Patient Care Tech Careers at WVU Medicine - Glen Dale, West Virginia | Apply Now!
WVU Medicine
Patient Care Tech Careers at WVU Medicine - Glen Dale, West Virginia | Apply Now!
Job Description
Patient Care Technician at WVU Medicine Reynolds Memorial Hospital
Role Overview
As a Patient Care Technician (PCT) at WVU Medicine's Reynolds Memorial Hospital (RMH) in Glen Dale, West Virginia, you will play a vital role in providing direct and indirect patient care under the supervision of registered nurses. Your primary focus will be to assist patients with their personal, physical, and comfort needs, ensuring a high-quality and supportive healthcare experience. This position is essential in maintaining a safe and efficient patient care environment.
A Day in the Life of a Patient Care Technician
Your day as a Patient Care Technician will be dynamic and rewarding. Here's what a typical day might look like:
- Morning Shift (7:00 AM - 3:30 PM):
- 7:00 AM - 7:30 AM: Receive shift report from the outgoing PCT, noting any specific patient needs or concerns. Review patient charts and care plans.
- 7:30 AM - 9:00 AM: Assist patients with their morning hygiene, including bathing, dressing, and oral care. Ensure patients are comfortable and their personal needs are met.
- 9:00 AM - 10:00 AM: Take and record vital signs (temperature, blood pressure, pulse, and respiration) for assigned patients. Report any abnormalities to the registered nurse immediately.
- 10:00 AM - 11:00 AM: Assist patients with meals, ensuring they receive the correct diet and have adequate assistance if needed. Record oral intake.
- 11:00 AM - 12:00 PM: Assist with patient mobility, including ambulation and transfers. Ensure patients are safe and prevent falls.
- 12:00 PM - 12:30 PM: Lunch break.
- 12:30 PM - 2:00 PM: Collect specimens (urine, stool, sputum) as ordered by the physician. Label and transport specimens to the lab.
- 2:00 PM - 3:00 PM: Assist with procedures such as catheter care, wound care, and EKG monitoring under the direction of the registered nurse.
- 3:00 PM - 3:30 PM: Document patient care activities accurately and completely in the electronic health record. Give report to the oncoming PCT.
- Evening Shift (3:00 PM - 11:30 PM):
- 3:00 PM - 3:30 PM: Receive shift report from the outgoing PCT, noting any specific patient needs or concerns. Review patient charts and care plans.
- 3:30 PM - 5:00 PM: Assist patients with afternoon hygiene and comfort measures. Provide bedpans and urinals as needed.
- 5:00 PM - 6:00 PM: Take and record vital signs. Monitor patients for any changes in condition and report to the nurse.
- 6:00 PM - 7:00 PM: Assist patients with evening meals and record oral intake.
- 7:00 PM - 8:00 PM: Assist with patient mobility and reposition patients to prevent pressure ulcers.
- 8:00 PM - 9:00 PM: Collect specimens as needed. Ensure proper labeling and transport.
- 9:00 PM - 10:00 PM: Assist with preparing patients for sleep. Ensure call lights are within reach and the environment is quiet and conducive to rest.
- 10:00 PM - 11:00 PM: Document all patient care activities.
- 11:00 PM - 11:30 PM: Give report to the oncoming PCT.
- Night Shift (11:00 PM - 7:30 AM):
- 11:00 PM - 11:30 PM: Receive shift report from the outgoing PCT, noting any specific patient needs or concerns. Review patient charts and care plans.
- 11:30 PM - 1:00 AM: Make rounds to ensure patients are comfortable and safe. Provide assistance with toileting as needed.
- 1:00 AM - 2:00 AM: Take and record vital signs as ordered. Monitor patients for any changes in condition.
- 2:00 AM - 4:00 AM: Assist with repositioning patients to prevent pressure ulcers. Provide skin care as needed.
- 4:00 AM - 6:00 AM: Assist with collecting specimens as ordered.
- 6:00 AM - 7:00 AM: Assist patients with morning hygiene. Prepare patients for breakfast.
- 7:00 AM - 7:30 AM: Document all patient care activities. Give report to the oncoming PCT.
Why Glen Dale, West Virginia?
Glen Dale, West Virginia, offers a unique blend of small-town charm and access to larger city amenities. Located in the northern panhandle of West Virginia, Glen Dale provides a close-knit community with a lower cost of living compared to many metropolitan areas. The town is rich in history and offers beautiful natural landscapes, making it ideal for those who enjoy outdoor activities such as hiking, fishing, and boating.
Working at Reynolds Memorial Hospital in Glen Dale allows you to make a significant impact on the local community. The hospital is a vital healthcare provider in the region, and as a Patient Care Technician, you will be an integral part of the team, providing compassionate care to your neighbors and friends.
Career Path for Patient Care Technicians at WVU Medicine
WVU Medicine is committed to the growth and development of its employees. As a Patient Care Technician, you have several avenues for career advancement:
- Certified Nursing Assistant (CNA): Obtain your CNA certification to enhance your skills and knowledge in patient care.
- Licensed Practical Nurse (LPN): Pursue an LPN degree to take on more advanced nursing responsibilities.
- Registered Nurse (RN): Continue your education to become an RN, providing comprehensive patient care and leadership.
- Specialized PCT Roles: Specialize in areas such as telemetry, phlebotomy, or wound care to become a subject matter expert.
- Leadership Roles: Advance to roles such as charge PCT or team lead, overseeing and mentoring other PCTs.
WVU Medicine offers tuition reimbursement and other educational opportunities to support your career goals. With dedication and continued learning, you can build a rewarding and fulfilling career within the WVU Medicine system.
Salary and Benefits
The salary for a Patient Care Technician at WVU Medicine's Reynolds Memorial Hospital typically ranges from $30,000 to $45,000 per year, depending on experience and qualifications. WVU Medicine offers a comprehensive benefits package, including:
- Health, dental, and vision insurance
- Paid time off (PTO) for vacation, sick leave, and holidays
- Retirement plan with employer matching contributions
- Life insurance
- Disability insurance
- Tuition reimbursement
- Employee assistance program (EAP)
- Wellness programs
These benefits provide financial security and support your overall well-being, ensuring you can focus on providing excellent patient care.
WVU Medicine Culture
WVU Medicine is committed to creating a supportive and inclusive work environment. The organization values teamwork, respect, and compassion. Employees are encouraged to collaborate and share their ideas to improve patient care and the overall work experience. WVU Medicine also emphasizes work-life balance and offers resources to help employees manage their personal and professional lives effectively.
How to Apply
To apply for the Patient Care Technician position at WVU Medicine's Reynolds Memorial Hospital, please follow these steps:
- Click on the "Apply" button at the top of this job description.
- Complete the online application form, providing accurate and detailed information about your qualifications and experience.
- Upload your resume and any other required documents, such as certifications or licenses.
- Submit your application.
If your qualifications and experience align with the requirements of the position, you will be contacted for an interview. Thank you for your interest in joining the WVU Medicine team!
Frequently Asked Questions (FAQ)
- What are the minimum qualifications for this position?
The minimum qualifications include a High School Diploma or equivalent and Basic Life Support (BLS) certification within 30 days of hire.
- Is prior patient care experience required?
Prior patient care experience is preferred but not required.
- What are the physical requirements of the job?
The job requires strength and stamina, including lifting, moving, stooping, reaching, standing, and walking.
- What is the working environment like?
The working environment involves working closely with others, working protracted or irregular hours, and working around biohazards and infectious diseases.
- What opportunities for career advancement are available?
Opportunities for advancement include becoming a Certified Nursing Assistant (CNA), Licensed Practical Nurse (LPN), Registered Nurse (RN), or specializing in areas such as telemetry or wound care.
- Does WVU Medicine offer tuition reimbursement?
Yes, WVU Medicine offers tuition reimbursement for continuing education.
- What benefits are included in the benefits package?
The benefits package includes health, dental, and vision insurance, paid time off, a retirement plan with employer matching contributions, life insurance, and disability insurance.
- How do I obtain Basic Life Support (BLS) certification?
BLS certification can be obtained through the American Heart Association or the American Red Cross. WVU Medicine may also offer BLS training.
- What is the dress code for Patient Care Technicians?
The dress code typically involves wearing scrubs, closed-toe shoes, and a hospital-issued ID badge. Specifics may vary by department.
- Whom do I contact if I have questions about the application process?
You can contact the WVU Medicine Human Resources department for assistance with the application process.
Locations
- Glen Dale, West Virginia, United States
Salary
33,000 - 49,500 USD / yearly
Source: ai estimated
* This is an estimated range based on market data and may vary based on experience and qualifications.
Skills Required
- Patient Careintermediate
- Vital Signs Monitoringintermediate
- Specimen Collectionintermediate
- Infection Controlintermediate
- Patient Safetyintermediate
- Communicationintermediate
- Observationintermediate
- Reportingintermediate
- Assisting with ADLsintermediate
- Basic Life Support (BLS)intermediate
- Emergency Responseintermediate
- Equipment Maintenanceintermediate
- Data Recordingintermediate
- Hygiene Assistanceintermediate
- Teamworkintermediate
- Empathyintermediate
- Compassionintermediate
- Time Managementintermediate
- Prioritizationintermediate
- Documentationintermediate
- Patient Transportintermediate
- Electronic Health Records (EHR)intermediate
- Medical Terminologyintermediate
- Phlebotomy Assistanceintermediate
Required Qualifications
- High School Diploma or equivalent (experience)
- Basic Life Support (BLS) certification within 30 days of hire (experience)
- Prior patient care experience (preferred) (experience)
- Ability to observe and report patient conditions accurately (experience)
- Proficiency in taking and recording vital signs (experience)
- Knowledge of infection control practices (experience)
- Ability to assist with personal hygiene and comfort measures (experience)
- Familiarity with specimen collection procedures (experience)
- Ability to maintain a clean and safe environment (experience)
- Effective communication skills (experience)
- Ability to work under the supervision of a registered nurse (experience)
- Ability to follow departmental procedures (experience)
- Understanding of patient safety protocols (experience)
- Ability to use necessary equipment safely (experience)
- Willingness to complete annual specialty accreditation education (experience)
- Ability to document accurately (experience)
Responsibilities
- Observe and report patient concerns/changes in condition to a registered nurse immediately.
- Assist the Registered Nurse with admission, transfer, discharge, and general patient care duties.
- Record vital signs, assist in personal hygiene, and other patient comfort measures.
- Record oral intake and outputs (temperature, blood pressure, and other monitoring).
- Assist in specimen collection and other activities of assigned patients.
- Assist in indirect patient care by maintaining a clean and safe environment to help prevent and/or control infections.
- Provide for safety of patients, visitors, and employees.
- Report all necessary equipment repairs to appropriate personnel according to departmental procedure in a timely manner.
- Prepare patients for examinations and diagnostic procedures according to departmental procedure.
- Communicate with RN regarding any nutrition issues, such as poor appetite or verbalized lack of understanding of diet changes.
- Assist department with administrative tasks to support department operations.
- Answer patient call bell and relay message to appropriate personnel.
- Complete annual required education related to specialty accreditation as defined by accreditation standards.
- Assist with patient mobility and ambulation.
- Monitor and document patient status and progress.
- Maintain patient confidentiality at all times.
- Participate in team meetings and contribute to patient care planning.
- Adhere to hospital policies and procedures.
- Assist with feeding patients who require assistance.
- Provide emotional support to patients and their families.
- Assist with post-mortem care as needed.
- Maintain adequate supplies and equipment for patient care.
Benefits
- general: Comprehensive health insurance (medical, dental, vision)
- general: Paid time off (PTO) for vacation, sick leave, and holidays
- general: Retirement plan with employer matching contributions
- general: Life insurance
- general: Disability insurance (short-term and long-term)
- general: Employee assistance program (EAP)
- general: Tuition reimbursement for continuing education
- general: Professional development opportunities
- general: Wellness programs and resources
- general: Employee discounts on WVU Medicine services
- general: Flexible spending accounts (FSA) for healthcare and dependent care expenses
- general: Health savings account (HSA) options
- general: Dependent care assistance
- general: Adoption assistance
- general: Employee recognition programs
- general: On-site childcare facilities (availability may vary)
- general: Commuter benefits
- general: Relocation assistance (if applicable)
- general: Sign-on bonus (if applicable)
- general: Employee referral bonus program
- general: Career advancement opportunities within WVU Medicine
- general: Supportive work environment
Tags & Categories
Answer 10 quick questions to check your fit for Patient Care Tech Careers at WVU Medicine - Glen Dale, West Virginia | Apply Now! @ WVU Medicine.
Related Books and Jobs
Patient Care Tech Careers at WVU Medicine - Glen Dale, West Virginia | Apply Now!
WVU Medicine
Patient Care Tech Careers at WVU Medicine - Glen Dale, West Virginia | Apply Now!
Job Description
Patient Care Technician at WVU Medicine Reynolds Memorial Hospital
Role Overview
As a Patient Care Technician (PCT) at WVU Medicine's Reynolds Memorial Hospital (RMH) in Glen Dale, West Virginia, you will play a vital role in providing direct and indirect patient care under the supervision of registered nurses. Your primary focus will be to assist patients with their personal, physical, and comfort needs, ensuring a high-quality and supportive healthcare experience. This position is essential in maintaining a safe and efficient patient care environment.
A Day in the Life of a Patient Care Technician
Your day as a Patient Care Technician will be dynamic and rewarding. Here's what a typical day might look like:
- Morning Shift (7:00 AM - 3:30 PM):
- 7:00 AM - 7:30 AM: Receive shift report from the outgoing PCT, noting any specific patient needs or concerns. Review patient charts and care plans.
- 7:30 AM - 9:00 AM: Assist patients with their morning hygiene, including bathing, dressing, and oral care. Ensure patients are comfortable and their personal needs are met.
- 9:00 AM - 10:00 AM: Take and record vital signs (temperature, blood pressure, pulse, and respiration) for assigned patients. Report any abnormalities to the registered nurse immediately.
- 10:00 AM - 11:00 AM: Assist patients with meals, ensuring they receive the correct diet and have adequate assistance if needed. Record oral intake.
- 11:00 AM - 12:00 PM: Assist with patient mobility, including ambulation and transfers. Ensure patients are safe and prevent falls.
- 12:00 PM - 12:30 PM: Lunch break.
- 12:30 PM - 2:00 PM: Collect specimens (urine, stool, sputum) as ordered by the physician. Label and transport specimens to the lab.
- 2:00 PM - 3:00 PM: Assist with procedures such as catheter care, wound care, and EKG monitoring under the direction of the registered nurse.
- 3:00 PM - 3:30 PM: Document patient care activities accurately and completely in the electronic health record. Give report to the oncoming PCT.
- Evening Shift (3:00 PM - 11:30 PM):
- 3:00 PM - 3:30 PM: Receive shift report from the outgoing PCT, noting any specific patient needs or concerns. Review patient charts and care plans.
- 3:30 PM - 5:00 PM: Assist patients with afternoon hygiene and comfort measures. Provide bedpans and urinals as needed.
- 5:00 PM - 6:00 PM: Take and record vital signs. Monitor patients for any changes in condition and report to the nurse.
- 6:00 PM - 7:00 PM: Assist patients with evening meals and record oral intake.
- 7:00 PM - 8:00 PM: Assist with patient mobility and reposition patients to prevent pressure ulcers.
- 8:00 PM - 9:00 PM: Collect specimens as needed. Ensure proper labeling and transport.
- 9:00 PM - 10:00 PM: Assist with preparing patients for sleep. Ensure call lights are within reach and the environment is quiet and conducive to rest.
- 10:00 PM - 11:00 PM: Document all patient care activities.
- 11:00 PM - 11:30 PM: Give report to the oncoming PCT.
- Night Shift (11:00 PM - 7:30 AM):
- 11:00 PM - 11:30 PM: Receive shift report from the outgoing PCT, noting any specific patient needs or concerns. Review patient charts and care plans.
- 11:30 PM - 1:00 AM: Make rounds to ensure patients are comfortable and safe. Provide assistance with toileting as needed.
- 1:00 AM - 2:00 AM: Take and record vital signs as ordered. Monitor patients for any changes in condition.
- 2:00 AM - 4:00 AM: Assist with repositioning patients to prevent pressure ulcers. Provide skin care as needed.
- 4:00 AM - 6:00 AM: Assist with collecting specimens as ordered.
- 6:00 AM - 7:00 AM: Assist patients with morning hygiene. Prepare patients for breakfast.
- 7:00 AM - 7:30 AM: Document all patient care activities. Give report to the oncoming PCT.
Why Glen Dale, West Virginia?
Glen Dale, West Virginia, offers a unique blend of small-town charm and access to larger city amenities. Located in the northern panhandle of West Virginia, Glen Dale provides a close-knit community with a lower cost of living compared to many metropolitan areas. The town is rich in history and offers beautiful natural landscapes, making it ideal for those who enjoy outdoor activities such as hiking, fishing, and boating.
Working at Reynolds Memorial Hospital in Glen Dale allows you to make a significant impact on the local community. The hospital is a vital healthcare provider in the region, and as a Patient Care Technician, you will be an integral part of the team, providing compassionate care to your neighbors and friends.
Career Path for Patient Care Technicians at WVU Medicine
WVU Medicine is committed to the growth and development of its employees. As a Patient Care Technician, you have several avenues for career advancement:
- Certified Nursing Assistant (CNA): Obtain your CNA certification to enhance your skills and knowledge in patient care.
- Licensed Practical Nurse (LPN): Pursue an LPN degree to take on more advanced nursing responsibilities.
- Registered Nurse (RN): Continue your education to become an RN, providing comprehensive patient care and leadership.
- Specialized PCT Roles: Specialize in areas such as telemetry, phlebotomy, or wound care to become a subject matter expert.
- Leadership Roles: Advance to roles such as charge PCT or team lead, overseeing and mentoring other PCTs.
WVU Medicine offers tuition reimbursement and other educational opportunities to support your career goals. With dedication and continued learning, you can build a rewarding and fulfilling career within the WVU Medicine system.
Salary and Benefits
The salary for a Patient Care Technician at WVU Medicine's Reynolds Memorial Hospital typically ranges from $30,000 to $45,000 per year, depending on experience and qualifications. WVU Medicine offers a comprehensive benefits package, including:
- Health, dental, and vision insurance
- Paid time off (PTO) for vacation, sick leave, and holidays
- Retirement plan with employer matching contributions
- Life insurance
- Disability insurance
- Tuition reimbursement
- Employee assistance program (EAP)
- Wellness programs
These benefits provide financial security and support your overall well-being, ensuring you can focus on providing excellent patient care.
WVU Medicine Culture
WVU Medicine is committed to creating a supportive and inclusive work environment. The organization values teamwork, respect, and compassion. Employees are encouraged to collaborate and share their ideas to improve patient care and the overall work experience. WVU Medicine also emphasizes work-life balance and offers resources to help employees manage their personal and professional lives effectively.
How to Apply
To apply for the Patient Care Technician position at WVU Medicine's Reynolds Memorial Hospital, please follow these steps:
- Click on the "Apply" button at the top of this job description.
- Complete the online application form, providing accurate and detailed information about your qualifications and experience.
- Upload your resume and any other required documents, such as certifications or licenses.
- Submit your application.
If your qualifications and experience align with the requirements of the position, you will be contacted for an interview. Thank you for your interest in joining the WVU Medicine team!
Frequently Asked Questions (FAQ)
- What are the minimum qualifications for this position?
The minimum qualifications include a High School Diploma or equivalent and Basic Life Support (BLS) certification within 30 days of hire.
- Is prior patient care experience required?
Prior patient care experience is preferred but not required.
- What are the physical requirements of the job?
The job requires strength and stamina, including lifting, moving, stooping, reaching, standing, and walking.
- What is the working environment like?
The working environment involves working closely with others, working protracted or irregular hours, and working around biohazards and infectious diseases.
- What opportunities for career advancement are available?
Opportunities for advancement include becoming a Certified Nursing Assistant (CNA), Licensed Practical Nurse (LPN), Registered Nurse (RN), or specializing in areas such as telemetry or wound care.
- Does WVU Medicine offer tuition reimbursement?
Yes, WVU Medicine offers tuition reimbursement for continuing education.
- What benefits are included in the benefits package?
The benefits package includes health, dental, and vision insurance, paid time off, a retirement plan with employer matching contributions, life insurance, and disability insurance.
- How do I obtain Basic Life Support (BLS) certification?
BLS certification can be obtained through the American Heart Association or the American Red Cross. WVU Medicine may also offer BLS training.
- What is the dress code for Patient Care Technicians?
The dress code typically involves wearing scrubs, closed-toe shoes, and a hospital-issued ID badge. Specifics may vary by department.
- Whom do I contact if I have questions about the application process?
You can contact the WVU Medicine Human Resources department for assistance with the application process.
Locations
- Glen Dale, West Virginia, United States
Salary
33,000 - 49,500 USD / yearly
Source: ai estimated
* This is an estimated range based on market data and may vary based on experience and qualifications.
Skills Required
- Patient Careintermediate
- Vital Signs Monitoringintermediate
- Specimen Collectionintermediate
- Infection Controlintermediate
- Patient Safetyintermediate
- Communicationintermediate
- Observationintermediate
- Reportingintermediate
- Assisting with ADLsintermediate
- Basic Life Support (BLS)intermediate
- Emergency Responseintermediate
- Equipment Maintenanceintermediate
- Data Recordingintermediate
- Hygiene Assistanceintermediate
- Teamworkintermediate
- Empathyintermediate
- Compassionintermediate
- Time Managementintermediate
- Prioritizationintermediate
- Documentationintermediate
- Patient Transportintermediate
- Electronic Health Records (EHR)intermediate
- Medical Terminologyintermediate
- Phlebotomy Assistanceintermediate
Required Qualifications
- High School Diploma or equivalent (experience)
- Basic Life Support (BLS) certification within 30 days of hire (experience)
- Prior patient care experience (preferred) (experience)
- Ability to observe and report patient conditions accurately (experience)
- Proficiency in taking and recording vital signs (experience)
- Knowledge of infection control practices (experience)
- Ability to assist with personal hygiene and comfort measures (experience)
- Familiarity with specimen collection procedures (experience)
- Ability to maintain a clean and safe environment (experience)
- Effective communication skills (experience)
- Ability to work under the supervision of a registered nurse (experience)
- Ability to follow departmental procedures (experience)
- Understanding of patient safety protocols (experience)
- Ability to use necessary equipment safely (experience)
- Willingness to complete annual specialty accreditation education (experience)
- Ability to document accurately (experience)
Responsibilities
- Observe and report patient concerns/changes in condition to a registered nurse immediately.
- Assist the Registered Nurse with admission, transfer, discharge, and general patient care duties.
- Record vital signs, assist in personal hygiene, and other patient comfort measures.
- Record oral intake and outputs (temperature, blood pressure, and other monitoring).
- Assist in specimen collection and other activities of assigned patients.
- Assist in indirect patient care by maintaining a clean and safe environment to help prevent and/or control infections.
- Provide for safety of patients, visitors, and employees.
- Report all necessary equipment repairs to appropriate personnel according to departmental procedure in a timely manner.
- Prepare patients for examinations and diagnostic procedures according to departmental procedure.
- Communicate with RN regarding any nutrition issues, such as poor appetite or verbalized lack of understanding of diet changes.
- Assist department with administrative tasks to support department operations.
- Answer patient call bell and relay message to appropriate personnel.
- Complete annual required education related to specialty accreditation as defined by accreditation standards.
- Assist with patient mobility and ambulation.
- Monitor and document patient status and progress.
- Maintain patient confidentiality at all times.
- Participate in team meetings and contribute to patient care planning.
- Adhere to hospital policies and procedures.
- Assist with feeding patients who require assistance.
- Provide emotional support to patients and their families.
- Assist with post-mortem care as needed.
- Maintain adequate supplies and equipment for patient care.
Benefits
- general: Comprehensive health insurance (medical, dental, vision)
- general: Paid time off (PTO) for vacation, sick leave, and holidays
- general: Retirement plan with employer matching contributions
- general: Life insurance
- general: Disability insurance (short-term and long-term)
- general: Employee assistance program (EAP)
- general: Tuition reimbursement for continuing education
- general: Professional development opportunities
- general: Wellness programs and resources
- general: Employee discounts on WVU Medicine services
- general: Flexible spending accounts (FSA) for healthcare and dependent care expenses
- general: Health savings account (HSA) options
- general: Dependent care assistance
- general: Adoption assistance
- general: Employee recognition programs
- general: On-site childcare facilities (availability may vary)
- general: Commuter benefits
- general: Relocation assistance (if applicable)
- general: Sign-on bonus (if applicable)
- general: Employee referral bonus program
- general: Career advancement opportunities within WVU Medicine
- general: Supportive work environment
Tags & Categories
Answer 10 quick questions to check your fit for Patient Care Tech Careers at WVU Medicine - Glen Dale, West Virginia | Apply Now! @ WVU Medicine.
Related Books and Jobs