Radiographer I

Job Requirements Overview Under general supervision, performs routine and specialized diagnostic radiologic procedures. Key Responsibilities · Key Responsibility 1 : Executes basic clinical competence in general radiology including fluoroscopy, in all locations across all patient types. Selects accurate technical factors on an individual patient basis and demonstrates knowledge and skills necessary to provide care appropriate to age of the patient. · Key Responsibility 2 : Applies knowledge of radiology principles and practices, including anatomy and physiology, radiation protection and physics, radiographic positioning and patient care skills. Adheres to Joint Commission, State, Federal and departmental regulatory compliance standards. · Key Responsibility 3 : Documents accurate patient care activity in various electronic health records systems. · Key Responsibility 4 : Ensures a safe and appropriate work environment. Maintains supplies and inventory in area. Informs appropriate colleague when supplies need to be ordered from outside vendors. Documents and reports related equipment/environmental problems in accordance with policy. · Key Responsibility 5 : Actively participates in departmental and organizational performance improvement initiatives and efforts to improve workflows, patient experience and quality. Actively participates in student and employee training and educational activities. Qualifications Education · Associate Degree, or Certificate, in radiologic technology from a program accredited by an agency recognized by the US Department of Education (USDE) or Council for Higher Education Accreditation (CHEA). Experience · No Experience Required Licensures/Certifications · Registered with American Registry Radiologic Technology (ARRT) · Licensed Radiographer - State of MD · Basic Cardiac Life Support Certification

Radiographer I

Job Requirements Overview Under general supervision, performs routine and specialized diagnostic radiologic procedures. Key Responsibilities · Key Responsibility 1 : Executes basic clinical competence in general radiology including fluoroscopy, in all locations across all patient types. Selects accurate technical factors on an individual patient basis and demonstrates knowledge and skills necessary to provide care appropriate to age of the patient. · Key Responsibility 2 : Applies knowledge of radiology principles and practices, including anatomy and physiology, radiation protection and physics, radiographic positioning and patient care skills. Adheres to Joint Commission, State, Federal and departmental regulatory compliance standards. · Key Responsibility 3 : Documents accurate patient care activity in various electronic health records systems. · Key Responsibility 4 : Ensures a safe and appropriate work environment. Maintains supplies and inventory in area. Informs appropriate colleague when supplies need to be ordered from outside vendors. Documents and reports related equipment/environmental problems in accordance with policy. · Key Responsibility 5 : Actively participates in departmental and organizational performance improvement initiatives and efforts to improve workflows, patient experience and quality. Actively participates in student and employee training and educational activities. Qualifications Education · Associate Degree, or Certificate, in radiologic technology from a program accredited by an agency recognized by the US Department of Education (USDE) or Council for Higher Education Accreditation (CHEA). Experience · No Experience Required Licensures/Certifications · Registered with American Registry Radiologic Technology (ARRT) · Licensed Radiographer - State of MD · Basic Cardiac Life Support Certification

Radiographer I

Job Requirements Overview Under general supervision, performs routine and specialized diagnostic radiologic procedures. Key Responsibilities · Key Responsibility 1 : Executes basic clinical competence in general radiology including fluoroscopy, in all locations across all patient types. Selects accurate technical factors on an individual patient basis and demonstrates knowledge and skills necessary to provide care appropriate to age of the patient. · Key Responsibility 2 : Applies knowledge of radiology principles and practices, including anatomy and physiology, radiation protection and physics, radiographic positioning and patient care skills. Adheres to Joint Commission, State, Federal and departmental regulatory compliance standards. · Key Responsibility 3 : Documents accurate patient care activity in various electronic health records systems. · Key Responsibility 4 : Ensures a safe and appropriate work environment. Maintains supplies and inventory in area. Informs appropriate colleague when supplies need to be ordered from outside vendors. Documents and reports related equipment/environmental problems in accordance with policy. · Key Responsibility 5 : Actively participates in departmental and organizational performance improvement initiatives and efforts to improve workflows, patient experience and quality. Actively participates in student and employee training and educational activities. Qualifications Education · Associate Degree, or Certificate, in radiologic technology from a program accredited by an agency recognized by the US Department of Education (USDE) or Council for Higher Education Accreditation (CHEA). Experience · No Experience Required Licensures/Certifications · Registered with American Registry Radiologic Technology (ARRT) · Licensed Radiographer - State of MD · Basic Cardiac Life Support Certification

Radiographer I

Job Requirements Overview Under general supervision, performs routine and specialized diagnostic radiologic procedures. Key Responsibilities · Key Responsibility 1 : Executes basic clinical competence in general radiology including fluoroscopy, in all locations across all patient types. Selects accurate technical factors on an individual patient basis and demonstrates knowledge and skills necessary to provide care appropriate to age of the patient. · Key Responsibility 2 : Applies knowledge of radiology principles and practices, including anatomy and physiology, radiation protection and physics, radiographic positioning and patient care skills. Adheres to Joint Commission, State, Federal and departmental regulatory compliance standards. · Key Responsibility 3 : Documents accurate patient care activity in various electronic health records systems. · Key Responsibility 4 : Ensures a safe and appropriate work environment. Maintains supplies and inventory in area. Informs appropriate colleague when supplies need to be ordered from outside vendors. Documents and reports related equipment/environmental problems in accordance with policy. · Key Responsibility 5 : Actively participates in departmental and organizational performance improvement initiatives and efforts to improve workflows, patient experience and quality. Actively participates in student and employee training and educational activities. Qualifications Education · Associate Degree, or Certificate, in radiologic technology from a program accredited by an agency recognized by the US Department of Education (USDE) or Council for Higher Education Accreditation (CHEA). Experience · No Experience Required Licensures/Certifications · Registered with American Registry Radiologic Technology (ARRT) · Licensed Radiographer - State of MD · Basic Cardiac Life Support Certification

Radiographer I

Job Requirements Overview Under general supervision, performs routine and specialized diagnostic radiologic procedures. Key Responsibilities · Key Responsibility 1 : Executes basic clinical competence in general radiology including fluoroscopy, in all locations across all patient types. Selects accurate technical factors on an individual patient basis and demonstrates knowledge and skills necessary to provide care appropriate to age of the patient. · Key Responsibility 2 : Applies knowledge of radiology principles and practices, including anatomy and physiology, radiation protection and physics, radiographic positioning and patient care skills. Adheres to Joint Commission, State, Federal and departmental regulatory compliance standards. · Key Responsibility 3 : Documents accurate patient care activity in various electronic health records systems. · Key Responsibility 4 : Ensures a safe and appropriate work environment. Maintains supplies and inventory in area. Informs appropriate colleague when supplies need to be ordered from outside vendors. Documents and reports related equipment/environmental problems in accordance with policy. · Key Responsibility 5 : Actively participates in departmental and organizational performance improvement initiatives and efforts to improve workflows, patient experience and quality. Actively participates in student and employee training and educational activities. Qualifications Education · Associate Degree, or Certificate, in radiologic technology from a program accredited by an agency recognized by the US Department of Education (USDE) or Council for Higher Education Accreditation (CHEA). Experience · No Experience Required Licensures/Certifications · Registered with American Registry Radiologic Technology (ARRT) · Licensed Radiographer - State of MD · Basic Cardiac Life Support Certification

Radiographer I

Job Requirements Overview Under general supervision, performs routine and specialized diagnostic radiologic procedures. Key Responsibilities · Key Responsibility 1 : Executes basic clinical competence in general radiology including fluoroscopy, in all locations across all patient types. Selects accurate technical factors on an individual patient basis and demonstrates knowledge and skills necessary to provide care appropriate to age of the patient. · Key Responsibility 2 : Applies knowledge of radiology principles and practices, including anatomy and physiology, radiation protection and physics, radiographic positioning and patient care skills. Adheres to Joint Commission, State, Federal and departmental regulatory compliance standards. · Key Responsibility 3 : Documents accurate patient care activity in various electronic health records systems. · Key Responsibility 4 : Ensures a safe and appropriate work environment. Maintains supplies and inventory in area. Informs appropriate colleague when supplies need to be ordered from outside vendors. Documents and reports related equipment/environmental problems in accordance with policy. · Key Responsibility 5 : Actively participates in departmental and organizational performance improvement initiatives and efforts to improve workflows, patient experience and quality. Actively participates in student and employee training and educational activities. Qualifications Education · Associate Degree, or Certificate, in radiologic technology from a program accredited by an agency recognized by the US Department of Education (USDE) or Council for Higher Education Accreditation (CHEA). Experience · No Experience Required Licensures/Certifications · Registered with American Registry Radiologic Technology (ARRT) · Licensed Radiographer - State of MD · Basic Cardiac Life Support Certification

Radiographer I

Job Requirements Overview Under general supervision, performs routine and specialized diagnostic radiologic procedures. Key Responsibilities · Key Responsibility 1 : Executes basic clinical competence in general radiology including fluoroscopy, in all locations across all patient types. Selects accurate technical factors on an individual patient basis and demonstrates knowledge and skills necessary to provide care appropriate to age of the patient. · Key Responsibility 2 : Applies knowledge of radiology principles and practices, including anatomy and physiology, radiation protection and physics, radiographic positioning and patient care skills. Adheres to Joint Commission, State, Federal and departmental regulatory compliance standards. · Key Responsibility 3 : Documents accurate patient care activity in various electronic health records systems. · Key Responsibility 4 : Ensures a safe and appropriate work environment. Maintains supplies and inventory in area. Informs appropriate colleague when supplies need to be ordered from outside vendors. Documents and reports related equipment/environmental problems in accordance with policy. · Key Responsibility 5 : Actively participates in departmental and organizational performance improvement initiatives and efforts to improve workflows, patient experience and quality. Actively participates in student and employee training and educational activities. Qualifications Education · Associate Degree, or Certificate, in radiologic technology from a program accredited by an agency recognized by the US Department of Education (USDE) or Council for Higher Education Accreditation (CHEA). Experience · No Experience Required Licensures/Certifications · Registered with American Registry Radiologic Technology (ARRT) · Licensed Radiographer - State of MD · Basic Cardiac Life Support Certification

Respiratory Care Practitioner II Certified (Nights)

Job Requirements Located in Largo in the heart of Prince George’s County, our new state-of-the-art regional medical center (UM Capital Region Medical Center) will provide improved access to primary and ambulatory care services, and serve as a tertiary care center for critically ill patients. In addition, our new space will allow us to expand our offerings as a community partner to help improve the health status of Prince George’s County residents. We are looking for Respiratory Therapists to join our extraordinary Respiratory Care Team at University of Maryland Capital Region Medical Center as a number of new career pathways and makes this the perfect time for you to join our team. Our affiliation with the University of Maryland Medical System (UMMS) has created. Working under general supervision with approved protocols or under the order of a licensed independent provider (LIP), the Respiratory Care Practitioner II (Certified) executes assignments demonstrating a clinical competence in Respiratory Care in the selection of accurate technical factors on an individual patient basis necessary to evaluate and provide age appropriate treatment across all patient types in all locations to include cardiopulmonary dysfunction secondary to developmental defects, the aging process, physical injury or disease requiring the administration of inhaled medications, utilization of specialized ventilation equipment and performing a variety of respiratory care techniques. Adheres to all department and facility policies and procedures. 1)Manages an assigned case load and responds to emergent patient needs. Functions as part of a larger team to support patients under the department’s care. 2)Performs respiratory care in varied patient populations. Verifies all interventions are supported by protocol or LIP order. 3) Observes and monitors physical signs and symptoms, general behavior, general physical response to respiratory care procedures. Collaborates with LIP during patient rounds the therapeutic treatment plans to determine whether initiation, modification, or discontinuation of the treatment regimen is warranted. 4)Adheres to Joint Commission, State, Federal, organizational and departmental regulatory compliance standards. 5)Administers therapeutic and diagnostic gases (exclusive of anesthetic agents), aerosolized medication treatments and chest physiotherapy. 6)Administers invasive and non-invasive mechanical ventilation and adjusts ventilation equipment to optimize patient support. Ensures correct ventilator alarms and settings. 7)Collaborates with the healthcare team when adjusting ventilation parameters and settings, as necessary in accordance with patient’s response. 8)Evaluates the effectiveness of therapeutic interventions by reviewing chest x-rays, utilizing noninvasive monitor values and laboratory results. 9) Monitors patient appearance and vital signs and consults with the LIP or a senior practitioner as necessary Documents accurate patient care activity in various electronic health records systems. 10) Contributes to departmental and organizational performance improvement initiatives and efforts to improve workflows, patient experience and quality. 11) Participates in student and employee training and education activities. · Perform all other duties as assigned. Work Experience · Associate's Degree /Legacy Approved Certificate Program · One year of experience as a CRT · Licensure as a Respiratory Care practitioner by the Maryland Board of Physician Quality Assurance · Certified Respiratory Therapist/RRT Eligible · Basic Cardiac Life Support Certification Benefits All your information will be kept confidential according to EEO guidelines. Compensation: •Pay Range: $33.36-$46.70 •Other Compensation (if applicable): •Review the 2024-2025 UMMS Benefits Guide

Respiratory Care Practitioner II Certified (Nights)

Job Requirements Located in Largo in the heart of Prince George’s County, our new state-of-the-art regional medical center (UM Capital Region Medical Center) will provide improved access to primary and ambulatory care services, and serve as a tertiary care center for critically ill patients. In addition, our new space will allow us to expand our offerings as a community partner to help improve the health status of Prince George’s County residents. We are looking for Respiratory Therapists to join our extraordinary Respiratory Care Team at University of Maryland Capital Region Medical Center as a number of new career pathways and makes this the perfect time for you to join our team. Our affiliation with the University of Maryland Medical System (UMMS) has created. Working under general supervision with approved protocols or under the order of a licensed independent provider (LIP), the Respiratory Care Practitioner II (Certified) executes assignments demonstrating a clinical competence in Respiratory Care in the selection of accurate technical factors on an individual patient basis necessary to evaluate and provide age appropriate treatment across all patient types in all locations to include cardiopulmonary dysfunction secondary to developmental defects, the aging process, physical injury or disease requiring the administration of inhaled medications, utilization of specialized ventilation equipment and performing a variety of respiratory care techniques. Adheres to all department and facility policies and procedures. 1)Manages an assigned case load and responds to emergent patient needs. Functions as part of a larger team to support patients under the department’s care. 2)Performs respiratory care in varied patient populations. Verifies all interventions are supported by protocol or LIP order. 3) Observes and monitors physical signs and symptoms, general behavior, general physical response to respiratory care procedures. Collaborates with LIP during patient rounds the therapeutic treatment plans to determine whether initiation, modification, or discontinuation of the treatment regimen is warranted. 4)Adheres to Joint Commission, State, Federal, organizational and departmental regulatory compliance standards. 5)Administers therapeutic and diagnostic gases (exclusive of anesthetic agents), aerosolized medication treatments and chest physiotherapy. 6)Administers invasive and non-invasive mechanical ventilation and adjusts ventilation equipment to optimize patient support. Ensures correct ventilator alarms and settings. 7)Collaborates with the healthcare team when adjusting ventilation parameters and settings, as necessary in accordance with patient’s response. 8)Evaluates the effectiveness of therapeutic interventions by reviewing chest x-rays, utilizing noninvasive monitor values and laboratory results. 9) Monitors patient appearance and vital signs and consults with the LIP or a senior practitioner as necessary Documents accurate patient care activity in various electronic health records systems. 10) Contributes to departmental and organizational performance improvement initiatives and efforts to improve workflows, patient experience and quality. 11) Participates in student and employee training and education activities. · Perform all other duties as assigned. Work Experience · Associate's Degree /Legacy Approved Certificate Program · One year of experience as a CRT · Licensure as a Respiratory Care practitioner by the Maryland Board of Physician Quality Assurance · Certified Respiratory Therapist/RRT Eligible · Basic Cardiac Life Support Certification Benefits All your information will be kept confidential according to EEO guidelines. Compensation: •Pay Range: $33.36-$46.70 •Other Compensation (if applicable): •Review the 2024-2025 UMMS Benefits Guide

Respiratory Care Practitioner II Certified (Nights)

Job Requirements Located in Largo in the heart of Prince George’s County, our new state-of-the-art regional medical center (UM Capital Region Medical Center) will provide improved access to primary and ambulatory care services, and serve as a tertiary care center for critically ill patients. In addition, our new space will allow us to expand our offerings as a community partner to help improve the health status of Prince George’s County residents. We are looking for Respiratory Therapists to join our extraordinary Respiratory Care Team at University of Maryland Capital Region Medical Center as a number of new career pathways and makes this the perfect time for you to join our team. Our affiliation with the University of Maryland Medical System (UMMS) has created. Working under general supervision with approved protocols or under the order of a licensed independent provider (LIP), the Respiratory Care Practitioner II (Certified) executes assignments demonstrating a clinical competence in Respiratory Care in the selection of accurate technical factors on an individual patient basis necessary to evaluate and provide age appropriate treatment across all patient types in all locations to include cardiopulmonary dysfunction secondary to developmental defects, the aging process, physical injury or disease requiring the administration of inhaled medications, utilization of specialized ventilation equipment and performing a variety of respiratory care techniques. Adheres to all department and facility policies and procedures. 1)Manages an assigned case load and responds to emergent patient needs. Functions as part of a larger team to support patients under the department’s care. 2)Performs respiratory care in varied patient populations. Verifies all interventions are supported by protocol or LIP order. 3) Observes and monitors physical signs and symptoms, general behavior, general physical response to respiratory care procedures. Collaborates with LIP during patient rounds the therapeutic treatment plans to determine whether initiation, modification, or discontinuation of the treatment regimen is warranted. 4)Adheres to Joint Commission, State, Federal, organizational and departmental regulatory compliance standards. 5)Administers therapeutic and diagnostic gases (exclusive of anesthetic agents), aerosolized medication treatments and chest physiotherapy. 6)Administers invasive and non-invasive mechanical ventilation and adjusts ventilation equipment to optimize patient support. Ensures correct ventilator alarms and settings. 7)Collaborates with the healthcare team when adjusting ventilation parameters and settings, as necessary in accordance with patient’s response. 8)Evaluates the effectiveness of therapeutic interventions by reviewing chest x-rays, utilizing noninvasive monitor values and laboratory results. 9) Monitors patient appearance and vital signs and consults with the LIP or a senior practitioner as necessary Documents accurate patient care activity in various electronic health records systems. 10) Contributes to departmental and organizational performance improvement initiatives and efforts to improve workflows, patient experience and quality. 11) Participates in student and employee training and education activities. · Perform all other duties as assigned. Work Experience · Associate's Degree /Legacy Approved Certificate Program · One year of experience as a CRT · Licensure as a Respiratory Care practitioner by the Maryland Board of Physician Quality Assurance · Certified Respiratory Therapist/RRT Eligible · Basic Cardiac Life Support Certification Benefits All your information will be kept confidential according to EEO guidelines. Compensation: •Pay Range: $33.36-$46.70 •Other Compensation (if applicable): •Review the 2024-2025 UMMS Benefits Guide

Respiratory Care Practitioner II Certified (Nights)

Job Requirements Located in Largo in the heart of Prince George’s County, our new state-of-the-art regional medical center (UM Capital Region Medical Center) will provide improved access to primary and ambulatory care services, and serve as a tertiary care center for critically ill patients. In addition, our new space will allow us to expand our offerings as a community partner to help improve the health status of Prince George’s County residents. We are looking for Respiratory Therapists to join our extraordinary Respiratory Care Team at University of Maryland Capital Region Medical Center as a number of new career pathways and makes this the perfect time for you to join our team. Our affiliation with the University of Maryland Medical System (UMMS) has created. Working under general supervision with approved protocols or under the order of a licensed independent provider (LIP), the Respiratory Care Practitioner II (Certified) executes assignments demonstrating a clinical competence in Respiratory Care in the selection of accurate technical factors on an individual patient basis necessary to evaluate and provide age appropriate treatment across all patient types in all locations to include cardiopulmonary dysfunction secondary to developmental defects, the aging process, physical injury or disease requiring the administration of inhaled medications, utilization of specialized ventilation equipment and performing a variety of respiratory care techniques. Adheres to all department and facility policies and procedures. 1)Manages an assigned case load and responds to emergent patient needs. Functions as part of a larger team to support patients under the department’s care. 2)Performs respiratory care in varied patient populations. Verifies all interventions are supported by protocol or LIP order. 3) Observes and monitors physical signs and symptoms, general behavior, general physical response to respiratory care procedures. Collaborates with LIP during patient rounds the therapeutic treatment plans to determine whether initiation, modification, or discontinuation of the treatment regimen is warranted. 4)Adheres to Joint Commission, State, Federal, organizational and departmental regulatory compliance standards. 5)Administers therapeutic and diagnostic gases (exclusive of anesthetic agents), aerosolized medication treatments and chest physiotherapy. 6)Administers invasive and non-invasive mechanical ventilation and adjusts ventilation equipment to optimize patient support. Ensures correct ventilator alarms and settings. 7)Collaborates with the healthcare team when adjusting ventilation parameters and settings, as necessary in accordance with patient’s response. 8)Evaluates the effectiveness of therapeutic interventions by reviewing chest x-rays, utilizing noninvasive monitor values and laboratory results. 9) Monitors patient appearance and vital signs and consults with the LIP or a senior practitioner as necessary Documents accurate patient care activity in various electronic health records systems. 10) Contributes to departmental and organizational performance improvement initiatives and efforts to improve workflows, patient experience and quality. 11) Participates in student and employee training and education activities. · Perform all other duties as assigned. Work Experience · Associate's Degree /Legacy Approved Certificate Program · One year of experience as a CRT · Licensure as a Respiratory Care practitioner by the Maryland Board of Physician Quality Assurance · Certified Respiratory Therapist/RRT Eligible · Basic Cardiac Life Support Certification Benefits All your information will be kept confidential according to EEO guidelines. Compensation: •Pay Range: $33.36-$46.70 •Other Compensation (if applicable): •Review the 2024-2025 UMMS Benefits Guide

Respiratory Care Practitioner II Certified (Nights)

Job Requirements Located in Largo in the heart of Prince George’s County, our new state-of-the-art regional medical center (UM Capital Region Medical Center) will provide improved access to primary and ambulatory care services, and serve as a tertiary care center for critically ill patients. In addition, our new space will allow us to expand our offerings as a community partner to help improve the health status of Prince George’s County residents. We are looking for Respiratory Therapists to join our extraordinary Respiratory Care Team at University of Maryland Capital Region Medical Center as a number of new career pathways and makes this the perfect time for you to join our team. Our affiliation with the University of Maryland Medical System (UMMS) has created. Working under general supervision with approved protocols or under the order of a licensed independent provider (LIP), the Respiratory Care Practitioner II (Certified) executes assignments demonstrating a clinical competence in Respiratory Care in the selection of accurate technical factors on an individual patient basis necessary to evaluate and provide age appropriate treatment across all patient types in all locations to include cardiopulmonary dysfunction secondary to developmental defects, the aging process, physical injury or disease requiring the administration of inhaled medications, utilization of specialized ventilation equipment and performing a variety of respiratory care techniques. Adheres to all department and facility policies and procedures. 1)Manages an assigned case load and responds to emergent patient needs. Functions as part of a larger team to support patients under the department’s care. 2)Performs respiratory care in varied patient populations. Verifies all interventions are supported by protocol or LIP order. 3) Observes and monitors physical signs and symptoms, general behavior, general physical response to respiratory care procedures. Collaborates with LIP during patient rounds the therapeutic treatment plans to determine whether initiation, modification, or discontinuation of the treatment regimen is warranted. 4)Adheres to Joint Commission, State, Federal, organizational and departmental regulatory compliance standards. 5)Administers therapeutic and diagnostic gases (exclusive of anesthetic agents), aerosolized medication treatments and chest physiotherapy. 6)Administers invasive and non-invasive mechanical ventilation and adjusts ventilation equipment to optimize patient support. Ensures correct ventilator alarms and settings. 7)Collaborates with the healthcare team when adjusting ventilation parameters and settings, as necessary in accordance with patient’s response. 8)Evaluates the effectiveness of therapeutic interventions by reviewing chest x-rays, utilizing noninvasive monitor values and laboratory results. 9) Monitors patient appearance and vital signs and consults with the LIP or a senior practitioner as necessary Documents accurate patient care activity in various electronic health records systems. 10) Contributes to departmental and organizational performance improvement initiatives and efforts to improve workflows, patient experience and quality. 11) Participates in student and employee training and education activities. · Perform all other duties as assigned. Work Experience · Associate's Degree /Legacy Approved Certificate Program · One year of experience as a CRT · Licensure as a Respiratory Care practitioner by the Maryland Board of Physician Quality Assurance · Certified Respiratory Therapist/RRT Eligible · Basic Cardiac Life Support Certification Benefits All your information will be kept confidential according to EEO guidelines. Compensation: •Pay Range: $33.36-$46.70 •Other Compensation (if applicable): •Review the 2024-2025 UMMS Benefits Guide