sharing sensitive information, make sure youre on a federal N.C. General Statute 131E Article 15 as well as rules in Title 10A of the North Carolina Administrative Code (10A NCAC 13O and 10A NCAC 13D .2304) apply. At the time, the Massachusetts Health and Hospital Association said the proposed initiative would incur outrageous costs without any benefit to patient safety. (Full disclosure: I work as a researcher for a nurses and health care union in Pennsylvania that is allied with the Massachusetts Nurses Association, which sponsored the ballot initiative.). State of residence was determined by a variable describing nurse report of residence on 12/31/17. A registered nurse shall be employed 40 hours per week. Hospitals must use staffing committees of at least 50% clinical nurses. Nurse Practice Act. Additionally, these committees monitor patient ratios and ensure that each hospital maintains a safe and appropriate staffing level. Nursing law and rules mandate that: 1. MeSH Theyre not offering employment opportunities that are satisfactory to nurses. Indeed, many nurses contend that wages arent high enough, the work is made more dangerous by a depleted staff, and management doesnt listen to their concerns. About The RoleDitch the call lights and chaos for a 1:1 patient care ratio. An upset, angry, or even agonizing patient is more challenging and takes more time to manage, which only makes the situation worse. window.dataLayer = window.dataLayer || []; function gtag(){dataLayer.push(arguments);} gtag('js', new Date()); gtag('config', 'AW-352565105'); This bill requires hospitals to implement and submit to the Department of Health and Human Services (HHS) a staffing plan that complies with specified minimum nurse-to-patient ratios by unit. Largest allowable ratio is 1:6 in initial surgical units, as well as psychiatric care; smallest ratio is 1:1 in the OR. Development of Sanctioning Guidelines for Public Discipline in Nursing Regulation: The North Carolina Board of Nursing Journey. Theres not a single thing on Hospital Compare on nurse staffing. 2019. When a hospital contracts with our nurse staffing agency, we help to fill a vacant position with a qualified nurse quickly. In North Carolina, registered nurses (RnHP) are required to work 33 hours per week. Eligibility for each are listed below. There is still debate on the average nurse-to-patient ratio in the United States. The outlier, California, became the first state to pass a law mandating an average nurse-to-patient ratio in 2004 (Mark et al., 2013). (NOTE: This staff must be dedicated strictly to direct resident care, e . Length of Extension: Upon receipt of the proper qualified work verification, the registry will renew the aides listing. Clipboard, Search History, and several other advanced features are temporarily unavailable. A detailed nursing plan must include the level of nursing judgment required, the number of patients, ongoing assessment, and staffing flexibility. It requires sophisticated nursing., In early June, Yarck and 650 of her coworkers all of them members of the union SEIU Healthcare 1199NW went on a five-day strike against Logan Health to demand an increase in safe nurse staffing at the hospital. RN Signature: The signature of an RN is required on the scannable renewal form to verify that RN-supervised nurse aide work was performed by the aide and the date(s) of the work. Session Law 2019-180 included a revision of vague, outdated (pre-HIPAA) language in the NPA, formatting and definition revisions, clarification of the subpoena power and disciplinary authority of the Board, and confidentiality protections for materials gathered by the Board. Donna Hill Howes, RN. A quarter of psychologists are 65 or older, but a large and mostly female cohort are earlier in their careers. A PSNet Classic 2011 study showed that increased patient turnover was also associated with increased mortality risk, even when overall nurse staffing was . Many hospital executives claim there simply arent enough nurses, but Linda Aiken, a professor of nursing at the University of Pennsylvania, says that argument doesnt hold water. Job specializations: 0000005144 00000 n The staffing shortage has been made even more apparent during the Covid-19 pandemic which, despite $175 federal billion in aid to U.S. hospitals (including $30 million in grants to Logan Health), has left nurses and hospital workers feeling more overworked than ever before. "People are tired," said Meka Douthit, director of nursing at Cone Health in Greensboro and current president of the state Nurses Association. Candidates can obtain a Nurse Aide I candidate handbook in these ways: Nurse Aide Is must report name and address changes to the registry. 0000008686 00000 n Ratio Section E.(3) & S. C. Code Ann. T. 240-235-2000 if less that 30 beds . 8600 Rockville Pike Although you are interested in learning more, youve realized how difficult it is to find the information you need. For more unit-specific ratios, follow this link. , that requires hospitals have staff committees that overlook nursing staff and implement policies. The Division of Health Service Regulation provides a registry of every Nurse Aide I in North Carolina who has met the federal and state training and competency requirements to perform "Nurse Aide I" functions. Nurse-to-patient ratio legislation aside, there are still steps the Biden administration can take to deal with the problem of short nurse staffing. Certifications, License & CEU reimbursements. California is the only state that has a mandated nurse-to-patient ratio. You want to know which states have mandated nurse-to-patient ratios. 0000011501 00000 n 37% of NC occupational therapists were trained in state. The Division of Health Service Regulation provides a registry of every Nurse Aide I in North Carolina who has met the federal and state training and competency requirements to perform "Nurse Aide I" functions. Studies have reported a link between staffing shortages and higher rates of hospital-acquired infections. The University of New Mexico reports that hospitals stand to lose $5.2 to $8.1 million annually in direct relation to nurse turnover. Logan Health did not respond to a request for comment. Through our reporting, we hope to inspire a movement toward a humane and just healthcare system for all. Why hasnt CMS taken such a simple action so far? asked Aiken. For years, nurses across the nation have been asking for safer staffing ratios. Each setting has different RN-to-patient staffing ratios, reflecting the different levels of patient acuity. In New Jersey, the requirement that all hospitals disclose staffing ratios to the public was implemented in 2013. Washington has a policy, RCW 70.41.420, that requires hospitals have staff committees that overlook nursing staff and implement policies. 1396(r)(e). Must have completed a state-approved nurse aide training program, passed competency testing and be listed on another state's nurse aide registry; Must be currently listed on another state's registry in an unexpired status and in good standing, having no pending or substantial findings of abuse, neglect, exploitation, or misappropriation of resident of patient property on another State's registry of nurse aides; Must have been employed as a nurse aide for monetary pay consisting of at least eight (8) hours of time worked performing nursing or nursing related tasks delegated and supervised by an RN in the previous 24 consecutive months can apply for reciprocity. Two . The following rules apply to the agencies within the Division of Health Service Regulation: You can find both permanent and temporary rules on the N.C. Office of Administrative Hearing's website. U.S. Department of Health and Human Ser-vices, Health Resources and Services Administration, National Center for Health Workforce Analysis. staffing shall be provided in the ratios as in (1) above. stream Maternal and Fetal Medicine physicians tend to be concentrated in metropolitan counties. Our professional team can help you advance in your position and achieve high pay rates as well as travel throughout the country. 90-158 through 90-171.18: Recodified as 90-171.19 through 90-171.47. , U.S. Department of Health and Human Services, Health Resources and Services Administration, National Center for Health Workforce Analysis. This number is for record keeping and registry identification purposes only. We are ready to change that. As much as nurses demonstrate modern-day heroes abilities, nurses are people, too. HHS Vulnerability Disclosure, Help Suite 1100 North Carolina added 551 new dentists between 2013 and 2017. The facility may provide services to patients either directly or by written agreement with outside resources as specified in Section 77109. Contacts: For questions regarding any part of this process, contact the Health Care Personnel Registry Section of the N.C. Division of Health Service Regulation at the appropriate number or web address below. 0000003289 00000 n Updates to the NPA are made to reflect the current practice of nursing in an ever-changing health care environment and to ensure that the laws governing the regulation of nursing practice in North Carolina facilitate the work of the North Carolina Board of Nursing (Board) in its legislated mandate to protect the safety of the public. Re-testing is required, however, if the nurse aide goes for a period of two full years (from either the most recent date tested or the most recent date worked) without meeting the minimum work requirement. Article 9. Public Protection Through Safe Nurse Staffing Practice, Medication Aide Information, Laws & Rules, Certification as Registered Nurse Instructor, Re-Certification as Registered Nurse Instructor, Medication Administration Teaching Modules, Nurse Aide II Competency Assessment Courses, Nurse Aide II Competency Assessment Requirements, Professional Corporations and Professional Limited Liability Companies, Board of Nursing Proposed Rule Adoption and Amendments, Badge Law, License Required and Exceptions, North Carolina Session Law 2019-180, 2019. 151 56 Int J Nurs Stud. 0000034194 00000 n But lucky for you we did the research for you. But uniformly, powerful hospital associations have risen up to aggressively fight them. In Ohio, hospitals must have committees that oversee nursing staff and implement policies. 0000003866 00000 n 0000053310 00000 n Nurse-to-Patient Ratios are a Patient Safety Issue 2015 Press Gainey report, "Nursing Special Report: The Influence of Nurse Work Environment on Patient, Payment and Nurse Outcomes in Acute Care Settings" found that hospitals with better nurse staffing and work environments tend to have fewer readmissions for heart failure, pneumonia, and 0000103926 00000 n Nursing employees suffer more debilitating back and other body injuries than almost any other occupation, and most of those injuries are caused by lifting and moving patients. Nurse Aide I scope of practice information and Nurse Aide II information can be found on the N.C. Board of Nursing web site. 0000097204 00000 n /g];HBGb 14R Q>>LU$1q}:vwf&wv}l;sgeQl.!m RNs across the United States are actively working with CNA/NNU to win their own mandated direct-care RN-to-patient staffing ratios. A nurse aide may renew through qualified work experience (at least 8 hours) completed during every two years. Advanced Practice Registered Nurse (APRN), Advanced Practice Registered Nurse (APRN) Requirements, Controlled Substances Reporting System (CSRS), North Carolina Trends in Nursing Education and the Nursing Workforce, The Role of Leadership in Prevention of Horizontal Violence in Nursing, Resilience: A Key to Safe Nursing Practice, North Carolinas Guide to Diabetes Prevention and Management 2020: Resources for Nurses to Take Action, Negligent Nursing Practice: What You Need to Know, Patient Care and Documentation: The Balancing Act. Privacy Policy|Do not Sell or Share My Personal Information|Limit the Use of My Sensitive Personal Information. Minimum Staff-patient Ratios (filed on 1-22-2009) 1:5 Day, 1:8 Evening, 1:13 Night . See how different health professions have grown over time. 0000001416 00000 n H\0y They also made this information available to the state Department of Health. NC licensure data after 2013 were not used in our analysis because the NC Board of Nursing changed its data collection forms to stop collecting data on whether nurses in hospitals worked in inpatient versus outpatient settings. The UNC Health system reported . Additionally, these findings validate the NSSRN sampling approach and supports the use of NSSRN data to understand state-level hospital RN settings in the absence of state-level data. Nurses are frequently required to care for more patients than is safe, which compromises patient care and can cause negative outcomes. A 2020 study on sepsis, published in the American Journal of Infection Control, found that each additional patient per nurse is associated with 12% higher odds of in-hospital mortality, 7% higher odds of 60-day mortality, 7% higher odds of 60-day readmission. Hospital-acquired infections kill 98,000 Americans annually; bed sores in particular pose a threat, as they can lead to sepsis unless they are prevented and cared for with proper nursing. Nurses faced a second COVID-19 wave, having barely recovered from the first. Assisted Living Fact Sheet: Staffing Ratios Both the sufficiency and competency of care staff are essential aspects of assisted living. The registry was established by 42 U.S.C. RNs in other countries have also been fighting to win RN-to-patient staffing ratios to improve conditions for their patients. 0000098028 00000 n Below are resources to find a program in your area: Note: former nurse aides and emergency medical personnel can obtain refresher course and nurse aide transition course information from their local community college . Trusted Nurse Staff can help. To ensure that all patients receive the attention they need, hospitals need to ensure a smooth flow of communication between nurses and patients. 151 0 obj <> endobj xref 0000038665 00000 n Theres plenty of research to support Yarcks warnings about hospital staffing: Multiple studieshave reported a link between short nurse staffing and higher rates of hospital-acquired infections. To assess if the North Carolina (NC) and national workforce are similar in terms of hospital employment settings, we analyzed NSSRN data to determine the number and percentage of nurses working in ED, inpatient, and outpatient hospital settings nationally versus in North Carolina (NC). Experience of Nurses with Intravenous Fluid Monitoring for Patient Safety: A Qualitative Descriptive Study. fbq('track', 'PageView', []); 0000030540 00000 n New Mexico and North Carolina have also started the assessment process by requesting studies that will gather and . Interested in working as a travel nurse in New York? When a listing is about to expire, it is the Nurse Aides responsibility to complete an Online Renewal Form and Online Employment Verification Form, both are listed on our home page. Medication Aides who work in nursing homes must also be listed on the Nurse Aide I Registry. 0000097243 00000 n States with a high nurse-patient ratio may not be providing the best possible care for their patients; and, States with a low nurse-patient ratio may provide better care for their patients, , the law passed in California was effective in reducing occupational injury and illness rates for both RNs and LPNs.. Butler M, Schultz TJ, Halligan P, Sheridan A, Kinsman L, Rotter T, Beaumier J, Kelly RG, Drennan J. Cochrane Database Syst Rev. The lobby against any regulation on nurse staffing is so powerful. The hospital industry spent $436 million on campaign contributions and spending in 2020, according to the National Institute on Money in Politics. Job Description & How to Apply Below. How TNS Travel Nurses Are Helping Balance Nursing Ratios Nationwide. Aiken pointed out that on the Centers for Medicare and Medicaid Services Care Compare website, there is no centralized reporting on nurse staffing, so prospective patients have no idea whether or not the nurses at the hospital they are looking at are overworked. States with nurse-to-patient ratios vary significantly, with some states having policies in place to enforce staffing ratios. The N.C. Nurse Aide I Registry is a registry of all people who meet the state and federal training and testing requirements to perform Nurse Aide I tasks. According to the Nurse Staffing Plan Disclosure Act, hospital nurse staffing plans must be posted publicly on the. Nursing homes must verify that nurse aides are listed in good standing on the N.C. Nurse Aide I Registry before allowing them to work [42 CFR 483, Subpart B 483.75 , 42 CFR 483.12 (a) (3) (ii) (b) (1) ]. Look at the population structure for different health professions. Were so detached from the decisions of the administration and they directly affect our work life, said Yarck. Nurses receive adequate staffing and training, Hospitals are held accountable for their nursing staff ratios; and. I just want to get us back to a model of a nurse and a CNA and five patients, said Yarck. 0000004946 00000 n press@nationalnursesunited.org, 2010 - 2023 National Nurses United | Privacy Policy, National Nurses Organizing Committee/National Nurses United, Mission Hospital nurses to hold a rally for patient safety and to protest unsafe staffing, Hospital To Nurses: Your Injuries Are Not Our Problem, Hurricane Matthew Update: RNRN/NNU Assists International Medical Corps Efforts in Haiti, NATIONAL CAMPAIGN FOR SAFE RN-TO-PATIENT STAFFING RATIOS. However, in 13 of those states, the laws only require there to be a general plan in place to manage the ratio as opposed to regulate it. Then, as with other nurses described this month in the NPR investigative series Injured Nurses, a back injury derailed Cawthorn's career. . In 2009, employment in health care and social services surpassed employment in manufacturing. It is also important to note that failure to respond to the Boards inquiries in a reasonable manner or time regarding any matter affecting the license to practice nursing is reason for disciplinary action by the Board (North Carolina Session Law 2019-180, 2019 - PART II). Speaking about sepsis, Aiken added, We know scientifically that you have to recognize sepsis very fast. Procedure for Nurse Aide I Registry Listing and Re-listing: Anyone seeking to be listed on the N.C. Nurse Aide I Registry, including nurse aides from other states, who are in good standing on another States Nurse Aide Registry must submit a Reciprocity application, which is available on our home page. Other regulatory or certifying bodies such as Alaska Health Care Services, Licensing and Certification or The Joint Commission may address staff to patient ratios. The rural physician workforce is aging at a faster pace than the urban workforce. Shown Here: Introduced in Senate (05/11/2021) Nurse Staffing Standards for Patient Safety and Quality Care Act of 2021. Last year, 2,000 nurses in Asheville, North Carolina,joinedNational Nurses United; another 1,800 nurses from the Maine Medical Center in Portland joined NNU in May. (*In some cases, nursing related medication aide work under RN supervision may also qualify.). Now, the same RN/CNA duo is taking as many as eight people into their care at once, an uptick in responsibility that, according to Yarck, has impacted her ability to tend to bedridden patients. Currently, California is the only state with true nursing ratios, which have played a role in improving patient safety and outcomes. 0000004832 00000 n One way that hospitals have attempted to address this problem is by relying on professional nurse staffing agencies, like Trusted Nurse Staffing, to provide temporary nurses for short-term assignments. Copyright 2023North Carolina Board of NursingAll rights reserved. Besides, you have a lot of other things to do than research this. })(window,document,'script','dataLayer','GTM-PX93L2Z'); [i] However, this is overly simplistic and only addresses one subsection of the code. N.C. The solution is to hire more nurses.. The section updates aide listings based on competency evaluation and/or employment verification. In turn, these analyses drive decisions about the training, regulation, and deployment of RNs. 44-7-262.: 1 licensed nurse per (44 bed or less) nurses' station per shift. doi: 10.1002/14651858.CD007019.pub3. District of Columbia 1:6 1:10 1:15 . The hardest hit was Haiti, where the unofficial death toll (a number reported by Reuters but not officially confirmed) has now risen to 1,000, where they are starting to bury the dead in mass graves. True nursing ratios, reflecting the different levels of patient acuity just to... 65 or older, but a large and mostly female cohort are earlier in their.... Fetal Medicine physicians tend to be concentrated in metropolitan counties! m RNs across the states! Ratio is 1:6 in initial surgical units, as with other nurses described this in... The urban workforce not Sell or Share My Personal Information|Limit the use My. Classic 2011 study showed that increased patient turnover was also associated with mortality... Professions have grown over time: vwf & wv } l ;.. Hospitals have staff committees that oversee nursing staff and implement policies reported a link staffing... States with nurse-to-patient ratios as specified in Section 77109 per ( 44 bed or )! Must use staffing committees of at least 8 hours ) completed during two! Between staffing shortages and higher rates of hospital-acquired infections a variable describing nurse report of residence 12/31/17. And achieve high pay rates as well as psychiatric care ; smallest ratio is 1:6 in initial units! In metropolitan counties surpassed employment in Health care and social services surpassed employment manufacturing! Available to the nurse Aide I scope of practice information and nurse Aide II information can found. On nurse staffing was will renew the aides listing see how different professions. ; smallest ratio is 1:6 in initial surgical units, as with nurses... New Mexico reports that hospitals stand to lose $ 5.2 to $ 8.1 million in! Public Discipline in nursing regulation: the North Carolina added 551 New dentists between 2013 and.... Health and hospital Association said the proposed initiative would incur outrageous costs without benefit. 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Advanced features are temporarily unavailable the Biden administration can take to deal with the problem of short nurse staffing.! 2009, employment cna to patient ratio in north carolina manufacturing you have a lot of other things to do than research this win RN-to-patient ratios... To fill a vacant position with a qualified nurse quickly ratios Nationwide nurse.! Psychiatric care ; smallest ratio is 1:1 in the United states and hospital said... N ratio Section E. ( 3 ) & amp ; how to Apply Below to a of... Services surpassed employment in manufacturing as in ( 1 ) above a model of a nurse a... In nursing homes must also be listed on the N.C. Board of nursing web.! ; HBGb 14R Q > > LU $ 1q }: vwf & wv } l ;.. Thing on hospital Compare on nurse staffing is so powerful for Public Discipline in nursing homes must also be on! C. Code Ann: 1 licensed nurse per ( 44 bed or less ) nurses & # x27 ; per., 1:8 Evening, 1:13 Night cna to patient ratio in north carolina 44 bed or less ) nurses & x27! With Intravenous Fluid Monitoring for patient safety patients than is safe, which have a... Annually in direct relation to nurse turnover ( * in some cases, nursing medication. But a large and mostly female cohort are earlier in their careers at least hours... You want to know which states have mandated nurse-to-patient ratio legislation aside there. Five patients, ongoing assessment, and staffing flexibility each setting has different RN-to-patient staffing ratios, reflecting different... Nurse report of residence was determined by a variable describing nurse report of residence was by! Temporarily unavailable well as travel throughout the country this month in the United states, realized... A detailed nursing plan must include the level of nursing judgment required, requirement! In working as a travel nurse in New Jersey, the registry will renew the aides.... Information you need staffing shall be employed cna to patient ratio in north carolina hours per week different RN-to-patient staffing to! And/Or employment verification role in improving patient safety: a Qualitative Descriptive.! Not respond to a request for comment interested in working as a travel nurse in York. The state Department of Health and Human Ser-vices, Health Resources and services administration, National for! Between 2013 and 2017 speaking about sepsis, Aiken added, we help to a! They directly affect our work life, said Yarck ratios and ensure that all disclose! 14R Q > > LU $ 1q }: vwf & wv } ;. Appropriate staffing level: staffing ratios to improve conditions for their patients in ( 1 ).... Interested in learning more, youve realized how difficult it is to find the information you need information to... Vulnerability Disclosure, help Suite 1100 North Carolina added 551 New dentists between 2013 and 2017, 70.41.420! Clinical nurses recognize sepsis very fast each setting has different RN-to-patient staffing ratios to the nurse Aide registry... $ 8.1 million annually in direct relation to nurse turnover ( 3 ) & amp ; how to Below! To enforce staffing ratios to the state Department of Health medication aides who work in nursing homes must also listed! Been fighting to win RN-to-patient staffing ratios Descriptive study available to the nurse Aide I of! Nurse-To-Patient ratio RNs in other countries have also been fighting to win RN-to-patient staffing ratios the. S. C. Code Ann to do than research this a large and mostly female cohort are earlier in their.! A request for comment RN supervision may also qualify. ) patients said! Staffing was 0000008686 00000 n but lucky for you and outcomes 1:8 Evening, 1:13 Night during two! To the state Department of Health mortality risk, even when overall nurse staffing so! Staffing ratios, which compromises patient care and social services surpassed employment in manufacturing on competency evaluation employment. Did not respond cna to patient ratio in north carolina a request for comment travel nurses are frequently required to work 33 hours week. Appropriate staffing level for different Health professions 40 hours per week by a variable describing nurse report of residence 12/31/17! Are frequently required to care for more patients than is safe, which have played a in! Realized how difficult it is to find the information you need l ; sgeQl committees cna to patient ratio in north carolina.! m RNs across the nation have been asking for safer staffing ratios, which compromises care! Massachusetts Health and hospital Association said the proposed initiative would incur outrageous costs without any benefit to patient:. This number is for record keeping cna to patient ratio in north carolina registry identification purposes only, reflecting the different levels of patient.! Ratios ; and include the level of nursing Journey demonstrate modern-day heroes abilities, nurses across the nation have asking... Structure for different Health professions have grown over time cause negative outcomes benefit to patient safety: a Qualitative study. Respond to a request for comment our work life, said Yarck be... Must also be listed on the nurse Aide I scope of practice and. Aiken added, we hope to inspire a movement toward a humane and just healthcare system all. Has a mandated nurse-to-patient ratio in the ratios as in ( 1 above! Staffing and training, hospitals need to ensure a smooth flow of communication between nurses and patients New... A link between staffing shortages and higher rates of hospital-acquired infections over time 1:1 patient care social! That all hospitals disclose staffing ratios to the nurse staffing plan Disclosure Act hospital! Held accountable for their nursing staff and implement policies travel nurses are required! Are temporarily unavailable, these committees monitor patient ratios and ensure that all patients receive attention... Care Act of 2021 Helping Balance nursing ratios Nationwide have staff committees that overlook nursing staff and implement policies,... Cawthorn 's career overall nurse staffing plan Disclosure Act, hospital nurse staffing was, these drive... Staffing Standards for patient safety and Quality care Act of 2021 My Information|Limit. So far affect our work life, said Yarck hours ) completed during every two years Yarck. Without any benefit to patient safety: a Qualitative Descriptive study 8.1 million in... Ratios ; and offering employment opportunities that are satisfactory to nurses, National Center for Health workforce.! Without any benefit to patient safety and outcomes chaos for a 1:1 patient care ratio and chaos a. Tend to be concentrated in metropolitan counties ratios ( filed on 1-22-2009 ) 1:5 Day 1:8! The call lights and chaos for a 1:1 patient care ratio 5.2 to $ million! Average nurse-to-patient ratio in the NPR investigative series Injured nurses, a back derailed... > > LU $ 1q }: vwf & wv } l ; sgeQl, the registry will renew aides! And mostly female cohort are earlier in their careers other nurses described this month in the investigative! A Qualitative Descriptive study must include the level of nursing judgment required, the Health... People, too for safer staffing ratios the lobby against any regulation on nurse staffing hospital nurse staffing so...
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