ultrasound exams both general and vascular, ensuring proficiency in producing technical and diagnostic scans for interpretation. Positions patient and equipment and produce an appropriate recording. The Ultrasound Technician is responsible for processing and transmission of Images to PACS.
Performs Diagnostic Radiographic, Cat Scan, Mammography, Bone Density, Ultra Sound or Special Procedures according to department protocols. Functions as the first line interface with customers and is successful in the accomplishment of their imaging needs. Participates in PI/ QC activities. Assists in Maintaining Performance Improvement Program. Oversees radiology area and/or staff in Managers / Directors absence. Maintains department supplies. Promotes teamwork and good customer service. . Does scheduling for assigned sub departments and maintains supplies and equipment for assigned sub department. Responsible for Processing and transmission of Images to PACS.
The LVN/LPN provides direct and indirect patient care services requiring clinical competence within the scope of practice in accordance with state requirements. In collaboration with the healthcare team, under the supervision of a Registered Nurse (RN), the LVN/LPN works to maintain safety, provide patient comfort and care and improve the overall patient experience in the MST setting.
The Registered Nurse is directly responsible and accountable for the care given to his/her Telemetry assigned patients. He / She communicates with physician about changes in the patient’s clinical condition including cardiac monitoring, results of diagnostic studies and symptomatology. Is able to respond quickly and accurately to changes in condition and/or response to treatment.
Under the Corporate Controller, this position completes and analyzes financial and statistical reporting and in support of senior management's goals and objectives. This position ensures timely and accurate financial information, covenant reporting, financial projection and budgeting, and related activities.
The Registered Nurse is directly responsible and accountable for the care given to his/her assigned patients. He/She communicates with physician about changes in the patient's clinical condition including cardiac monitoring, results of diagnostic studies and symptomatology. Is able to respond quicly and accurately to changes in condition and/or response to treatment.
The Registered Nurse is directly responsible and accountable for the care given to his/her assigned patients. He/She communicates with physician about changes in the patient's clinical condition including cardiac monitoring, results of diagnostic studies and symptomatology. Is able to respond quicly and accurately to changes in condition and/or response to treatment.
The Registered Nurse is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation and evaluation.
- Provides direct patient care within the scope of practice.
- Directs and guides patient/family teaching and activities of other nursing personnel while maintaining standards of care in Telemetry Unit.
- He/She is directly responsible and accountable for the care given to their assigned patients.
- He/She communicate with the physician about changes in the patient’s clinical condition including cardiac monitoring, results of diagnostic studies and symptomatology.
- Is able to respond quickly and accurately to changes in condition and/or response to treatment.
The ideal candidate will be a team-player with a positive mind-set and a heart for the underserved population.
As an employee you will be given the opportunity not only to give our patient’s exceptional care but, the ability to grow within an organization that strives to give back to the community in which they serve.
Assists the Pharmacist, under his or her supervision, in the daily operation of the Pharmacy.
The Registered Nurse is directly responsible and accountable for the care given to his/her assigned patients. He/She communicates with physician about changes in the patient's clinical condition including cardiac monitoring, results of diagnostic studies and symptomatology. Is able to respond quicly and accurately to changes in condition and/or response to treatment.
Direct patient care hours as specified above attending to scheduled, and where required, unscheduled outpatients in a primary care practice setting (Monday- Friday Hours)•Conduct routine outpatient primary care, including, patient history and physical exams, order appropriate diagnostic tests, review findings and test results, develop correct diagnoses and map a course of treatment•Perform all clinical procedures within the scope of training and scope of expertise•Other clinically related administrative responsibilities as required to adhere to high quality clinical standards•Communicates directly, clearly, and regularly with other practice physicians on clinical and practice management issues so as to facilitate good patient care and efficient operations of the practice•Treats all practice employees with respect and communicates with all practice employees in a professional manner•Provide telephone and where required on-site clinical call coverage for the outpatient practice on a rotational basis with the other physicians in the practice•Completes all outpatient chart documentation by the completion of the clinical session utilizing the electronic medical record application Responsible for oversee and supervise Physician Assistant
Staff RN is directly accountable to the OR Charge Nurse and the Director of Surgical Services, and indirectly to the House Supervisor. The Registered Nurse is responsible for the delivery of direct and indirect patient care in the peri-operative setting through the nursing process of assessment, planning, implementation, and evaluation for neonates, pediatrics, adolescents, adults and older adults. The Registered Nurse coordinates the care of the patient with the surgeon and anesthesiologist, directs and guides the OR Technician and other personnel while maintaining standards of professional nursing. Works with other departments to provide a continuum of care and co-workers to provide continuous, quality patient care, efficient patient flow and unit maintenance and organization. Responsible for adherence to regulations, standards and hospital or unit policies and procedures. Responsible for participation in Performance Improvement activities, unit meetings and in-services. Acts as a resource for other personnel as appropriate. �
The Registered Nurse is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation and evaluation. Provides direct patient care within the scope of practice. The Registered Nurse also directs and guides patient/family teaching and activities of other nursing personnel while maintaining standards of care in Telemetry Unit. The Registered Nurse is directly responsible and accountable for the care given to his/her assigned patients. He / She communicates with the physician about changes in the patient's clinical condition including cardiac monitoring, results of diagnostic studies and symptomatology. Is able to respond quickly and accurately to changes in condition and/or response to treatment.
The Scribe’s primary role is to support patient flow by assisting the Physician with documentation as it relates to the patient’s medical record, tracking of results, and documentation of the defined plan of care on patients of all age groups. Works collaboratively to support other healthcare
providers to create a professional environment of care.
The Registered Nurse is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation and evaluation. Provides direct patient care within the scope of practice. The Registered Nurse also directs and guides patient/family teaching and activities of other nursing personnel while maintaining standards of care in the ICU. The Registered Nurse is directly responsible and accountable for the care given to his/her assigned patients. They communicate with the physician about changes in the patient’s clinical condition including hemodynamic monitoring, results of diagnostic studies and abnormal results and symptomatology. Is able to respond quickly and accurately to changes in condition and/or response to treatment. Maintains patient privacy and confidentiality.
The Unit Secretary is directly accountable to the Director of MST, and indirectly to the Charge Nurse, and / or House Supervisor. The Unit Secretary is an unlicensed person who performs indirect care in the department setting. Facilitates the communication needs of the department. Transcribes physician orders from records (in the absence of CPOE and EMR clinical documentation system) with notation and signature by nursing staff. Prepares and complies records on the Emergency Room. Orders supplies for the unit, prepares and completes each patients chart for necessary forms needed on a daily basis. Able to assist nursing staff for duties involving indirect patient care. EDUCATION, EXPERIENCE, TRAINING 1. High School Diploma or Equivalent or relevant experience required for all new hires, effective April 2014. 2. Basic dysrhythmia training on hire. 3. Medical terminology preferred. 4. Current BLS (AHA) certificate upon hire and maintain current. 5. Experience using computers for word processing, database management preferred
Registered Nurse is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation and evaluation. The Registered Nurse also directs and guides patient/family teaching and activities of other nursing personnel while maintaining standards of professional nursing. Is able to respond quickly and accurately to changes in condition and/or response to treatment. Provides for a safe environment for patients and visitors. Utilizes the chain of command when necessary to ensure patient well-being and appropriateness of care to neonates from post delivery stabilization through discharge. NICU- Provides direct patient care within the scope of practice with assistance to neonates.
The G.I. Technician is directly accountable to the G.I. RN, the OR Charge Nurse and Director of Surgical Services and indirectly to the House Supervisor and the CNO/ Administrator. The G.I. Technician is responsible as the scrub assistant to the physician during invasive G.I. procedures. The G.I. Tech hands sterilized instruments, scopes and/or supplies to the physician during the procedure without unnecessary delay. Assist co-workers in the provision of continuous, quality patient care for adolescents, adults and older adults. Is responsible for adhering to regulations, standards, hospital and departmental policies and procedures. Participates in departmental Performance Improvement activities. Acts as a resource person for other personnel as appropriate.
The Licensed Vocational Nurse/Licensed Psychiatric Technician provides direct and indirect patient care services requiring technical and manual skills, within the scope of practice, that meet the psychosocial, physical and general aspects of care, and meets the communication needs of the patient and family; Performs under the direction and supervision of a Registered Nurse. Demonstrates knowledge of EMTALA Regulations and triage process in the ER setting.
The APN/Certfied Midwife functions as a liaison for the clinic; interfacing with patient, family, physicians and other ancillary departments while providing oversight for the patient. This includes the initial intake, social service assessment, physical assessment, review of lab and diagnostics, nutritional assessment , education, genetic screening, education, plan of care, financial assistance and all prenatal and follow up visits. The person will facilitate patient navigation through all phases of the pregnancy working with the multidisciplinary care team to ensure excellence in clinical outcomes, quality of care, and patient safety. He/she will cultivate relationships and acts as a liaison between the physician, nursing, ancillary staff, patients and their families to promote customer satisfaction.
The Registered Nurse is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation and evaluation. Provides direct patient care within the scope of practice. The Registered Nurse also directs and guides patient/family teaching and activities of other nursing personnel while maintaining standards of care in the DOU. The Registered Nurse is directly responsible and accountable for the care given to his/her assigned patients. He/She communicates with the physician about changes in the patient’s clinical condition including hemodynamic monitoring, results of diagnostic studies and abnormal results and symptomatology. Is able to respond quickly and accurately to changes in condition and/or response to treatment. Maintains patient privacy and confidentiality.
The Physician will diagnosis, treat, and help with disease prevention and injury that commonly occur in the general population. May refer patient to specialist when needed for further diagnosis and treatment.
Manager of Emergency Department is responsible for the day to day management and coordination of all activities in the Emergency Department. Supervises and monitors performance of the Emergency Department staff. Interacts with the physicians, hospital staff, outside agencies, patients and patients families/significant other(s) to provide comprehensive care.
JOB SUMMARY: The CNA in the Med/Surg Department is a certified assistive person who assists with activities of daily living, provides basic nursing care to non-critical patients and assists in maintenance of a safe environment under the direction and supervision of the Registered Nurse in charge of the team and/or unit.
JOB SUMMARY: The CNA in the Med/Surg Department is a certified assistive person who assists with activities of daily living, provides basic nursing care to non-critical patients and assists in maintenance of a safe environment under the direction and supervision of the Registered Nurse in charge of the team and/or unit.
The Registered Nurse is directly responsible and accountable for the care given to his/her Telemetry assigned patients. He / She communicates with physician about changes in the patient’s clinical condition including cardiac monitoring, results of diagnostic studies and symptomatology. Is able to respond quickly and accurately to changes in condition and/or response to treatment.
The Registered Nurse is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation and evaluation. Provides direct patient care within the scope of practice. The Registered Nurse also directs and guides patient/family teaching and activities of other nursing personnel while maintaining standards of care in the ICU. The Registered Nurse is directly responsible and accountable for the care given to his/her assigned patients. He/She communicates with the physician about changes in the patient's clinical condition including hemodynamic monitoring, results of diagnostic studies and abnormal results and symptomatology. Is able to respond quickly and accurately to changes in condition and/or response to treatment. Maintains patient privacy and confidentiality.
The Licensed Vocational Nurse/Licensed Psychiatric Technician provides direct and indirect patient care services requiring technical and manual skills, within the scope of practice, that meet the psychosocial, physical and general aspects of care, and meets the communication needs of the patient and family; Performs under the direction and supervision of a Registered Nurse. Demonstrates knowledge of EMTALA Regulations and triage process in the ER setting.
The CNA in the Med/Surg Department is a certified assistive person who assists with activities of daily living, provides basic nursing care to non-critical patients and assists in maintenance of a safe environment under the direction and supervision of the Registered Nurse in charge of the team and/or unit.
We are seeking a committed RN for our Intensive Care Unit to provide critical care to critically ill or injured patients. As a specialized nurse, you will be well-versed in treating patients who have experienced heart attacks, strokes, or invasive surgeries. This is an excellent opportunity for someone looking to advance in their career; we are committed to helping you develop your skill set.
We need someone who can communicate with our physicians regarding changes in the patient's clinical condition, including hemodynamic monitoring, results of diagnostic studies and abnormal results, and symptomatology. Moreover, you will be a member of a close-knit, supportive, and cooperative Intensive Care team. If this sounds intriguing to you, you should also know that we offer a competitive benefits package.
#ICURN #Registerednurse #ICUregisterednurse #Criticalcarern #rn #kansascityrn #KS #Nursingcareers #nursing #RNjobs #LI-AM5
The Registered Nurse is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation and evaluation. Provides direct patient care within the scope of practice. The Registered Nurse also directs and guides patient/family teaching and activities of other nursing personnel while maintaining standards of care in the DOU. The Registered Nurse is directly responsible and accountable for the care given to his/her assigned patients. He/She communicates with the physician about changes in the patient’s clinical condition including hemodynamic monitoring, results of diagnostic studies and abnormal results and symptomatology. Is able to respond quickly and accurately to changes in condition and/or response to treatment. Maintains patient privacy and confidentiality.
The Registered Nurse is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation and evaluation. Provides direct patient care within the scope of practice. The Registered Nurse also directs and guides patient/family teaching and activities of other nursing personnel while maintaining standards of care in the DOU. The Registered Nurse is directly responsible and accountable for the care given to his/her assigned patients. He/She communicates with the physician about changes in the patient’s clinical condition including hemodynamic monitoring, results of diagnostic studies and abnormal results and symptomatology. Is able to respond quickly and accurately to changes in condition and/or response to treatment. Maintains patient privacy and confidentiality.
St Mary's Medical Center is now hiring a Day shift Clinical Laboratory Scientist or Medical Lab Technologis for our team.
- PRN, Per-diem
- flexible shift
- flexible Hours
- Ask about our benefits for PRN, per-diem staff
- Evening, Night and Weekend Shift Differentials offered
- ASCP or equivalent required
- 2+ years of Medical Laboratory experience in a Healthcare Facility Required
- Associates in Medical Technology or Bachelors Degree Required
Each individual performs only those waived, moderate, or highly complex tests authorized by CLIA, Bus. & Prof. Code Section 1204, and must possess a degree of skill commensurate with individual?s education, training or experience and technical abilities. Each individual performing the above procedures must: 1) adhere to the laboratory?s procedures for the collection, processing, analysis, and reporting of patient test results. 2) follow the laboratory?s established quality control policies and procedures in documenting all corrective actions taken when test systems deviate from the laboratory?s established performance specifications. 3) be capable of identifying problems that may adversely affect test performance and either correct the problem or immediately notify your immediate supervisor, Director, or Medical Director, 4) perform a wide variety of laboratory procedures requiring independent judgment using both manual and automated methods in Hematology, Blood Bank, Chemistry, Urinalysis, Coagulation, Microbiology, Immunology, and any other discipline as introduced into the laboratory, 5) perform and document maintenance; daily, weekly, monthly, or as needed on instruments and equipment as appropriate, 6) review the accuracy of patient results prior to releasing or reporting, 7) recognize age specific differences in expected results for newborns to geriatrics, 8) ensure that the testing of proficiency testing samples are tested in the same manner as patient'samples and that collaboration with other laboratories is prohibited prior to the reporting of proficiency testing results to the appropriate agencies, 9) may be required to perform venipuncture or capillary puncture on various age groups from newborn to geriatrics, 10) assist in the development and maintenance of laboratory policies and procedures, 11) adheres to all department and hospital policies and procedures related to safety, infection control, emergency preparedness, and human resources, 12) in the absence of a supervisor, may be assigned/identified as Lead Tech, having responsibility for the section or department during their shift, 13) may be assigned responsibilities related to LIS and/or POC. 14) other tasks or responsibilities may be assigned by the department manager/director.
The Registered Nurse is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation and evaluation. Provides direct patient care within the scope of practice. The Registered Nurse also directs and guides patient/family teaching and activities of other nursing personnel while maintaining standards of care in the DOU. The Registered Nurse is directly responsible and accountable for the care given to his/her assigned patients. He/She communicates with the physician about changes in the patient’s clinical condition including hemodynamic monitoring, results of diagnostic studies and abnormal results and symptomatology. Is able to respond quickly and accurately to changes in condition and/or response to treatment. Maintains patient privacy and confidentiality.
The Registered Nurse is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation and evaluation. Provides direct patient care within the scope of practice. The Registered Nurse also directs and guides patient/family teaching and activities of other nursing personnel while maintaining standards of care in the DOU. The Registered Nurse is directly responsible and accountable for the care given to his/her assigned patients. He/She communicates with the physician about changes in the patient’s clinical condition including hemodynamic monitoring, results of diagnostic studies and abnormal results and symptomatology. Is able to respond quickly and accurately to changes in condition and/or response to treatment. Maintains patient privacy and confidentiality.
The Pharmacy Intern assists the Pharmacist in the support of the drug distribution systems, including patient counseling and pharmacokinetic calculations, and participates in performance improvement and data collections activities.The Pharmacy Intern is responsible for dosage preparation, preparation of sterile admixture using aseptic technique, floor stock delivery, pre-packaging, billing, receiving, and stocking. Other responsibilities include inventory control, controlled substances distribution, documentation and accountability, assisting in the inspection of medication storage areas throughout the hospital, and maintaining the cleanliness of the department. All responsibilities are performed under the supervision of a licensed Pharmacist according to local board of pharmacy and state regulations. The Pharmacy Intern participates in providing pharmaceutical care for the following age groups: neonates, pediatrics, adolescents, adults, and geriatrics. The Pharmacy Intern performs other tasks as assigned by the Pharmacist.
The Registered Nurse is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation and evaluation. Provides direct patient care within the scope of practice. The Registered Nurse also directs and guides patient/family teaching and activities of other nursing personnel while maintaining standards of care in the ICU. The Registered Nurse is directly responsible and accountable for the care given to his/her assigned patients; He/She communicates with the physician about changes in the patients clinical condition including hemodynamic monitoring, results of diagnostic studies and abnormal results and symptomatology. Is able to respond quickly and accurately to changes in condition and/or response to treatment. Maintains patient privacy and confidentiality.
The CNA in the Telemetry Department is a certified assistive person who assists with activities of daily living, provides basic nursing care to non-critical patients and assists in maintenance of a safe environment under the direction and supervision of the Registered Nurse in charge of the team and/or unit.
Under the direction and authorization of the Medical Director and Respiratory Therapy director/manager, the Student Therapist (Respiratory) is responsible for performing respiratory therapeutic and pulmonary diagnostic procedures as ordered by the physician. Emphasis will be toward the assessment, planning, implementation and documentation of care, with consideration of age and population specific needs and requirements of the patient. The Student Therapist (Respiratory) works under the direction of a registered or certified therapist. The competencies listed in sections I, II, and III will be learned as the student’s knowledge and skill level increases.
The CNA in the MST department is a certified assistive person who assists with activities of daily living, provides basic nursing care to non-critical patients and assists in maintenance of a safe environment under the direction and supervision of the Registered Nurse in charge of the team and/or unit.
Staff RN is directly accountable to the OR Charge Nurse and the Director of Surgical Services, and indirectly to the House Supervisor. The Registered Nurse is responsible for the delivery of direct and indirect patient care in the peri-operative setting through the nursing process of assessment, planning, implementation, and evaluation for neonates, pediatrics, adolescents, adults and older adults. The Registered Nurse coordinates the care of the patient with the surgeon and anesthesiologist, directs and guides the OR Technician and other personnel while maintaining standards of professional nursing. Works with other departments to provide a continuum of care and co-workers to provide continuous, quality patient care, efficient patient flow and unit maintenance and organization. Responsible for adherence to regulations, standards and hospital or unit policies and procedures. Responsible for participation in Performance Improvement activities, unit meetings and in-services. Acts as a resource for other personnel as appropriate.
The Registered Nurse is directly responsible and accountable for the care given to his/her Telemetry assigned patients. He / She communicates with physician about changes in the patient’s clinical condition including cardiac monitoring, results of diagnostic studies and symptomatology. Is able to respond quickly and accurately to changes in condition and/or response to treatment.
The Registered Nurse is directly responsible and accountable for the care given to his/her Telemetry assigned patients. He / She communicates with physician about changes in the patient’s clinical condition including cardiac monitoring, results of diagnostic studies and symptomatology. Is able to respond quickly and accurately to changes in condition and/or response to treatment.
The Registered Nurse is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation and evaluation. Provides direct patient care within the scope of practice. The Registered Nurse also directs and guides patient/family teaching and activities of other nursing personnel while maintaining standards of care within the Medical/Surgical Unit. The Registered Nurse is directly responsible and accountable for the care given to his/her assigned patients. He / She communicates with physician about changes in the patient's clinical condition including cardiac monitoring, results of diagnostic studies and symptomatology. Is able to respond quickly and accurately to changes in condition and/or response to treatment.
The Registered Nurse is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation and evaluation. Provides direct patient care within the scope of practice. The Registered Nurse also directs and guides patient/family teaching and activities of other nursing personnel while maintaining standards of care within the Medical/Surgical Unit. The Registered Nurse is directly responsible and accountable for the care given to his/her assigned patients. He / She communicates with physician about changes in the patient's clinical condition including cardiac monitoring, results of diagnostic studies and symptomatology. Is able to respond quickly and accurately to changes in condition and/or response to treatment.
The Registered Nurse is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation and evaluation. Provides direct patient care within the scope of practice. The Registered Nurse also directs and guides patient/family teaching and activities of other nursing personnel while maintaining standards of care within the Medical/Surgical Unit. The Registered Nurse is directly responsible and accountable for the care given to his/her assigned patients. He / She communicates with physician about changes in the patient's clinical condition including cardiac monitoring, results of diagnostic studies and symptomatology. Is able to respond quickly and accurately to changes in condition and/or response to treatment.
The LVN provides direct and indirect patient care services requiring clinical competence within the scope of practice in accordance with state requirements.
- In collaboration with the healthcare team, under the supervision of a Registered Nurse (RN), the LVN works to maintain safety, provide patient comfort and care and improve the overall patient experience in the medical surgical setting.
An ideal candidate will be able to work 1 - 2 shifts per week, or more and has at least 1 year of Acute Care Experience. Great way to earn an extra income while making a positive impact! This position qualifies for the + $1.50 per hour shift differential.
The Registered Nurse is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation and evaluation. Provides direct patient care within the scope of practice. The Registered Nurse also directs and guides patient/family teaching and activities of other nursing personnel while maintaining standards of care within the Medical/Surgical Unit. The Registered Nurse is directly responsible and accountable for the care given to his/her assigned patients. He / She communicates with physician about changes in the patient's clinical condition including cardiac monitoring, results of diagnostic studies and symptomatology. Is able to respond quickly and accurately to changes in condition and/or response to treatment.
The LVN provides direct and indirect patient care services requiring clinical competence within the scope of practice in accordance with state requirements.
- In collaboration with the healthcare team, under the supervision of a Registered Nurse (RN), the LVN/LPN works to maintain safety, provide patient comfort and care and improve the overall patient experience in the telemetry setting.
An ideal candidate will be able to work 1 - 2 shifts per week, or more and has at least 1 year of Acute Care Experience. Great way to earn an extra income while making a positive impact! This position qualifies for the + $1.50 per hour shift differential.
The Registered Nurse is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation and evaluation. Provides direct patient care within the scope of practice. The Registered Nurse also directs and guides patient/family teaching and activities of other nursing personnel while maintaining standards of care in the DOU. The Registered Nurse is directly responsible and accountable for the care given to his/her assigned patients. He/She communicates with the physician about changes in the patient’s clinical condition including hemodynamic monitoring, results of diagnostic studies and abnormal results and symptomatology. Is able to respond quickly and accurately to changes in condition and/or response to treatment. Maintains patient privacy and confidentiality.