PRN Respiratory Therapist Careers at WVU Medicine - Morgantown, West Virginia | Apply Now!
WVU Medicine
PRN Respiratory Therapist Careers at WVU Medicine - Morgantown, West Virginia | Apply Now!
Job Description
PRN Respiratory Therapist at WVU Medicine - Garrett Regional Medical Center
Role Overview
As a PRN (as needed) Respiratory Therapist at WVU Medicine's Garrett Regional Medical Center, you will play a vital role in providing respiratory care to patients of all ages. This position offers a flexible schedule while allowing you to contribute to a dedicated healthcare team. You will be responsible for evaluating patients, administering respiratory treatments, managing ventilators, and educating patients and their families on respiratory health.
A Day in the Life
Here’s a glimpse into a typical day for a PRN Respiratory Therapist:
- Patient Assessment: Evaluate patients' respiratory status through physical exams, review of medical history, and diagnostic tests.
- Treatment Administration: Administer prescribed respiratory treatments, including aerosol medications, oxygen therapy, and chest physiotherapy.
- Ventilator Management: Manage mechanical ventilation for patients requiring respiratory support, including ventilator setup, monitoring, and adjustments.
- Airway Management: Perform airway management procedures, such as endotracheal intubation and extubation, under the direction of a physician.
- Emergency Response: Respond to medical emergencies, providing respiratory support and assisting with resuscitation efforts.
- Patient Education: Educate patients and families about respiratory conditions, treatment plans, and proper use of respiratory equipment.
- Documentation: Maintain accurate and timely documentation of patient assessments, treatments, and responses in the electronic medical record.
- Equipment Maintenance: Ensure respiratory equipment is properly cleaned, maintained, and functioning correctly.
- Collaboration: Collaborate with physicians, nurses, and other healthcare professionals to provide comprehensive patient care.
- Continuous Learning: Stay updated on the latest advancements and best practices in respiratory therapy.
Why Morgantown, West Virginia?
Morgantown is a vibrant city in northern West Virginia, offering a blend of small-town charm and big-city amenities. Home to West Virginia University, Morgantown has a lively cultural scene, with numerous restaurants, shops, and entertainment options. The city is surrounded by beautiful natural landscapes, providing ample opportunities for outdoor activities such as hiking, biking, and fishing. Morgantown also boasts a low cost of living and a strong sense of community, making it an ideal place to live and work.
Career Path
WVU Medicine is committed to the growth and development of its employees. As a PRN Respiratory Therapist, you'll have opportunities to advance your career through:
- Specialization: Pursue certifications in specialized areas of respiratory care, such as neonatal, pediatric, or critical care.
- Leadership Roles: Advance to leadership positions, such as a respiratory therapy supervisor or manager.
- Education and Training: Participate in continuing education programs and workshops to enhance your skills and knowledge.
- Clinical Research: Contribute to clinical research projects aimed at improving respiratory care practices.
- Full-time Positions: Transition to a full-time respiratory therapist position within WVU Medicine.
Salary and Benefits
WVU Medicine offers competitive compensation and benefits packages to its employees. The estimated salary range for a PRN Respiratory Therapist in Morgantown, WV, is $58,000 to $82,000 per year, depending on experience and qualifications. In addition to competitive pay, WVU Medicine provides a comprehensive benefits package that includes:
- Medical, dental, and vision insurance
- Prescription drug coverage
- Flexible spending accounts (FSAs)
- Health savings account (HSA)
- Paid time off (PTO)
- Paid parental leave
- Short-term and long-term disability insurance
- Life insurance
- Employee assistance program (EAP)
- Retirement savings plan with employer matching contributions
- Tuition reimbursement program
- Employee wellness programs
WVU Medicine Culture
WVU Medicine is committed to creating a supportive and inclusive work environment where employees feel valued and respected. We foster a culture of teamwork, collaboration, and continuous improvement. Our core values include:
- Patient-Centered Care: Putting patients first and providing compassionate, high-quality care.
- Integrity: Maintaining the highest ethical standards in all our interactions.
- Respect: Treating everyone with dignity and respect.
- Teamwork: Working together to achieve common goals.
- Innovation: Embracing new ideas and technologies to improve patient care.
How to Apply
To apply for the PRN Respiratory Therapist position at WVU Medicine, please click the "Apply" button located at the top of this page. Complete the application form and attach your resume and cover letter. We look forward to reviewing your application!
Frequently Asked Questions (FAQs)
-
What are the required qualifications for this position?
The required qualifications include a valid Respiratory Therapist license in West Virginia (LRTC or LRTR), Basic Life Support (BLS) certification, and one year of respiratory therapy experience. Registered Respiratory Therapist (RRT) certification and two years of experience are preferred.
-
What are the typical working hours for a PRN Respiratory Therapist?
As a PRN position, working hours vary based on the needs of the department. You may be required to work day, evening, night, or weekend shifts.
-
What types of patients will I be working with?
You will be working with patients of all ages, including neonatal, pediatric, adult, and geriatric patients, with a wide range of respiratory conditions.
-
What is the dress code for Respiratory Therapists at WVU Medicine?
Respiratory Therapists are required to wear professional attire, typically scrubs, and closed-toe shoes. WVU Medicine provides guidelines on specific dress code requirements.
-
Are there opportunities for professional development and advancement?
Yes, WVU Medicine offers various opportunities for professional development and advancement, including continuing education programs, certification opportunities, and leadership development programs.
-
What is the patient-to-therapist ratio?
The patient-to-therapist ratio varies depending on the acuity of the patients and the needs of the department. WVU Medicine strives to maintain a manageable workload for its respiratory therapists.
-
What type of respiratory equipment will I be using?
You will be using a variety of respiratory equipment, including ventilators, oxygen therapy devices, aerosol nebulizers, and airway management tools.
-
Is there on-call responsibilities for this position?
On-call responsibilities may be required for PRN Respiratory Therapists, depending on the needs of the department.
-
What is the process for obtaining a West Virginia Respiratory Therapist license?
To obtain a West Virginia Respiratory Therapist license, you must apply to the West Virginia Board of Respiratory Care and meet the eligibility requirements, which include graduating from an accredited respiratory therapy program and passing the National Board for Respiratory Care (NBRC) examination.
-
Does WVU Medicine offer relocation assistance?
Relocation assistance may be available for certain positions, depending on the circumstances. Please inquire with the hiring manager for more information.
Locations
- Morgantown, West Virginia, United States
Salary
63,800 - 90,200 USD / yearly
Source: ai estimated
* This is an estimated range based on market data and may vary based on experience and qualifications.
Skills Required
- Respiratory Therapyintermediate
- Patient Evaluationintermediate
- Therapeutic Proceduresintermediate
- Neonatal Careintermediate
- Pediatric Careintermediate
- Adult Careintermediate
- Geriatric Careintermediate
- Ventilator Managementintermediate
- Airway Managementintermediate
- Arterial Blood Gas Analysisintermediate
- Pulmonary Function Testingintermediate
- Medication Administrationintermediate
- Patient Monitoringintermediate
- Emergency Responseintermediate
- CPR (Cardiopulmonary Resuscitation)intermediate
- Basic Life Support (BLS)intermediate
- ACLS (Advanced Cardiovascular Life Support)intermediate
- PALS (Pediatric Advanced Life Support)intermediate
- NRP (Neonatal Resuscitation Program)intermediate
- STABLE (Sugar, Temperature, Airway, Blood pressure, Lab work, and Emotional support) Programintermediate
- Point of Care Testingintermediate
- Equipment Maintenanceintermediate
- Infection Controlintermediate
- Documentationintermediate
- Communicationintermediate
- Teamworkintermediate
- Problem-solvingintermediate
- Critical Thinkingintermediate
- Adaptabilityintermediate
- Time Managementintermediate
Required Qualifications
- Licensed Respiratory Therapist in West Virginia (LRTC or LRTR) (experience)
- Current Basic Life Support (BLS) certification (within 30 days of hire) (experience)
- One (1) year of respiratory therapist experience (experience)
- Knowledge of respiratory therapy principles and practices (experience)
- Proficiency in performing basic and advanced respiratory procedures (experience)
- Ability to assess patient respiratory status and develop treatment plans (experience)
- Strong communication and interpersonal skills (experience)
- Ability to work effectively in a team environment (experience)
- Ability to prioritize and manage multiple tasks (experience)
- Knowledge of medical terminology (experience)
- Understanding of infection control protocols (experience)
- Familiarity with respiratory therapy equipment and its maintenance (experience)
- Commitment to providing high-quality patient care (experience)
- Ability to maintain accurate patient records (experience)
- Registered Respiratory Therapist (preferred) (experience)
- Two (2) years of respiratory therapist experience (preferred) (experience)
- ACLS certification (preferred) (experience)
- PALS certification (preferred) (experience)
- NRP certification (preferred) (experience)
- STABLE Program certification (preferred) (experience)
- Point of Care Technician certification through the West Virginia Department of Health & Human Resources (preferred) (experience)
Responsibilities
- Perform basic and advanced therapeutic procedures for neonatal, pediatric, adult, and geriatric patients as ordered by the physician.
- Assemble, check, and correct malfunctions of respiratory care equipment, ensuring proper functionality and patient safety.
- Perform quality controls on respiratory care equipment to maintain accuracy and reliability.
- Monitor patient response to respiratory therapy treatments and adjust therapy as needed based on patient condition and physician orders.
- Administer prescribed respiratory medications, including inhaled bronchodilators, corticosteroids, and mucolytics, following established protocols.
- Provide respiratory support to patients with various respiratory conditions, such as asthma, COPD, pneumonia, and respiratory failure.
- Manage mechanical ventilation for patients requiring ventilatory support, including ventilator setup, monitoring, and troubleshooting.
- Perform airway management procedures, including endotracheal intubation and extubation, as directed by the physician.
- Collect and analyze arterial blood gas samples to assess patient oxygenation, ventilation, and acid-base balance.
- Conduct pulmonary function testing to evaluate lung function and diagnose respiratory disorders.
- Educate patients and their families about respiratory therapy treatments, medications, and disease management strategies.
- Participate in interdisciplinary patient care conferences to discuss patient progress and coordinate care plans.
- Document patient assessments, treatments, and responses in the electronic medical record accurately and completely.
- Maintain a clean and organized work environment, following infection control protocols to prevent the spread of infection.
- Respond to medical emergencies, providing respiratory support and assisting with resuscitation efforts.
- Collaborate with physicians, nurses, and other healthcare professionals to provide comprehensive patient care.
- Participate in continuing education programs to maintain and enhance professional competence.
- Adhere to all hospital policies and procedures, including safety regulations and patient confidentiality guidelines.
- Assist with the training and orientation of new respiratory therapy staff.
- Participate in quality improvement initiatives to enhance the delivery of respiratory care services.
- Ensure all equipment is properly sterilized and maintained according to manufacturer guidelines.
- Provide support and education to patients and families on the use of respiratory equipment at home, if applicable.
- Stay updated on the latest advancements and best practices in respiratory therapy.
- Attend departmental meetings and contribute to discussions on improving patient care and departmental efficiency.
Benefits
- general: Competitive salary commensurate with experience and qualifications.
- general: Comprehensive medical, dental, and vision insurance plans.
- general: Prescription drug coverage.
- general: Flexible spending accounts (FSAs) for healthcare and dependent care expenses.
- general: Health savings account (HSA) with employer contributions.
- general: Generous paid time off (PTO) program for vacation, sick leave, and holidays.
- general: Paid parental leave.
- general: Short-term and long-term disability insurance.
- general: Life insurance and accidental death & dismemberment (AD&D) insurance.
- general: Employee assistance program (EAP) for confidential counseling and support services.
- general: Retirement savings plan with employer matching contributions.
- general: Tuition reimbursement program for continuing education and professional development.
- general: Opportunities for career advancement and professional growth within WVU Medicine.
- general: Employee wellness programs and resources to promote health and well-being.
- general: Employee discounts on various products and services.
- general: On-site parking or public transportation assistance.
- general: Relocation assistance (if applicable).
- general: Professional liability insurance coverage.
- general: Workers' compensation insurance.
- general: Access to state-of-the-art medical facilities and technology.
- general: Supportive and collaborative work environment.
- general: Opportunities to participate in research and innovation projects.
- general: Recognition and rewards programs for outstanding performance.
- general: Employee referral bonus program.
- general: Commitment to diversity and inclusion in the workplace.
Tags & Categories
Answer 10 quick questions to check your fit for PRN Respiratory Therapist Careers at WVU Medicine - Morgantown, West Virginia | Apply Now! @ WVU Medicine.
Related Books and Jobs
PRN Respiratory Therapist Careers at WVU Medicine - Morgantown, West Virginia | Apply Now!
WVU Medicine
PRN Respiratory Therapist Careers at WVU Medicine - Morgantown, West Virginia | Apply Now!
Job Description
PRN Respiratory Therapist at WVU Medicine - Garrett Regional Medical Center
Role Overview
As a PRN (as needed) Respiratory Therapist at WVU Medicine's Garrett Regional Medical Center, you will play a vital role in providing respiratory care to patients of all ages. This position offers a flexible schedule while allowing you to contribute to a dedicated healthcare team. You will be responsible for evaluating patients, administering respiratory treatments, managing ventilators, and educating patients and their families on respiratory health.
A Day in the Life
Here’s a glimpse into a typical day for a PRN Respiratory Therapist:
- Patient Assessment: Evaluate patients' respiratory status through physical exams, review of medical history, and diagnostic tests.
- Treatment Administration: Administer prescribed respiratory treatments, including aerosol medications, oxygen therapy, and chest physiotherapy.
- Ventilator Management: Manage mechanical ventilation for patients requiring respiratory support, including ventilator setup, monitoring, and adjustments.
- Airway Management: Perform airway management procedures, such as endotracheal intubation and extubation, under the direction of a physician.
- Emergency Response: Respond to medical emergencies, providing respiratory support and assisting with resuscitation efforts.
- Patient Education: Educate patients and families about respiratory conditions, treatment plans, and proper use of respiratory equipment.
- Documentation: Maintain accurate and timely documentation of patient assessments, treatments, and responses in the electronic medical record.
- Equipment Maintenance: Ensure respiratory equipment is properly cleaned, maintained, and functioning correctly.
- Collaboration: Collaborate with physicians, nurses, and other healthcare professionals to provide comprehensive patient care.
- Continuous Learning: Stay updated on the latest advancements and best practices in respiratory therapy.
Why Morgantown, West Virginia?
Morgantown is a vibrant city in northern West Virginia, offering a blend of small-town charm and big-city amenities. Home to West Virginia University, Morgantown has a lively cultural scene, with numerous restaurants, shops, and entertainment options. The city is surrounded by beautiful natural landscapes, providing ample opportunities for outdoor activities such as hiking, biking, and fishing. Morgantown also boasts a low cost of living and a strong sense of community, making it an ideal place to live and work.
Career Path
WVU Medicine is committed to the growth and development of its employees. As a PRN Respiratory Therapist, you'll have opportunities to advance your career through:
- Specialization: Pursue certifications in specialized areas of respiratory care, such as neonatal, pediatric, or critical care.
- Leadership Roles: Advance to leadership positions, such as a respiratory therapy supervisor or manager.
- Education and Training: Participate in continuing education programs and workshops to enhance your skills and knowledge.
- Clinical Research: Contribute to clinical research projects aimed at improving respiratory care practices.
- Full-time Positions: Transition to a full-time respiratory therapist position within WVU Medicine.
Salary and Benefits
WVU Medicine offers competitive compensation and benefits packages to its employees. The estimated salary range for a PRN Respiratory Therapist in Morgantown, WV, is $58,000 to $82,000 per year, depending on experience and qualifications. In addition to competitive pay, WVU Medicine provides a comprehensive benefits package that includes:
- Medical, dental, and vision insurance
- Prescription drug coverage
- Flexible spending accounts (FSAs)
- Health savings account (HSA)
- Paid time off (PTO)
- Paid parental leave
- Short-term and long-term disability insurance
- Life insurance
- Employee assistance program (EAP)
- Retirement savings plan with employer matching contributions
- Tuition reimbursement program
- Employee wellness programs
WVU Medicine Culture
WVU Medicine is committed to creating a supportive and inclusive work environment where employees feel valued and respected. We foster a culture of teamwork, collaboration, and continuous improvement. Our core values include:
- Patient-Centered Care: Putting patients first and providing compassionate, high-quality care.
- Integrity: Maintaining the highest ethical standards in all our interactions.
- Respect: Treating everyone with dignity and respect.
- Teamwork: Working together to achieve common goals.
- Innovation: Embracing new ideas and technologies to improve patient care.
How to Apply
To apply for the PRN Respiratory Therapist position at WVU Medicine, please click the "Apply" button located at the top of this page. Complete the application form and attach your resume and cover letter. We look forward to reviewing your application!
Frequently Asked Questions (FAQs)
-
What are the required qualifications for this position?
The required qualifications include a valid Respiratory Therapist license in West Virginia (LRTC or LRTR), Basic Life Support (BLS) certification, and one year of respiratory therapy experience. Registered Respiratory Therapist (RRT) certification and two years of experience are preferred.
-
What are the typical working hours for a PRN Respiratory Therapist?
As a PRN position, working hours vary based on the needs of the department. You may be required to work day, evening, night, or weekend shifts.
-
What types of patients will I be working with?
You will be working with patients of all ages, including neonatal, pediatric, adult, and geriatric patients, with a wide range of respiratory conditions.
-
What is the dress code for Respiratory Therapists at WVU Medicine?
Respiratory Therapists are required to wear professional attire, typically scrubs, and closed-toe shoes. WVU Medicine provides guidelines on specific dress code requirements.
-
Are there opportunities for professional development and advancement?
Yes, WVU Medicine offers various opportunities for professional development and advancement, including continuing education programs, certification opportunities, and leadership development programs.
-
What is the patient-to-therapist ratio?
The patient-to-therapist ratio varies depending on the acuity of the patients and the needs of the department. WVU Medicine strives to maintain a manageable workload for its respiratory therapists.
-
What type of respiratory equipment will I be using?
You will be using a variety of respiratory equipment, including ventilators, oxygen therapy devices, aerosol nebulizers, and airway management tools.
-
Is there on-call responsibilities for this position?
On-call responsibilities may be required for PRN Respiratory Therapists, depending on the needs of the department.
-
What is the process for obtaining a West Virginia Respiratory Therapist license?
To obtain a West Virginia Respiratory Therapist license, you must apply to the West Virginia Board of Respiratory Care and meet the eligibility requirements, which include graduating from an accredited respiratory therapy program and passing the National Board for Respiratory Care (NBRC) examination.
-
Does WVU Medicine offer relocation assistance?
Relocation assistance may be available for certain positions, depending on the circumstances. Please inquire with the hiring manager for more information.
Locations
- Morgantown, West Virginia, United States
Salary
63,800 - 90,200 USD / yearly
Source: ai estimated
* This is an estimated range based on market data and may vary based on experience and qualifications.
Skills Required
- Respiratory Therapyintermediate
- Patient Evaluationintermediate
- Therapeutic Proceduresintermediate
- Neonatal Careintermediate
- Pediatric Careintermediate
- Adult Careintermediate
- Geriatric Careintermediate
- Ventilator Managementintermediate
- Airway Managementintermediate
- Arterial Blood Gas Analysisintermediate
- Pulmonary Function Testingintermediate
- Medication Administrationintermediate
- Patient Monitoringintermediate
- Emergency Responseintermediate
- CPR (Cardiopulmonary Resuscitation)intermediate
- Basic Life Support (BLS)intermediate
- ACLS (Advanced Cardiovascular Life Support)intermediate
- PALS (Pediatric Advanced Life Support)intermediate
- NRP (Neonatal Resuscitation Program)intermediate
- STABLE (Sugar, Temperature, Airway, Blood pressure, Lab work, and Emotional support) Programintermediate
- Point of Care Testingintermediate
- Equipment Maintenanceintermediate
- Infection Controlintermediate
- Documentationintermediate
- Communicationintermediate
- Teamworkintermediate
- Problem-solvingintermediate
- Critical Thinkingintermediate
- Adaptabilityintermediate
- Time Managementintermediate
Required Qualifications
- Licensed Respiratory Therapist in West Virginia (LRTC or LRTR) (experience)
- Current Basic Life Support (BLS) certification (within 30 days of hire) (experience)
- One (1) year of respiratory therapist experience (experience)
- Knowledge of respiratory therapy principles and practices (experience)
- Proficiency in performing basic and advanced respiratory procedures (experience)
- Ability to assess patient respiratory status and develop treatment plans (experience)
- Strong communication and interpersonal skills (experience)
- Ability to work effectively in a team environment (experience)
- Ability to prioritize and manage multiple tasks (experience)
- Knowledge of medical terminology (experience)
- Understanding of infection control protocols (experience)
- Familiarity with respiratory therapy equipment and its maintenance (experience)
- Commitment to providing high-quality patient care (experience)
- Ability to maintain accurate patient records (experience)
- Registered Respiratory Therapist (preferred) (experience)
- Two (2) years of respiratory therapist experience (preferred) (experience)
- ACLS certification (preferred) (experience)
- PALS certification (preferred) (experience)
- NRP certification (preferred) (experience)
- STABLE Program certification (preferred) (experience)
- Point of Care Technician certification through the West Virginia Department of Health & Human Resources (preferred) (experience)
Responsibilities
- Perform basic and advanced therapeutic procedures for neonatal, pediatric, adult, and geriatric patients as ordered by the physician.
- Assemble, check, and correct malfunctions of respiratory care equipment, ensuring proper functionality and patient safety.
- Perform quality controls on respiratory care equipment to maintain accuracy and reliability.
- Monitor patient response to respiratory therapy treatments and adjust therapy as needed based on patient condition and physician orders.
- Administer prescribed respiratory medications, including inhaled bronchodilators, corticosteroids, and mucolytics, following established protocols.
- Provide respiratory support to patients with various respiratory conditions, such as asthma, COPD, pneumonia, and respiratory failure.
- Manage mechanical ventilation for patients requiring ventilatory support, including ventilator setup, monitoring, and troubleshooting.
- Perform airway management procedures, including endotracheal intubation and extubation, as directed by the physician.
- Collect and analyze arterial blood gas samples to assess patient oxygenation, ventilation, and acid-base balance.
- Conduct pulmonary function testing to evaluate lung function and diagnose respiratory disorders.
- Educate patients and their families about respiratory therapy treatments, medications, and disease management strategies.
- Participate in interdisciplinary patient care conferences to discuss patient progress and coordinate care plans.
- Document patient assessments, treatments, and responses in the electronic medical record accurately and completely.
- Maintain a clean and organized work environment, following infection control protocols to prevent the spread of infection.
- Respond to medical emergencies, providing respiratory support and assisting with resuscitation efforts.
- Collaborate with physicians, nurses, and other healthcare professionals to provide comprehensive patient care.
- Participate in continuing education programs to maintain and enhance professional competence.
- Adhere to all hospital policies and procedures, including safety regulations and patient confidentiality guidelines.
- Assist with the training and orientation of new respiratory therapy staff.
- Participate in quality improvement initiatives to enhance the delivery of respiratory care services.
- Ensure all equipment is properly sterilized and maintained according to manufacturer guidelines.
- Provide support and education to patients and families on the use of respiratory equipment at home, if applicable.
- Stay updated on the latest advancements and best practices in respiratory therapy.
- Attend departmental meetings and contribute to discussions on improving patient care and departmental efficiency.
Benefits
- general: Competitive salary commensurate with experience and qualifications.
- general: Comprehensive medical, dental, and vision insurance plans.
- general: Prescription drug coverage.
- general: Flexible spending accounts (FSAs) for healthcare and dependent care expenses.
- general: Health savings account (HSA) with employer contributions.
- general: Generous paid time off (PTO) program for vacation, sick leave, and holidays.
- general: Paid parental leave.
- general: Short-term and long-term disability insurance.
- general: Life insurance and accidental death & dismemberment (AD&D) insurance.
- general: Employee assistance program (EAP) for confidential counseling and support services.
- general: Retirement savings plan with employer matching contributions.
- general: Tuition reimbursement program for continuing education and professional development.
- general: Opportunities for career advancement and professional growth within WVU Medicine.
- general: Employee wellness programs and resources to promote health and well-being.
- general: Employee discounts on various products and services.
- general: On-site parking or public transportation assistance.
- general: Relocation assistance (if applicable).
- general: Professional liability insurance coverage.
- general: Workers' compensation insurance.
- general: Access to state-of-the-art medical facilities and technology.
- general: Supportive and collaborative work environment.
- general: Opportunities to participate in research and innovation projects.
- general: Recognition and rewards programs for outstanding performance.
- general: Employee referral bonus program.
- general: Commitment to diversity and inclusion in the workplace.
Tags & Categories
Answer 10 quick questions to check your fit for PRN Respiratory Therapist Careers at WVU Medicine - Morgantown, West Virginia | Apply Now! @ WVU Medicine.
Related Books and Jobs