Registered Nurse- OR- Day Shift

Trinity Health Germantown, MD 20876, US

Employment Type:

Full time

Shift:

Day Shift

Description:

Job Title: Registered Nurse-Surgery

Employment Type: Full-time

Shift: Day (10 hours)
Location: Germantown

Position Purpose

Using the Quality Caring Model, demonstrates acceptable performance and applies the nursing process to plan and manage the care of routine patients, including patient and family education and continuum of care planning. Effectively communicates fundamental patient/family information to health care team. Identifies and communicates variances from patient goals. Responsible for providing and coordinating interdisciplinary patient care utilizing the nursing process.

As a “Registered Nurse-Surgery” you will:

Using the Quality Caring Model, the Operating Room Nurse (OR RN) demonstrates expertise in performance and application of the nursing process to plan and manage the care of patients in the operating room setting to patients undergoing surgical or other invasive procedures.
An innovator in minimally invasive surgery, Holy Cross Hospital was first in Montgomery County to offer robotic surgery with the da Vinci® surgical system.
The OR Nurse plans and delivers patient care
Collaborates with the surgical team to develop and implement individualized care plans for patients
Perform pre-operative assessments, including reviewing patient histories and conducting physical examinations
Perform scrub functions including selection and handling of instruments and supplies during procedures
Perform circulating functions including monitoring, recording and communication of patient condition
Monitor patients' vital signs and ensure their safety and comfort throughout the surgical process
Assist with specimen collection, processing, and documentation
Educate patients and family
Plan continuum of care

Minimum Qualifications:

Graduation from an accredited nursing program; basic professional nursing degree (with requirement to obtain a BSN/MSN within a specific time frame)
Current licensure by the Maryland State Board of Nursing or Compact State as a Registered Nurse.
BLS certification (American Heart Association)
At least 1 year of nursing experience in a surgical setting (scrubbing and circulating)

Preferred:

BSN or MSN preferred

Pay Range: $41.70 – $55.68

Pay is based on experience, skills, and education. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates. The pay range may also vary within the stated range based on location.

[FT/PT Benefit eligible Roles]:

**0.5 FTE (20 hours weekly) up to 1.0 FTE (40 hours weekly)

Position Highlights and Benefits:

Comprehensive benefit packages, including medical, dental, vision, mental health, paid time off, 403B, education assistance and voluntary benefits (pet insurance, accident insurance, hospital indemnity and others) available from the first day of employment. 
Work/Life balance with flexible schedules. 
Free onsite parking. 
Our mission and core values are what drive each member of Trinity Health to support each other, communicate openly and respectfully while embracing a culture that nurtures a healing, safe environment for all.  
Referral Rewards Program

Position Highlights:

Work/Life balance with flexible schedules. 
Free onsite parking. 
Our mission and core values are what drive each member of Trinity Health to support each other, communicate openly and respectfully while embracing a culture that nurtures a healing, safe environment for all.  
Referral Rewards Program

Holy Cross Health is a Catholic, not-for-profit health system that serves the two most populous counties in Maryland, Montgomery and Prince George’s, with a commitment to being the most trusted provider of health-care services in the area. Founded in 1963 by the Sisters of the Holy Cross, Holy Cross Health is a member of Trinity Health of Livonia, Michigan. Holy Cross Hospital, in Silver Spring, is one of the largest hospitals in Maryland, and Holy Cross Germantown Hospital is the first hospital in the nation built on a community college campus, enhanced by an educational partnership. The Holy Cross Health Network operates primary-care practices and affordable health centers, and offers a wide range of innovative, community-based health and wellness programs. Specialty care, home care and hospice services round out Holy Cross Health’s high-quality and coordinated continuum of care that aims to improve health and let you live life on your own terms.

Holy Cross Health is an Equal Employment Opportunity (EEO) employer.

Qualified applicants are considered for employment without regard to Minority/Females/disabled/Veteran (M/F/D/V) status.

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

Share this job

Related Jobs

RN Admission Manager MD/DC-Greenbelt, MD

Capital Caring Health Greenbelt, MD

$96,103.54 - $143,040.51 / year

It’s inspiring to work with a company where people truly BELIEVE in what they’re doing! When you become part of the Chapters Health Team, you’ll realize it’s more than a job. It’s a mission. We’re committed to providing outstanding patient care and a high level of customer service in our communities every day. Our employees make all the difference in our success! The Admissions Team Manager is responsible for oversight of intake and referral processing services. This position provides oversight of team members’ performance, providing feedback, mentoring and education to contribute to staff’s development. The Manager will work in collaboration with the team to meet the needs and expectations of the medical community, patients and families while meeting the region’s key performance indicators. Quality Provision of Services: Owns admission availability resource calendar and ensures admission visit availability meets referral volume and conversion metrics. Enhances the integrity and quality of the team by providing them with a consistent role model, mentor, instructor and resource person. Assumes responsibility for own professional growth and development in order to maintain and improve competence. Evaluates own needs for support and uses identified system(s) to meet the need. Develops new skills by participating in ongoing education and maintaining knowledge of current nursing practice through journals, literature review, etc. Participates in quality improvement activities, QAPI program and hospice sponsored in-service training. Monitors, analyzes, and collaborates with the Referral Center Leadership team to improve inquiry to start of care timeliness and effectiveness of scheduled appointment. Assists the Regional Directors with reporting and presentation of key metrics related to all aspects of admission outcomes. Provides clinical guidance, as needed, to the Admission Team RNs with complex cases and situations. Organization/Regulatory Compliance: Ensures compliance with all areas of federal, state, and local laws and regulations as well as CHAP accreditation standards, Conditions of Participation, and the organization’s standards of care, policies and procedures. Communicates with the appropriate physician(s) regarding the patient’s condition, incorporating hospice expertise. Implements physician’s orders by documenting and communicating to staff, patient/caregiver or facility. Utilizes appropriate resource services (ambulance, IV therapy, DME, inpatient facilities, and appropriate agencies) to implement orders. Performs the introductory (90 day) and annual performance review of assigned team members in accordance with the organization’s policy and timelines. Supports and assures that clinical documents meet the organization’s patient care and reimbursement regulatory standards. This is accomplished through use of tools such as: the Admissions Audit tool, IDT meetings and documentation. Assists in performing quality audits that assure quality care and compliance with state and federal regulations, CHAP accreditation standards, and the organization’s policies and procedures. People/Communications: Evaluates the effectiveness of daily schedules and assignments of the Admission Team RNs and professionals. Assists the Regional Director in assessing the need for new staff and to recruit, interview, and make hiring decisions, in collaboration with Human Resources. Orients new staff to the team after HR and clinical orientations. Coaches and counsels Admissions RNs as needed. Coordinates with the Clinical Education staff to assure that assigned staff attend and receive education programs. Creates, manages, and evaluates Admission Team clinical escalation protocols that ensure complex clinical decisions at the time of admission are escalated as needed. Identifies opportunities to improve delays in care, admission related internal communication, admission process, and make appropriate recommendations to Regional Director. Holds, at minimum, quarterly staffing meetings to review key performance indicators, quality scores and discuss organization and/or team updates. Financial Stewardship: Achieves expected productivity standard as defined by the organization and in alignment with best practices/the Capital Caring Health model. Assures accuracy and timeliness of clinical staff daily assignments and payroll entries. The above statements are intended to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description. Supervisory Responsibilities: The Manager, Admissions Team will be responsible for supervising the Admission Team Nurses, and professionals. Experience Requirements The Manager, Admissions Team must have at least 5 years RN nursing experience in at least one of the following settings: medical/surgical, acute care, ICU, ER, oncology, home health or hospice. A minimum of 3 years hospice nursing experience and 1 year of management experience is required. Education Requirements: The Manager, Admissions Team must have at least an RN from an accredited Nursing Program. A RN, BSN is preferred. Required Certificates and/or Licenses: The Manager, Admissions Team must have a licensed RN in at least one of the following: District of Columbia, State of Maryland, and/or the Commonwealth of Virginia. Overall Skills: The ability to demonstrate superlative oral and written communication skills, in English, as well as ability to organize and manage projects within defined timeframe and budget; work both independently and as part of a team in a fast paced environment; demonstrate excellent interpersonal and collaborative interactions; demonstrate organizational skills with ability to anticipate, delegate, and follow up; manage multiple tasks and stressful situations with a positive attitude; demonstrate a strong work ethic and attention to detail; demonstrate clinical competence and compliance in order to appropriately triage referrals; demonstrate leadership and mentorship capabilities; perform a thorough nursing assessment. Physical/Mental/Emotional Skills: The ability to see, hear, grasp, lift, speak, sit and walk or otherwise perform essential functions with or without reasonable accommodations; demonstrate the mental and emotional ability to work with death/dying; demonstrate the maturity, customer service skills, and flexibility to work with individuals under stress; work in a fast paced and quickly changing environment; work under pressure and deadlines; effectively recognize and appreciate the diversity in the workplace. Technological Skills : The ability to demonstrate proficient computer skills; learn and efficiently use a patient health information system; and work with Microsoft Office programs. Experience and comfort using MS Excel is essential, Teams, Outlook, and other technological applications. Reasoning Ability: The ability to apply common sense understanding to carry out instructions furnished in written or oral form and deal with problems involving several concrete variables in standardized situations. Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to sit and talk or hear. The employee is occasionally required to stand; walk; use hands to finger, handle, or feel; reach with hands and arms; taste or smell and push, pull, lift/carry 50 lbs. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus. Work Environment: The work environment characteristics are representative of those an employee would normally encounter while performing the essential functions of this job in an office. Works in business office with computers, printers, copy/fax machines and telephones. The noise level in the work environment is usually light to moderate. The environmental conditions are that of what is to be expected in a temperature-controlled building. Compensation Pay Range: $96,103.54 - $143,040.51 This position requires consent to drug and/or alcohol testing after a conditional offer of employment is made, as well as on-going compliance with the Drug-Free Workplace Policy. All Chapters Health System employees performing services for Florida affiliates are submitted through the Florida Care Provider Background Screening Clearinghouse to verify eligibility after a conditional offer of employment is made as well as ongoing eligibility. For more information, please visit https://info.flclearinghouse.com/ .

Outpatient

Full-time

3 weeks ago

Registered Nurse

DaVita Kidney Care Washington, DC

$44 - $62 / hour

Posting Date 10/12/2026 920 Bladensburg Rd Ne, Washington, District of Columbia, 20002-3930, United States of America Make a real impact—every day. As a DaVita RN, you’ll ensure compassionate and professional delivery of all dialysis-related nursing services in an outpatient setting, ensuring the safety, comfort, and wellbeing of your patients. You’ll work in a fast-paced environment, collaborate with our professional team of clinicians, and use your critical thinking skills to solve problems and support patient care. Key Responsibilities: Deliver dialysis treatments and monitor patient status Assess, troubleshoot, and respond to clinical situations Educate patients and build meaningful relationships Work as part of a supportive care team Qualifications: Current RN license in state of practice CPR certification and basic EKG interpretation 2+ years’ experience with acutely ill patients (ICU, ER, Med/Surg preferred) Strong assessment, time management, and communication skills CNN certification a plus What We Offer: Medical, dental, vision, 401(k) with match Paid time off and PTO cash out Parental leave, family support, and mental health tools Career growth and training through DaVita’s StarLearning platform Performance-based pay and advancement opportunities Start making a difference today. Apply now to join a team that values your skills and supports your career. At DaVita, we strive to be a community first and a company second. We want all teammates to experience DaVita as "a place where I belong." Our goal is to embed belonging into everything we do in our Village, so that it becomes part of who we are. We are proud to be an equal opportunity workplace and comply with state and federal affirmative action requirements. Individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic. This position will be open for a minimum of three days. The Wage Range for the role is $44.00 - $62.00 per hour. For location-specific minimum wage details, see the following link: DaVita.jobs/WageRates Compensation for the role will depend on a number of factors, including a candidate’s qualifications, skills, competencies and experience. DaVita offers a competitive total rewards package, which includes a 401k match, healthcare coverage and a broad range of other benefits. Learn more at https://careers.davita.com/benefits Colorado Residents: Please do not respond to any questions in this initial application that may seek age-identifying information such as age, date of birth, or dates of school attendance or graduation. You may also redact this information from any materials you submit during the application process. You will not be penalized for redacting or removing this information.

Registered Nurse (RN) Wound Care

Inova Health Annandale, VA

Job Description Inova 3299 Woodburn is looking for a dedicated Registered Nurse (RN) Wound Care to join the team. This role will be full-time, four (4) 9-hour shifts per week. Office hours: Monday – Friday, no holidays or weekends. Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation. Featured Benefits Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program. Retirement: Inova matches the first 5% of eligible contributions – starting on your first day. Tuition and Student Loan Assistance: offeringup to $5,250 per year in education assistance and up to $10,000 for student loans. Mental Health Support: offering all Inova team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost. Work/Life Balance: offeringpaid time off, paid parental leave, & flexible work schedules. Registered Nurse (RN) Wound Care Job Responsibilities Performs comprehensive patient health assessments by interpreting multiple data sets and synthesizing their interrelationships Formulates individualized plans of care based on assessment findings and interpreting trends in patient populations to achieve best practice Conducts all patient care in a patient and family centered manner, integrating knowledge, skills and experiences to meet the needs of patients and families throughout the continuum of care Documents all patient care activities, as per documentation standards, and assists healthcare team members with documentation Assists staff to assess patients' learning needs and outcomes measurement of patient education Provides direction and guidance to others regarding practice while serving as a clinical resource, preceptor, and mentor and delegates patient care activities and coordinates unit activities as needed Demonstrates evidence of self-development by obtaining a minimum of six formal contact hours and maintains own Team Member Continuing Education Record Evaluates clinical and quality outcomes and contributes to performance improvement initiatives May perform additional duties as assigned Minimum Qualifications Education: BSN or AD. If RN has an AD, within 2 years from date of hire, they must meet with their nurse leader and conduct the following: 1.) Identify which accredited school they plan to attend 2.) Provide a written plan with anticipated BSN completion date 3.) Submit a review of transcripts from the school indicating the required pre-requisites and timeline for taking the courses 4.) Complete BSN within 5 years of start date Experience: 1 year of experience as a Registered Nurse, for Critical Care units, 1 year of experience as a Registered Nurse in a critical care setting or completion of a critical care fellowship. Licensure/Certifications: BLS from the American Heart Association; Licensed or eligible for licensure in the Commonwealth of Virginia as a Registered Nurse or an active multi-state Registered Nurse license Preferred Qualifications Experience: Wound care as a RN of start date. About Us We are Inova, Northern Virginia’s leading nonprofit healthcare provider. Every day, our 26,000+ team members provide world-class healthcare to the communities we serve. Our people are the reason we're a national leader in healthcare safety, quality and patient experience. And from best-in-class facilities to professional development opportunities, we support them at every step. At Inova, we're constantly striving to be ever better — to shape a more compassionate future for healthcare. Inova Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic origin, political affiliation, pregnancy (including childbirth, pregnancy-related conditions and lactation), race, religion, sex, sexual orientation, veteran status, genetic information, or any other characteristics protected by law.

Outpatient

Full-time

1 week ago

Registered Nurse

DaVita Kidney Care Annandale, VA

$44 - $60 / hour

Posting Date 10/22/2026 7060 Columbia Pike, Annandale, Virginia, 22003-3104, United States of America Make a real impact—every day. As a DaVita RN, you’ll ensure compassionate and professional delivery of all dialysis-related nursing services in an outpatient setting, ensuring the safety, comfort, and wellbeing of your patients. You’ll work in a fast-paced environment, collaborate with our professional team of clinicians, and use your critical thinking skills to solve problems and support patient care. Key Responsibilities: Deliver dialysis treatments and monitor patient status Assess, troubleshoot, and respond to clinical situations Educate patients and build meaningful relationships Work as part of a supportive care team Qualifications: Current RN license in state of practice CPR certification and basic EKG interpretation 2+ years’ experience with acutely ill patients (ICU, ER, Med/Surg preferred) Strong assessment, time management, and communication skills CNN certification a plus What We Offer: Medical, dental, vision, 401(k) with match Paid time off and PTO cash out Parental leave, family support, and mental health tools Career growth and training through DaVita’s StarLearning platform Performance-based pay and advancement opportunities Start making a difference today. Apply now to join a team that values your skills and supports your career. #LI-CK1 At DaVita, we strive to be a community first and a company second. We want all teammates to experience DaVita as "a place where I belong." Our goal is to embed belonging into everything we do in our Village, so that it becomes part of who we are. We are proud to be an equal opportunity workplace and comply with state and federal affirmative action requirements. Individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic. This position will be open for a minimum of three days. The Wage Range for the role is $44.00 - $60.00 per hour. For location-specific minimum wage details, see the following link: DaVita.jobs/WageRates Compensation for the role will depend on a number of factors, including a candidate’s qualifications, skills, competencies and experience. DaVita offers a competitive total rewards package, which includes a 401k match, healthcare coverage and a broad range of other benefits. Learn more at https://careers.davita.com/benefits Colorado Residents: Please do not respond to any questions in this initial application that may seek age-identifying information such as age, date of birth, or dates of school attendance or graduation. You may also redact this information from any materials you submit during the application process. You will not be penalized for redacting or removing this information.

RN Assistant Director of Ambulatory Nursing - MD

MedStar Health Colmar Manor, MD

$102,606 - $196,996 / year

About this Job: General Summary of Position The Assistant Director of Ambulatory Nursing is a member of MedStar Health entity-based Division of Nursing and leadership team. Supports and collaborates with the Director of Nursing in providing leadership and oversight for a specific unit(s)/office(s)/service line. Directs and coordinates the clinical and patient care delivery of the site/office-based professional and support personnel. Ensures the provision of holistic culturally competent and person-centered quality safe and cost-effective evidence-based nursing care for patients/families. Applies the nursing process within the context of the organization's shared/collaborative decision-making framework. Collaboratively manages the patient's transitions across the continuum of care to assist patients and populations in achieving or maintaining an optimal level of health and functioning.The Assistant Director of Ambulatory Nursing assumes administrative and leadership authority and responsibility for the assigned site/offices. Fosters associates' commitment to improving quality safety and cost-conscious patient care outcomes. Collaborates with the Director of Nursing in maintaining adherence to regulatory and accreditation standards and MedStar Health's policies and procedures. Demonstrates leadership and behaviors which are consistent with MedStar's mission vision goals SPIRIT Values patient care philosophy and sound moral and ethical judgement. Primary Duties and Responsibilities In collaboration with the Director of Nursing develops site/office goals objectives policies and procedures and ensures compliance with entity policies and procedures clinical practice guidelines and regulatory and accreditation standards. Develops and maintains effective relationships and partnerships across disciplines (e.g. medicine) and departments (e.g. environmental services) to ensure the delivery of efficient and quality patient care services. Contributes to the efforts to ensures site/office activities and patient throughput proceed smoothly. In collaboration with the Director of Nursing develops standards of performance for associates evaluates performance and conducts performance management planning. Initiates or makes recommendations for personnel actions. Sets clear expectations for performance and holds associates accountable. Maintains ongoing communication with associates to review programs discuss new developments and exchange information. Completes annual performance reviews of site/office-based associates in a timely manner. Ensures the reviews reflect the individual associate's ability to meet performance expectations and beneficial ongoing developmental goals. Provides associates with ongoing feedback and champions their continued professional growth and development. In the absence of the Director of Nursing/Senior Director of Nursing maintains communication with the VP and CNO MAS & MMG Medical Director providers other clinical leaders and personnel from other departments for the purpose of coordinating operations among the site/office clinical nursing division and entity. Contributes to the development implementation monitoring and management of the site/office-based budget and to support the organizational objectives patient care standards and quality of care. Demonstrates fiscal responsibility with day-to-day site(s)/office(s) productivity and operations. Ensures availability of necessary materials supplies and equipment for safe and optimal patient care delivery. Implements approaches and strategies that optimize patient care delivery and outcomes. Rounds on patients during the day for the purpose of engagement satisfaction and improvement in the care experience. Investigates and follows through on patient complaints and safety events. Supports and promotes quality and patient safety initiatives and high reliability standards. Leads site/office-based safety huddles. Escalates care delivery concerns to the Director of Nursing and other leaders as necessary and following the chain-of-command. Takes action to ensure optimal execution of the National Patient Safety Goals nursing sensitive indicators/measures regulatory requirements and other identified quality metrics. Identifies and participates in performance improvement opportunities as appropriate and based on findings. Collaborates with the Director of Nursing and Operations leader(s) in the hiring evaluation promotion and termination of personnel within the assigned site/office as needed. Initiates coaching and counseling of associates. Monitors and ensures appropriate staffing for site/office(s). Collaborates with other nurse leaders (Directors of Nursing Professional Development and others) to ensure associate competencies. Identifies individual staff development needs and provides appropriate resources to meet needs. Assists with developing orientation of newly hired associates and preceptor and resource clinical programs. Plans and coordinates the assessment of site/office-specific competencies for all clinical personnel within the site/office. Supports the implementation of new programs/practices and helps design educational programs that ensure the highest quality care delivery and customer satisfaction. Maintains continuing education files competency assessment documentation licensure and specialty certifications for self and the associates within the site/office. Maintains and demonstrates a professional patient-first atmosphere and an environment of coaching and development that supports shared decision making interdisciplinary collaboration and a high level of patient and associate satisfaction as evidenced by outcomes data. Provides shift-based clinical leadership through role modeling professional practice behaviors proper delegation of activities and management of the clinical team by maintaining staff accountability. Evaluates the need for and contributes to improvement in the professional practice environment. Participates in entity committees task forces interdisciplinary forums and projects (e.g. serious safety event reviews and performance improvement teams) at the request of Director of Nursing or Operation leaders. Promotes a public image of professional nursing excellence and represents the entity in community outreach efforts as appropriate. Maintains knowledge of current trends and developments in the fields of nursing and health care through a variety of professional activities including but not limited to reading the appropriate literature attending related seminars and conferences and maintaining membership in professional nursing associations. Demonstrates accountability for own professional development and advancement. Assumes administrative responsibilities in absence of the Director of Nursing and provides coverage for other colleagues. Maintains clinical knowledge and skills and engages in the provision of direct care of patients as required. Minimal Qualifications Education Bachelor's degree in Nursing from a Nationally accredited program required and Master's degree in Nursing or a health related field from a Nationally accredited program preferred Experience 3-4 years 3-4 years of progressive nursing care experience required and 1-2 years leadership and management experience preferred Licenses and Certifications RN - Registered Nurse - State Licensure and/or Compact State Licensure Valid in the State of Maryland or District of Columbia - jurisdiction is dependent on the entity of employment. Upon Hire required and Specialty certification from a nationally recognized nursing organization in either a clinical specialty or Nursing Administration Upon Hire preferred and CPR - Cardiac Pulmonary Resuscitation (includes BLS and NRP) for healthcare providers from either the American Heart Association (AHA) or American Red Cross within 90 Days required and Additional unit/specialty certifications may vary by department or business unit. Knowledge Skills and Abilities Excellent problem-solving skills and ability to exercise independent judgment on complex situations. Verbal and written communication skills Basic knowledge of various computer software applications and online learning applications especially Microsoft PowerPoint and Excel This position has a hiring range of : USD $102,606.00 - USD $196,996.00 /Yr.