Performs a variety of patient and non patient food service duties such as preparing and delivering patient trays, servicing the cafeteria, working on tray line, stocking storage areas, preparing nourishments, dishwashing and pot washing, mopping and sweeping of floors and emptying of trash as well as other related tasks.

With oversight and direction from the Program Director(s), the Assistant Program Director is responsible for the operational functions of the accredited GME training programs. The position requires a comprehensive and detailed understanding of the national accreditation policies and hospital policies, as well as a high degree of initiative and independent judgment. The Assistant Program Director should be organized in planning, assisting with maintaining continuing accreditation, recruiting of trainees, projects, analyzing and maintaining databases, communicating with faculty and trainees regarding a range of issues and managing internal and external program relations. Should have working knowledge of Microsoft Word, Excel, PowerPoint and GME databases. Assistant Program Director will work in the residency clinic and have administrative duties as well.

Performs Diagnostic Radiographic Procedures according to department protocols, HFAP/TJC/local regulatory/CMS, State and Federal Regulations. Functions as the first line interface with customers and is successful in the accomplishment of their imaging needs. Participates in PI/QC activities. Responsible for processing and transmission of images to PACS.

The DOU Charge Nurse is responsible and accountable to the Department Director for the quality of nursing staff and the delivery of patient care during his/her shift and assists the Director in the daily operation of the respective unit(s)/department. He/she provides direct communication with the Director and/or House Supervisor of unanticipated patient care events and/or risk management activities within patient care unit(s); Utilizes nursing personnel effectively, assisting with required scheduling, staffing and assignments; Provides direction, supervision and evaluation of staff and/or staff education as necessary; Assists with performance evaluations, progressive discipline of staff and other related HR activities as needed; Assesses supplies and equipment availability, ensures their proper use and functionality and assists in the daily maintenance of par levels; Collaborates with other department managers/supervisors to ensure smooth coordination of services to patients; enhanced patient flow within the facility and efficient admission/discharge/transfer processes; Assesses patient care delivery and quality of care/documentation on a consistent basis; directs staff members to make immediate changes in the plan of care, as appropriate to ensure patient safety and adherence to regulatory guidelines, hospital policies, procedures, protocols and/or clinical pathways and notifies Department Director, House Supervisor and/or Medical Staff as appropriate utilizing the chain of command. Interviews patients/families on admission and during rounds to enhance positive patient experiences, provide comprehensive orientation to the patient care unit and increase patient/family awareness on how to access services and/or the charge nurse, if necessary. The Charge Nurse may perform direct patient care within scope of practice and clinical competency to ensure patient safety and patient/nurse ratios; he/she shall be temporarily relieved of Charge Nurse duties during such times by Director/designee and shall document details of same on patient care assignment record.

Provides medically prescribed consultative and therapeutic services in order to restore function and prevent disability in patients with musculoskeletal, cardiopulmonary and/or integumentary disorders. The Physical Therapist I performs responsibilities in accordance with Physical Therapy/Hospital Policy, state and federal regulatory licensing and accrediting requirements.

Under the general direction of the physician (Cardiologist/Radiologist), will assist by scrubbing procedures or monitoring physiologic and hemodynamic data, as related to diagnostic and/or therapeutic procedures performed in the cardiovascular lab. Ensures procedure room is adequately prepared for the procedure. Monitors par level of all instruments and supplies. Participates in departmental staff meetings and performance improvement activities and the training of new staff. Assists in all aspects of invasive and noninvasive cardiac procedures

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 professional nursing care in Telemetry. The Registered Nurse is directly responsible and accountable for the care given to his/her patients in the Emergency Department. He / She communicates with the physician about the changes in the patient?s clinical condition including results of the diagnostic studies and symptomatology. Is capable of responding quickly and accurately to changes in the condition and/or response to treatment. Is knowledgeable about EMTALA regulations and reporting of child/adult abuse to appropriate agencies and Hospital Social Worker. 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 professional nursing care in Telemetry. The Registered Nurse is directly responsible and accountable for the care given to his/her patients in the Emergency Department. He / She communicates with the physician about the changes in the patient?s clinical condition including results of the diagnostic studies and symptomatology. Is capable of responding quickly and accurately to changes in the condition and/or response to treatment. Is knowledgeable about EMTALA regulations and reporting of child/adult abuse to appropriate agencies and Hospital Social Worker. Maintains patient privacy and confidentiality.

The Chest Pain Center Coordinator / Stroke Center Coordinator is responsible for the coordination of all services/systems required for the care of the STEMI or stroke patient and reports directly to the Director of Performance Improvement. The STEMI/Stroke Coordinator functions in support of and in collaboration with other healthcare team members by serving as a consultant, educator, researcher, and change agent. This position supports the goals of the hospital in the advancement of and the provision of quality STEMI and stroke care and is required to develop and facilitate program protocols, provide education and training, collect and report data, analyze data for improvements, and to provide community outreach. The STEMI/Stroke Coordinator is required to obtain and maintain Chest Pain Center Accreditation and Stroke Accreditation through The Joint Commission (TJC).

The Nursery Registered Nurse may work in conjunction with obstetricians, gynecologists, and labor and delivery nurses to assess, treat, and monitor the health of newborns. Our nursery nurses also oversee and mentor patient/family education and should exhibit a keen sense of empathy and compassion. We are seeking a kind, committed Nursery Registered Nurse to oversee the medical, educational, and psychological care of newborns. #Registerednurse #RN #Birthcenter  #NurseryRN  #LI-AM5

The Nursery Registered Nurse may work in conjunction with obstetricians, gynecologists, and labor and delivery nurses to assess, treat, and monitor the health of newborns. Our nursery nurses also oversee and mentor patient/family education and should exhibit a keen sense of empathy and compassion. We are seeking a kind, committed Nursery Registered Nurse to oversee the medical, educational, and psychological care of newborns. #Registerednurse #RN #Birthcenter  #NurseryRN  #LI-AM5

Responsible for the quality and resource management of all patients that are admitted to the facility from the point of their admission and across the continuum of the health care management. Works on behalf of the advocate, promoting cost containment and demonstrates leadership to integrate the health care providers to achieve a perceived seamless delivery of care. The methodology is designed to facilitate and insure the achievement of quality, clinical and cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service and severity of illness.

Our PRN Night shift House Supervisor position is currently seeking qualified applicants.  The House Supervisor is a Registered Nurse who assumes administrative responsibility for the management of all department service functions on his/her shift. Makes frequent rounds throughout facility to monitor the delivery of care, oversee the quality of services and direct patient care activities as needed. Directly supervises, provides support to and communicates with all staff house-wide. In the absence of the Hospital Administrative staff, the administrative scope and responsibility is extended to all services within the hospital. Ensures efficient operations and patient flow throughout the hospital. Performs direct patient care, only as needed, within the scope of practice and competence. Ensures all temporary agency personnel are deployed and oriented in compliance with hospital policy. Assist medical staff with scheduling after hour procedures and calling in stand-by call staff members. Enhances the patient/family experience through supportive interactions and explanations of hospital policies as needed. - PRN/Per Diem - Must be able to work weekend rotation - Flexible Hours - Health benefits for PRN/Per Diem Staff - Supervisor Experience Preferred - 3+ years of RN experience Required - MSN preferred  

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 Manager's / Director's 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.

- Performs Diagnostic Radiographic Procedures according to department protocols, HFAP/TJC/local regulatory/CMS, State and Federal Regulations. - Functions as the first line interface with customers and is successful in the accomplishment of their imaging needs. - Participates in PI/QC activities. Responsible for processing and transmission of images to PACS.

Knapp Medical Center is looking for a Chief Financial Officer. We are looking for someone with at least 3 to 5 years of Acute Care Hospital experience. This position requires a solid understanding of Revenue Cycle Management and expense control. Sound intriguing, then you should also know you will be joining a ROCK solid leadership team focused on the continued improvement and expansion of Knapp Medical Center. We offer a competitive compensation package including great benefits.    #LI-RK1

Under the supervision of the PFS Director, the Reimbursement Specialist position is the lead responsible for accurate and timely payment analysis of managed care contracts to determine that appropriate reimbursement is received. Utilizing many complex and varying regulations, guidelines and systems, analyzes payments received from insurance companies to assure maximum and correct reimbursement receivables. Proactively works with payers and in-house resources to identify and resolve issues that hinder optimal and correct account payment. Utilizes and applies the appropriate regulations in order to assure compliance in payment practices.

Performs a variety of direct and indirect patient care duties throughout the organization for pediatric, adolescent, adult, and geriatric patients. Performs a variety of other duties (clerical, transport, and messenger) in order to facilitate safe and effective patient care services.

The PACU RN is accountable directly 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 patient care through the nursing process of assessment, planning, implementation, and evaluation for all patients within the PACU scope of services. The Registered Nurse also coordinates the post-operative care of the patient with the surgeon and anesthesiologist, directs and guides other personnel while maintaining standards of care in the PACU. 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. Works with other departments and co-workers to provide quality patient care across the continuum, 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.

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.  

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. Supervises Radiology staff in the absence. Maintains department supplies. Promotes teamwork and good customer service. Assists in annual evaluations and staff discipline. Does scheduling for assigned sub departments and maintains supplies and equipment for assigned sub department. 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 Manager's / Director's 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.

- Under the general direction of the physician (Cardiologist/Radiologist), will assist by scrubbing procedures and/ or monitoring physiologic and hemodynamic data, as related to diagnostic and/or therapeutic procedures performed in the cardiovascular lab. - Certified to operate fluoro/pan with Fluoro CA license addendum. - Ensures procedure room is adequately prepared for the procedure. - Monitors par level of all instruments and supplies. - Participates in departmental staff meetings and performance improvement activities and the training of new staff. - Assists in all aspects of invasive and noninvasive cardiac procedures. - Prepares power injector and contrast medium. - Injects contrast during procedures and monitors injector rates/ quantity of contrast administered during all procedures.

- Under the general direction of the physician (Cardiologist/Radiologist), will assist by scrubbing procedures and/ or monitoring physiologic and hemodynamic data, as related to diagnostic and/or therapeutic procedures performed in the cardiovascular lab. - Certified to operate fluoro/pan with Fluoro CA license addendum. - Ensures procedure room is adequately prepared for the procedure. - Monitors par level of all instruments and supplies. - Participates in departmental staff meetings and performance improvement activities and the training of new staff. - Assists in all aspects of invasive and noninvasive cardiac procedures. - Prepares power injector and contrast medium. - Injects contrast during procedures and monitors injector rates/ quantity of contrast administered during all procedures.

The LPN Student Nurse Apprentice – Basic is an adjunct to the patient care team who works under the licensed nurse preceptor who remains physically present and readily accessible to designate, prescribe a course of action or give procedural guidance, direction, and periodic evaluation. Direct supervision by the licensed nurse preceptor is required for all invasive procedures. Permitted procedures must not exceed those defined as permitted by the Alabama Board of Nursing as “basic” competencies for the LPN Student Nurse Apprentice. Skills must first be verified by the program of nursing before the skill can be verified by the licensed nurse preceptor in the clinical setting. The licensed nurse preceptor may suspend or withdraw delegation to the LPN Student Nurse Apprentice at any time. The LPN Student Nurse Apprentice is responsible for documentation of all skills performed, but the licensed nurse preceptor is responsible to verify and sign documentation as required. The LPN Nurse Apprentice may not take verbal or phone orders without the presence of the licensed nurse preceptor.

The LPN Student Nurse Apprentice – Basic is an adjunct to the patient care team who works under the licensed nurse preceptor who remains physically present and readily accessible to designate, prescribe a course of action or give procedural guidance, direction, and periodic evaluation. Direct supervision by the licensed nurse preceptor is required for all invasive procedures. Permitted procedures must not exceed those defined as permitted by the Alabama Board of Nursing as “basic” competencies for the LPN Student Nurse Apprentice. Skills must first be verified by the program of nursing before the skill can be verified by the licensed nurse preceptor in the clinical setting. The licensed nurse preceptor may suspend or withdraw delegation to the LPN Student Nurse Apprentice at any time. The LPN Student Nurse Apprentice is responsible for documentation of all skills performed, but the licensed nurse preceptor is responsible to verify and sign documentation as required. The LPN Nurse Apprentice may not take verbal or phone orders without the presence of the licensed nurse preceptor.

Emergency Medical Technician is responsible for the assessment and basic management of medical, trauma and environmental emergencies under the supervision of the staff nurse and / or physician. Assists with patient care based on individual patient needs within the scope of practice; Assists in maintenance of a safe environment and performs under the direction and supervision of the ED Registered Nurse or Charge Nurse.

St. Joseph Medical Center is looking for a per diem variable shift Clinical Dietitian to join our dietary team.  Our per diem Clinical Dietitian provides appropriate patient nutritional care with duties and responsibilities that include, but are not limited to: - assess the nutritional status of patients - formulate a care plan, coordinate its implementation, and evaluate its impact and effectiveness - provide nutrition education to patients/families - approve supplements, as appropriate, and assist in the development of a hospital formulary appropriate to the patient population

The Peer Support Specialist role is to offer support to CSU clients from the unique perspective of someone who has been there; by bridging the gap between client needs and programs’ ability to meet those needs. Contributes to the programs productivity and documentation requirements.   

Registered nurses (RNs) perform basic duties that include treating patients, educating patients about mental and medical conditions, and providing advice and emotional support to patients’ and/or family members, running therapeutic groups, psychiatric crisis intervention, seclusion and restraint of patients. RNs record patients’ medical histories and symptoms, help to perform diagnostic tests and analyze results, operate medical machinery, administer treatment and medications, and help with patient follow-up and rehabilitation. RNs teach patients and their families how to manage their illness or injury, diet and exercise programs, and self-administration of medication and physical therapy. Other related duties.

Registered nurses (RNs) perform basic duties that include treating patients, educating patients about mental and medical conditions, and providing advice and emotional support to patients’ and/or family members, running therapeutic groups, psychiatric crisis intervention, seclusion and restraint of patients. RNs record patients’ medical histories and symptoms, help to perform diagnostic tests and analyze results, operate medical machinery, administer treatment and medications, and help with patient follow-up and rehabilitation. RNs teach patients and their families how to manage their illness or injury, diet and exercise programs, and self-administration of medication and physical therapy. Other related duties.

Registered nurses (RNs) perform basic duties that include treating patients, educating patients about mental and medical conditions, and providing advice and emotional support to patients’ and/or family members, running therapeutic groups, psychiatric crisis intervention, seclusion and restraint of patients. RNs record patients’ medical histories and symptoms, help to perform diagnostic tests and analyze results, operate medical machinery, administer treatment and medications, and help with patient follow-up and rehabilitation. RNs teach patients and their families how to manage their illness or injury, diet and exercise programs, and self-administration of medication and physical therapy. Other related duties.

Registered nurses (RNs) perform basic duties that include treating patients, educating patients about mental and medical conditions, and providing advice and emotional support to patients’ and/or family members, running therapeutic groups, psychiatric crisis intervention, seclusion and restraint of patients. RNs record patients’ medical histories and symptoms, help to perform diagnostic tests and analyze results, operate medical machinery, administer treatment and medications, and help with patient follow-up and rehabilitation. RNs teach patients and their families how to manage their illness or injury, diet and exercise programs, and self-administration of medication and physical therapy. Other related duties.

Registered nurses (RNs) perform basic duties that include treating patients, educating patients about mental and medical conditions, and providing advice and emotional support to patients’ and/or family members, running therapeutic groups, psychiatric crisis intervention, seclusion and restraint of patients. RNs record patients’ medical histories and symptoms, help to perform diagnostic tests and analyze results, operate medical machinery, administer treatment and medications, and help with patient follow-up and rehabilitation. RNs teach patients and their families how to manage their illness or injury, diet and exercise programs, and self-administration of medication and physical therapy. Other related duties.

Registered nurses (RNs) perform basic duties that include treating patients, educating patients about mental and medical conditions, and providing advice and emotional support to patients’ and/or family members, running therapeutic groups, psychiatric crisis intervention, seclusion and restraint of patients. RNs record patients’ medical histories and symptoms, help to perform diagnostic tests and analyze results, operate medical machinery, administer treatment and medications, and help with patient follow-up and rehabilitation. RNs teach patients and their families how to manage their illness or injury, diet and exercise programs, and self-administration of medication and physical therapy. Other related duties.

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.

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.

The Registered Nurse is directly responsible 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. 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.

The Registered Nurse is directly responsible 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 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.

The Registered Nurse is directly responsible 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 Nurse Aid in the Birth Place Department is an unlicensed 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 Student Extern is an adjunct to the patient care team. The extern performs at the level that has successfully been completed and passed in the clinical section at a local college. Under the general supervision of an RN the extern provides direct patient care in accordance with the established protocols, the skills they are able to perform are expanded. All newly hired externs will first function in the capacity of a nursing assistant, regardless of their nursing program clinical level. When the student has been cleared by the Supervisor, they may be moved to their appropriate skill level.

The Student Extern is an adjunct to the patient care team. The extern performs at the level that has successfully been completed and passed in the clinical section at a local college. Under the general supervision of an RN the extern provides direct patient care in accordance with the established protocols, the skills they are able to perform are expanded. All newly hired externs will first function in the capacity of a nursing assistant, regardless of their nursing program clinical level. When the student has been cleared by the Supervisor, they may be moved to their appropriate skill level.

The Student Extern is an adjunct to the patient care team. The extern performs at the level that has successfully been completed and passed in the clinical section at a local college. Under the general supervision of an RN the extern provides direct patient care in accordance with the established protocols, the skills they are able to perform are expanded. All newly hired externs will first function in the capacity of a nursing assistant, regardless of their nursing program clinical level. When the student has been cleared by the Supervisor, they may be moved to their appropriate skill level.

The Analyst, Billing is responsible for the timely follow-up of Managed Care/Commercial accounts.  Communicates clearly and efficiently by phone with health plans.   Maintains productivity standards and reports.  Responsible to obtain State collection guidelines if applicable.  Reviews managed care contracts. #LI-BF3

This program was implemented to help Nursing Students and Newly graduated Registered Nurses awaiting boards to learn critical skills that will be helpful in the transition from School to Real world Experience.   This program provides the Student/ New Grad Registered Nurse the following Opportunities:   - A 10-to-12-week orientation with a Preceptor and Nurse Educator that guides the nurse through important skills of their desired Unit. - They get the chance to hon in on the critical skills any Registered Nurse needs to be successful   Sound intriguing?   We currently have the following departments in our hospital accepting applications:  - Behavioral Health Unit - Medical Surgical - (Med/Surg) - Telemetry - ...and more!   Apply below to hear more about this Amazing Opportunity   #newRN  #Registerednurse  #newgradRN   #nursesramazing  #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 professional nursing care in Telemetry. The Registered Nurse is directly responsible and accountable for the care given to his/her patients in the Emergency Department. He / She communicates with the physician about the changes in the patient�s clinical condition including results of the diagnostic studies and symptomatology. Is capable of responding quickly and accurately to changes in the condition and/or response to treatment. Is knowledgeable about EMTALA regulations and reporting of child/adult abuse to appropriate agencies and Hospital Social Worker. Maintains patient privacy and confidentiality.

The Clinical Educator provides educational services for areas of clinical and patient care services to attain the Hospital's objectives, mission and values established by corporate administration. Supports corporate-wide programs, policies and procedures are developed to assess, evaluate and meet the needs of the patient. Assists with development and implementation of education plans for providing training in all clinical settings. The Clinical Educator provides hands on training for clinical staff to support the educational goals for the hospital. Implements an effective, ongoing training program to measure, assess and improve the quality of care, treatment and services delivered to all patients. The Clinical Educator shall work collaboratively with the Nursing Directors to provide educational services to staff.