Some states specify, in policy or regulation, the tasks that unlicensed assistive personnel. 0000002851 00000 n hud 221 d 4 database; wilderness lodge transportation; 4 common characteristics of organization Can an RN prepare insulin for AFH staff to give to residents? document.write(unescape("%3Cscript src='" + tlJsHost + "trustlogo/javascript/trustlogo.js' type='text/javascript'%3E%3C/script%3E")); Professional Use by Practitioners, Washington State Department of Health: Medical AssistantFrequently Asked Questions, Washington State Department of Health: Changes to Medical Assistant Supervision Law, Donald Balasa, The Delegation of Off-Site Blood Draws in WA,, Delegation of Medication Administration by an Advance Practice Registered Nurse, Criteria for Determining Scope of Practice for Licensed Nurses and Guidelines for Determining Acts that May Be Delegated or Assigned by Licensed Nurses, Letter Regarding Delegable Duties in West Virginia, Letter Regarding Delegable Duties in Wisconsin, Letter Regarding Delegable Duties in Wyoming. Yes (Wis. Admin. In general, LPN's provide patient care in a variety of settings within a variety of clinical specializations. 0000005041 00000 n Can a nursing assistant check a blood sugar level? According to A.R.S. Can an RN prepare insulin for an RCAC staff member to give to residents? Create well-written care plans that meets your patient's health goals. Code N 6.03). An RN is fully liable for any procedures she/he requests or IDPH has nearly 200 different programs that benefit literally each state resident and visitor. However, an RN must assign these tasks to staff members. Some non-licensed staff members also may give injections (Wis. Admin. Most or all states grant prescriptive authority to APRNs as part of licensing. No, only nurses should do tube feedings. Housekeeping. 50-5. document.write(unescape("%3Cscript src='" + tlJsHost + "trustlogo/javascript/trustlogo.js' type='text/javascript'%3E%3C/script%3E")); *First Name: Prescriber-issued Protocols vs. Rx: Protocol or Rx (Depending on Age and/or Vaccine) Patient-age Limitations: >10yo (Limited to Certain Vaccines) Authority to Administer Zoster (Shingles) Vaccine: Yes. Certified medical assistants taught to give injections. Some non-licensed staff members also may give injections (Wis. Admin. So, now let us look at what a CNA can do! All rights reserved. NO. They cannot share stories at home, even if they do not tell the patients name. NARHC Webinars. The following staff members can give injections at an AFH: Can an RN prepare and give insulin injections to residents? Out of these, the cookies that are categorized as necessary are stored on your browser as they are essential for the working of basic functionalities of the website. Can an RN prepare and give insulin to residents? blue doberman puppies. Although not all states have stepped up and designed extended training for higher achieving CNAs, many are currently enacting legislation and are expecting their board of nursing to comply with state-approved programs and certification examinations. However, an RN or physician must supervise the LPN (Wis. Admin. Can a Licensed Nursing Assistant (LNA) administer medication? they are not legally qualified to do this, In NZ only those who have trained & registered as a Nurse Additionally, the BLS reports that the median salary for RNs is $71,730 annually. Yes, Medical assistants can give injections such as vaccines, hormone shots, flu shots and allergy shots. AAMA CEO and Staff Legal Counsel Donald A. Balasa, JD, MBA, can inform you about the laws in your state governing medical assistants' scope of practice and other issues that you may be considering as you staff your office. Can a nursing assistant administer oxygen? Not as a CNA you can't. You can give vaccines as a medical assistant. CMA Today| Employers|Volunteers|News, Subscribe to our e-Newsletter AAMA e-Update, Copyright American Association of Medical Assistants. daisy-mae . In the past, assisted living facilities carried limited state licenses that would not accommodate residents that required assistance with taking their medication. %PDF-1.7 % Collect specimens such as blood, urine, sputum, etc. However, an RN or physician must provide supervision. Our members represent more than 60 professional nursing specialties. Move downward to the arms, chest, stomach, legs, back and perineal area. $A\ H.$EBc\)&&F&S0L|7-7xv100iw\H~b: ( 79x 0000000596 00000 n The program was scheduled to end no later than September 30, 2009. "https://secure.trust-provider.com/" : "http://www.trustlogo.com/"); Code DHS 88.07(3)(d), N 6.03, N 6.04). The certification class she took was for CNAs. This cookie is set by GDPR Cookie Consent plugin. These procedures are considered invasive, and therefore, not within the medical assistants scope of practice. In my wound clinic CNAs can place wound vacs. Can RCAC staff prepare insulin pen doses? Actions a CNA Can Take In addition, CNAs can not prepare injections. Long-term care providers are harnessing the power of their CNA staff by providing special training for the following duties: Assisted living facilities are also training CNAs to provide a higher level of care for their independent residents. What are three tasks that nursing assistants do not usually perform? Assistants, Donald Balasa, COVID-19 Vaccination in Maryland,, Board of Registration in Medicine 243 CMR 2.00: Licensing and the Practice of Medicine; FAQs on BORIM Regulation Chapter 2.00 "Licensing & The Practice of Medicine", Circular Letter DCP 16-12-664: Immunization Administration by Medical Assistants, Acts (2016) Chapter 234: An Act Increasing Access to Immunization, Public Health Code of Michigan: Act 368 of 1978, Section 333.16215 Delegation of acts, tasks, or functions to licensed or unlicensed individual; supervision; rules; immunity; third party reimbursement or worker's compensation benefits, Public Health Code of Michigan: Act 368 of 1978, Section 333.16109 Definitions; S to T, Donald Balasa, Permissible Delegation of Influenza Vaccination Administration in Michigan,, Letter Regarding Delegable Duties in Minnesota, Mississippi State Board of Medical Licensure Policies: 3.12 Medical Assistants, Letter Regarding Delegable Duties in Missouri, Montana Code Annotated, 37-3-104: Medical AssistantsGuidelines, Administrative Rules of Montana: 24.156.401 Medical AssistantDelegation and Supervision, Letter Regarding Delegable Duties in Nebraska, Nevada Statutory Language; Nevada Regulation Language of the Board of Medical Examiners, New Hampshire Board of Medicine: Boards Position on Supervision of Medical Assistants, New Jersey Board of Medical Examiners: 13:35-6.4, Letter Regarding Delegable Duties in New Jersey, Donald Balasa, COVID-19 Vaccination in New Jersey,, Practice Information: Utilization of Medical Assistants, Delegable Duties: Letter Regarding Section 90-18(c)(13) of the North Carolina Statutes, North Carolina Medical Board: Delegating Medical Tasks to Unlicensed Personnel, North Carolina Medical Board: Delegation Appropriateness Table, Letter Regarding Delegable Duties in North Dakota, Initial Medication Assistant III Application, North Dakota Administrative Code 54-07-15: Medication Administration by a Medical Assistant III, Ohio Administrative Code: 4731.053 Administrative Rules for Physician's Delegation of Medical Task, Ohio Administrative Code: 4731-23: Delegation of Medical Tasks, Ohio Administrative Code 4723-13-05: Criteria and standards for a licensed nurse delegating to an unlicensed person, Ohio Administrative Code 4723.48 Delegation of authority to administer certain drugs, Ohio Administrative Code 4723.489 Delegated authority to administer drugs, State Medical Board of Ohio: Letter Regarding Physician Delegation of IV Catheter, Ohio Administrative Code 4730.203 Delegation of administration of drug, Letter Regarding Delegable Duties in Oklahoma, Letter Regarding Delegable Duties in Oregon, Oregon Medical Board Statements of Philosophy: Use of Unlicensed Healthcare Personnel, Letter Regarding Delegable Duties in Pennsylvania, Subchapter G. Medical Doctor Delegation of Medical Services, Letter Regarding Delegable Duties in Rhode Island, Guidelines Regarding Scope of Practice, Supervision, and Minimum Expectations of Conduct of Medical Assistants, South Carolina General Assembly: Amendment to the Nurse Practice Act, Regulations of the South Dakota Board of Nursing (November 2022), Letter Regarding Delegable Duties in Tennessee, Tennessee Board of Medical Examiners Policy Statement: Delegation of Medical Services, Donald Balasa, Delegation of COVID-19 Vaccinations in Tennessee,, Scope of Practice for Medical Assistants under Texas Law, Letter Regarding Delegable Duties in Texas, Texas Occupations Code, Title 3, Chapter 157: Authority of Physician to Delegate Certain Medical Acts, Letter Regarding Delegable Duties in Utah, Utah Medical Practice Act, Part 1: General Provisions, General Rule of the Division of Occupational and Professional Licensing, Letter Regarding Delegable Duties in Vermont, Virginia Board of Medicine: Injections by Trained Individuals Now Allowed, Letter Regarding Delegable Duties in Virginia, Code of Virginia 54.1-3408. However, the RN must supervise. All Nurses can give But opting out of some of these cookies may affect your browsing experience. Letter Regarding Delegable Duties in Wisconsin, Wyoming In addition to higher pay and a more specialized position, you can make a higher salary, and in some states, use your experience as a high-level CNA to receive a credit to further your career in healthcare or nursing. The cookie is set by GDPR cookie consent to record the user consent for the cookies in the category "Functional". xref These cookies track visitors across websites and collect information to provide customized ads. Give injections . The LPN must be supervised by an RN or a physician. You also have the option to opt-out of these cookies. TrustLogo("https://ssl.comodo.com/images/seals/sectigo_trust_seal_sm_2x.png", "SECDV", "none"); Copyright 2020 - All Rights Reserved - FindCNAClasses, Tips for CNAs: How to Handle Difficult Family Members on the Job, Pass and administer common medications that do not require special nursing assessment, Perform blood sugar finger sticks and may assist the patient to inject insulin, Apply topical medications to patients skin, Precept new CNAs in the program and on the nursing floor, Perform lab specimen collection and blood draws. Can CNA give shots? Yes. injections. Depending on the facility, CNAs may assist in preparing a room for a new patient or resident or clearing a room after patient is discharged. CNAs can only read patients charts if they need to know some information, and their facilities allow them to read charts. (225 ILCS 65/50-5) (was 225 ILCS 65/5-5) (Section scheduled to be repealed on January 1, 2028) Sec. NOTE: If you do not have a current email on file in the new software TMU, call DHSS 573-526-5686 or Headmaster 800-393-8664, and we can help you get started. Medical professionals must take and pass a Botox certification course to perform this procedure. 50 states grant prescriptive authority to CNMs. Chart in the medical record. Drugs that may be appropriate for a CNA to administer may include: 1. Currently, several states are considering or allowing the help of specially trained CNAs to pass medications, apply topical medications and take blood sugars in assisted facilities. September 21, 2022 by Alexander. Yes, if an RN assigns an RCAC staff member to prepare or give insulin to residents. NO. Alaska This training program must include hands-on injection technique and the recognition and treatment of emergency reactions to vaccines . He also shares personal stories and insights from his own journey as a scientist and researcher. Sr2>KLbL@ Within the clinical setting, particularly in primary care, non-registered nursing staff such as healthcare assistants and associate practitioners are undertaking an increasing role in wound management and, in some cases, performing compression therapy bandaging. Who do you mean? Provides care which may include changing bed linen, cleaning overbed table and bedside stand, straightening room, ensuring that wound supplies that are necessary for patient care are available, assisting Wound nurse with dressing changes and other general care as necessary throughout the shift. Well, the residents stay in the nursing home and the care team Submits a letter to the training agency from the student's administrator or director of nursing recommending the student take the course or a letter from a previous long . For the Board's purposes, the phrase "administer medications" regarding a medical assistant means to inject, handle, or provide medications to a patient after a physician . . No additional information available at the time of the report. CNAs are the backbone of nursing care and many are defining the new role of the nursing assistant. Yes. Your State | For specific questions regarding your state, submit your query below. 52 Posts Mar 15, 2013. Continuing Education|Membership The delegating healthcare practitioner must determine that blood draws don't require . In light of the licensed nursing shortage, many states are adopting unique CNA programs to train certified nursing assistants or CNAs to perform sophisticated medical duties and take on highly complex responsibilities in patient care. Can an RN prepare insulin for CBRF staff to give to residents? The winners are: Princetons Nima Arkani-Hamed, Juan Maldacena, Nathan Seiberg and Edward Witten. Yes. A: No, that is not true. Joy E Millar RN, Sight, hearing and even smell. // endobj Performance cookies are used to understand and analyze the key performance indexes of the website which helps in delivering a better user experience for the visitors. If the patient asks you to fill their Insulin needle, you must say "No." Rectal medications can not be given by unlicensed personnel. CNAs should never be required to administer a high-alert medication. Tasks that Medical Assistants May Perform. The adolescent protagonists of the sequence, Enrique and Rosa, are Arturos son and , The payout that goes with the Nobel Prize is worth $1.2 million, and its often split two or three ways. Can RCAC staff do finger-sticks and blood sugar checks with glucometers? Educating and providing instructions to the patients. However, the RN needs to provide supervision based on the resident's condition. For example, ZipRecruiter reports that the average annual salary for an aesthetic nurse lands around $90,142. However, the amount of supervision a staff member needs depends on the resident's condition. How do you monitor someone getting an injection? Inserting and removing tubes, give tube feedings, and changing sterile dressings. %%EOF In order to administer Botox injections, you must be a physician, physician assistant, dentist, registered nurse or another licensed healthcare practitioner. Measles, Mumps, Rubella. //]]> Take the patient's vital signs. Drawing blood is not one of the core functions of a CNA. However, staff members cannot prepare the dose themselves. kV8ExE`[3GDnsU;N.eWPYKE\ZcyAJdgOa q]FT( @dRGT $i@Ta`yH (L?$Zd/00Prr@h66D ?H3-M4#0 0K The RN must make sure the staff member is trained to give insulin injections. The RN must follow all rules for preparing, storing, and labeling insulin syringes (Wis. Admin. 2) Possess two years of clinical registered professional nursing experience within the last five years, at least one of which shall preferably have been in developmental disabilities. %PDF-1.4 % if your only a caregiver can you give injections ie for diabetes or MS i am told its ok cause we are live ins and it is measured and not illegal medicine, I dont think you can give the actual shot just remind the patient to do it. Letter Regarding Delegable Duties in Idaho, Indiana Article 30: Provisions Applicable to Health Care Professions & Occupations Nurses and Nurse Aides Practice Act Psychiatric Technicians Practice Act Scope of Practice Statements Scope of Practice Algorithm The Board has developed the following statements for use in determining the scope of practice. Injectable medicines, such as insulin, are often riskier to give than other medicines. Grooming patients by brushing their hair, teeth, shaving them, etc. An RN may assign an unlicensed ADCC staff member to give the injection (s. N 6.03 (3)). These include tasks such as bathing, feeding and dressing the patient and taking vital signs. WHEN THEY CAN IMMUNIZE Physician (MD or DO) Yes 63 P.S. Welcome to the DHSS CNA Registry web site. hb```b``nc`e` @16{8Zsu51X 0000000934 00000 n RNs should train the staff member and be available to answer questions (Wis. Admin. CNA training programs last from six weeks to several months. Q: Is it true, that if a Certified Nurse Aide (CNA) has had training in oral suctioning, that they can do this? AAMA CEO and Staff Legal Counsel Donald A. Balasa, JD, MBA, can inform you about the laws in your state governing medical assistants' scope of practice and other issues that you may be considering as you staff your office. 0000002623 00000 n The RN must follow all rules for preparing, storing, and labeling insulin. 1-917-426-3524, By using the site you agree to our Privacy, Cookies, and Terms of Service Policies. Yes. No. Pass a written competency test.*. When bathing a patient where should the CNA begin? endstream endobj startxref This cookie is set by GDPR Cookie Consent plugin. These cookies ensure basic functionalities and security features of the website, anonymously. Legislative purpose. Giving injections is not within the scope of practice of a CNA. var tlJsHost = ((window.location.protocol == "https:") ? Only if you have nurse delegation focus on diabetes. Can an RN assign RCAC staff to give insulin injections to residents with sliding-scale orders? When deciding how much supervision to provide, the RN should consider: When insulin is prepared, does each syringe need to be labeled? hbbd``b`$5`$8Rs8["z A,cq]]Aa h{ bm~ !0$$ f +$D@zY@4 C[&F 20{ @ 0 endstream endobj startxref 0 %%EOF 132 0 obj <>stream New Mexico Nursing Regulations: 16.12.2.12 Standards of Nursing Practice, Oklahama //q.jc]!,8z@FeS'8tLt6%h>xEGG`h(dPRIrX\\. The only issue I see with a CNA changing a leg bag is with sterility, since its super important to ensure the tubing for both bags stay as sterile as possible. can a cna give injections in illinoislodging house in balingasag, misamis oriental can a cna give injections in illinois Menu point break strain riverview farms. Born and raised in the city of London, Alexander Johnson studied biology and chemistry in college and went on to earn a PhD in biochemistry. Oral, topical, suppository, eye drops, ear drops 2. This can be dangerous otherwise. Choosing a specialty can be a daunting task and we made it easier. Salary can vary greatly depending on the state, city, years of employment, degrees and certifications held, and employer. Assistants/Nurses/Doctors/etc? An Illinois CNA must meet one of the following requirements: Have successfully completed an Illinois approved CNA training program. if your only a caregiver can you give injections ie for diabetes or MS i am told its ok cause we are live ins and it is measured and not illegal medicine. 1f2peGgGlj[k>I^>2OZ?A> xK|?ocQd_M,/dWXF7a/TU0n'v^3A: 3. RHC Statute, Regulation, and Guidance. Only a physician or pharmacist can prepare more than one dose at a time (Wis. Admin. are permitted by law to call themself a Nurse. Yes (Wis. Admin. What is the definition of a Certified Nursing Assistant (CNA)? Code DHS 89.23(4)(a)2): Can an RN prepare insulin and give it to residents? 2) Possess two years of clinical registered professional nursing experience within the last five years, at least one of which shall . Key States | Review the key states listed below for specific language pertaining to medical assisting scope of practice. States that allow extended duties and special training for CNAs include: As a CNA who passes medications, performs complex patient care and collects lab specimens, you may be licensed or certified in your state of practice. Contact your state CNA registry to determine what you can or cannot do in your specific area. The cookie is used to store the user consent for the cookies in the category "Performance". Removing sutures from minor cuts. is donald smith still alive; julie grant court tv cheerleader The verification must come directly from the out-of-state registry or certification program directly to the What is the highest paying state for CNA? Giving injections: CNAs are not allowed to administer injections, including insulin. Maine Revised Statutes: 3270-A. CNA specialists enjoy higher salaries and more diverse duties and interesting assignments. Most of the states allow the medical assistants to perform the following duties under the direct supervision of a physician, doctor, licensed practical nurses, or registered nurses: Measuring and recording vital signs. 0000005441 00000 n The supervising qualified pharmacist must comply with any applicable requirements (or conditions of use) as set forth in the CDC's COVID-19 vaccination provider agreement and any other federal requirements that apply to the administration of COVID-19 vaccine(s). Code DHS 83.37(2)(e), N 6.03). Code DHS 89.23(4)(a)2, N 6.03, N 6.04). CNAs can monitor fluid intake and output from urinary catheter bags and empty them when full. Some states allow CNAs to perform certain procedures under the Occupational Analysis of Medical Assistants, Letter Regarding Delegable Duties in Alabama, Alabama BON Administrative Code, Chapter 610-x-6: Standards of Nursing Practice, Alaska State Medical Board: Standards for Delegation of Routine Duties, Amending Sections 32-1456, 32-1559, 32-1803, and 32-1853.01, Arizona Revised Statutes, Content Requirements for CAAHEP Accredited Medical Assisting Programs, Medical Assistants Frequently Asked Questions (FAQs), Act 472: An Act to Authorize Physicians and Podiatrists to Delegate the Performance of Some, Simple Procedures to Employees; and for Other Purposes, Regulation 31: Physician Delegation Regulation, Medical Board of California: Physicians and SurgeonsMedical Assistants, Medical Board of California: Frequently Asked QuestionsMedical Assistants, Letter Regarding Delegable Duties in Colorado, Rules Regarding the Delegation and Supervision of Medical Services to Unlicensed health Care Providers, Connecticut Bill Amendments to Section 47, Delaware Board of Nursing Regulation: APRN Delegation to Medical Assistants of Medication Administration, Letter Regarding Delegable Duties in Delaware, Letter Regarding Delegable Duties in the District of Columbia, Donald Balasa, COVID-19 Vaccination in the District of Columbia,, 2019 Florida Statutes: 458.3485 Medical Assistant, Florida Board of Medicine: Ruling on Delegation of IV Infusion Therapy, Letter Regarding Delegable Duties in Hawaii, Letter Regarding Delegable Duties in Idaho, Administrative Code, Section 1285.335 Physician Delegation of Authority, Letter Regarding Delegable Duties in Indiana, Letter Regarding Delegable Duties in Iowa, Donald Balasa,"Clinical Task Delegation in Iowa,", Letter Regarding Delegable Duties in Kansas, Letter Regarding Delegable Duties in Kentucky, Memo Regarding "Use of Medical Assistants in the Prescription Refill Process - Kentucky Law", Letter Regarding Delegable Duties in Louisiana, Louisiana Administrative Code Professional and Occupational Standards: Delegation of Medication, Administration to Unlicensed Assistive Personnel in Outpatient Clinic Settings, Maine Revised Statutes: 3270-A. If the patients linens become wet or soiled, change them as soon as possible. Code DHS 89.23(4)(a)2, N 6.03). Yes. Policy and Advocacy. A Clinical Laboratory Improvement Amendments (CLIA) waiver is required (Section 353 of Public Service Health Act 1988). Yes. The cookie is set by the GDPR Cookie Consent plugin and is used to store whether or not user has consented to the use of cookies. CNAs perform basic patient-care duties under the supervision of a registered nurse or medical doctor. HHAs are certified like CNAs in my state and can empty foleys, JP drains, and perform simple dressing changes as long as there is documented training with each aide and new patient by an RN . I dont think you can give the actual shot just remind the patient to do it . //]]> Can Medical Assistants Work in Emergency Rooms? 0000001015 00000 n Skilled Nursing Facilities and Nursing Homes. However, nurses rely on their CNAs to report changes in skin condition promptly if seen during patient showering, toileting, or dressing. The cookies is used to store the user consent for the cookies in the category "Necessary". Each medical assistant program will offer medical assistant training on injections. The regulations governing medical assistants can be found in Title 16, California Code of Regulations, sections 1366-1366.4. No, most CNAs are not legally allowed to prepare or give intramuscular or IV shots or injections. Code DHS 83.37(2)(e), N 6.03). Do NOT follow this link or you will be banned from the site! Code DHS 89.23(4)(a)2, N 6.03). 0000000016 00000 n Each state offers its own scope of practice laws for medical assistants and some states address injections and other clinical tasks specifically. 0000008134 00000 n Oral or any other type of suctioning is a nursing function and can only be done by a nurse. The applicant who completed a CNA/GNA program out of state must be registered on the out-of-state nurse aide registry. www.comfortkeepers.com is using a security service for protection against online attacks. var tlJsHost = ((window.location.protocol == "https:") ? Healthcare professionals and students in Group 2 can administer vaccinations against COVID-19 pursuant to a non-patient specific order at PODs if they first receive training and are assessed as . A .gov website belongs to an official government organization in the United States. According to the American Public Health Association, professionals who will be able to administer the COVID-19 vaccine include: Nurses Nurse practitioners Doctors Students in health professions Physician assistants Pharmacy technicians Veterinarians (who routinely administer shots to animals) Dentists Medics EMTs endstream endobj 53 0 obj <> endobj 54 0 obj <> endobj 55 0 obj <>/Font<>/ProcSet[/PDF/Text]/ExtGState<>>> endobj 56 0 obj <> endobj 57 0 obj <> endobj 58 0 obj [/ICCBased 64 0 R] endobj 59 0 obj <> endobj 60 0 obj <> endobj 61 0 obj <> endobj 62 0 obj <>stream How much supervision is needed when an RN assigns RCAC staff to prepare or give injections? [CDATA[ National Nursing Assistant Week. Yes. (ACPE). Can an LPN prepare and give insulin injections to residents? Canada)* Yes RCW 69.50.101(jj)(3) RCW 69.41.030* RCW/WAC . Functional cookies help to perform certain functionalities like sharing the content of the website on social media platforms, collect feedbacks, and other third-party features. Yes, a CNA can collect a sputum sample after proper training. Whether the staff member is trained to give the injection. DHS 89.23(4)(a)2, Risks of Healthcare-associated Infections from Drug Diversion, Blood Glucose Monitors and Insulin Administration, Glucose Meters and Infection Control, P-01907, Infection Prevention during Blood Glucose Monitoring and Insulin Administration, Insulin Pens Must Never Be Used for More than One Person, Use of Fingerstick Devices on More than One Person Poses Risk for Transmitting Bloodborne Pathogens. greendale police scanner, jefferson parish garbage can replacement, ankar's steak in a sack recipe,
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