Registering your Autonomous Practice Autonomous Practice is defined as an advanced nursing practice by an advanced practice registered nurse who is registered under Florida Statute 464.0123 and who is not subject to supervision by a physician or a supervisory protocol. Rule 64B9-4.002(3), F.A.C., provides the professional or national nursing specialty boards recognized by the Board. Reimbursement policies are another barrier to PMHNPs practicing autonomously in Florida. Generally, an NP needs to see 20 patients a day to generate enough money to make a practice profitable. New York and Kansas pass legislation that grants full-practice authority to nurse practitioners. Still, Dr. Hays remains optimistic. Others introduce themselves with their first names and let their credentials do the talking. The Advocate State Award for Excellence is given annually to an individual in each state who has made a significant contribution toward increasing awareness and recognition of NPs. In these states, nurse practitioner independent practices can provide a range of services without physician oversight, including patient exams; performing, ordering, and interpreting diagnostic tests; prescribing medication; and managing treatment plans. Although highly educated and trained, the power to independently prescribe medications for nurse practitioners (NPs) varies from state to state.. A nurse who is certified by a health care specialty program accredited by the National Commission for Certifying Agencies or the Accreditation Board for Specialty Nursing Certification is exempt from continuing education requirements. Manage selected medical problems. Please see S. 464.0123(1)(2), FS for registration and financial responsibility requirements. This includes initiation, alteration and cessation of prescription drugs. The APRN license is independent from the RN license so it will be a different license. For more information contact us at (305) 877-5054; email us at JRJ@JonesHealthLaw.com, or visit our website at www.JonesHealthLaw.com. The Department of Health, Bureau of Vital Statistics looks forward to supporting and welcoming Autonomous Advanced Practice Registered Nurses (AAPRNs) as online users of the states Electronic Death Registration System (EDRS). Please see S. 464.0123(3), FS for practice requirements. Under the law as written APRNs who meet certain criteria to practice primary care or midwifery without physician supervision or a protocol are given this status. Autonomous practice by an advanced practice registered nurse. The practice of an APRN, certified as a PMHNP, is not considered to be solely within the definition of primary care and as such, the PMHNP must still maintain a collaborative agreement. How many contact hours do I need for a full biennium. Both NPs and PAs can provide safe and quality care. Musculoskeletal causes of difficulty walking Broken bones and soft tissues injuries, including sprains, strains and tendonitis. Puy an executive summary as the first page with bullet points highlighting the benefits that he/she would receive by hiring you, in the body of the plan make sure the numbers bare out your expectations. The cookie is used to store the user consent for the cookies in the category "Performance". It is an optional registration to seek, however, registration must be approved before you may practice autonomously. It also leaves the Clinical Specialist scope of practice very vague. It should be noted thatI am not your lawyer(unless you have presently retained my services through a retainer agreement). And board-certified Pediatric Nurse Practitioners like Dr. Hays are frustrated by regulatory barriers to treating common mental health issues like ADHD, anxiety, and depression, and forced to refer long-term patients to far-off providers that they dont have any prior relationship with. Courses may be completed at any time within the 5 years before applying for Autonomous APRN Registration. *****************************************************. Why Arent There More Male Nurse Practitioners? I am seeking an entrepeneurial psych RNCS or NP interested in a charming seaside community within miles of Boston. Creatine may cause heart arrhythmias, but , Carrots are a rich source of nitrates, which may be converted into nitric oxide to increase vasodilation, possibly decreasing blood pressure. Be careful to not do something in one that you should not be doing; know your scope! Rather, an application process is still needed, as well as final regulations governing the new law. Yes, NPs can certainly inject Botox. Suggest changes to inaccurate or misleading information. In 2020, the Florida Legislature changed the law to allow Advanced Practice Registered Nurses (APRNs) who are eligible to hold the status of independent practitioner. A second limitation was the language of the educational requirements. How do I provide proof of graduate level courses or CE completed for the autonomous registration. The General Standard of Practice shall be that standard of practice, care, skill, and treatment which, in light of all relevant surrounding circumstances, is recognized as acceptable and appropriate by reasonably prudent similarly situated health care providers.. practice for more than the past 5 years must complete 45 hours of pharmacotherapeutics CE within 1 year prior to application in addition to the advanced practice nursing refresher program. practice on meeting the requirements established by the board. Corns, calluses, sores or warts. Florida Behavioral Health Providers Nurse Practitioners Optometrists Oral Health Providers Pharmacists Physician Assistants Most Recent Florida SOP Legislative Search Results FL S 282 : Mental Health and Substance Use Disorders - Relates to mental health and substance use disorders, provides that Subject: Peer Support Specialists Presently, PMHNPs are required to work under physician supervision and provide care or prescribe medication pursuant to supervisory protocols developed between the PMHNP and the physician. Effective July 1, 2020, Advanced Practice Registered Nurses (APRN) will be able to register their own autonomous practice throughout Florida with the passage of House Bill 607. Can you work as an RN and NP at the same time? You dont have to pursue it. Pharmacy rules require that all the information necessary to properly label the prescription container be included on the prescription. Ive been an NP since 2003 and I teach pharmacology and differential diagnoses, Dr. Hays says. Pursuant to s.394.455 (35), F.S., "Psychiatric nurse" means an advanced practice registered nurse certified under s.464.012 who has a master's or doctoral degree in psychiatric nursing, holds a national advanced practice certification as a psychiatric mental health advanced practice nurse, and has 2 years of post-master's clinical experience They know exactly what your concerns are and might may very well toss in a couple things that you may not have considered. If it is in your protocols that you are to dispense medications for a fee, you must be authorized to dispense. Statutory authority on protocols is Section 464.012(3), F.S. As a certified health coach and yoga instructor, Sandra has a wealth of knowledge and experience in the fields of health and wellness. Good luck. Dr. Hays serves as Treasurer on the Executive Board of the National Association of Pediatric Nurse Practitioners (NAPNAP) and is the Florida (north) representative for the American Association of Nurse Practitioners (AANP). Im working in community mental health at this time and know that I want to go into business for myself in the future. The national certifying body can submit proof of your certification directly to the board. Certified Registered Nurse Anesthetist ($181,040) The highest paid profession for an NP seems to be that of the Nurse Anesthetist. Our contributing writers leverage diverse educational and professional backgrounds to create content for NurseJournal. NurseJournal.org is committed to delivering content that is objective and actionable. An APRN can demonstrate this in one of two ways: These financial responsibility requirements do not apply to: (1) registered APRNs who practice exclusively for the Federal Government or the state; (2) APRNs who are inactive; (3) APRNs practicing only in teaching environments at an accredited school or teaching hospital; and (4) an APRN who is registered but is not engaged in autonomous practice. Even though DNP-educated nurses can use the title of doctor, many choose to clarify their role when speaking with patients. This definition would be read in conjunction with Section 464.0123(3), Florida Statutes. https://floridasnursing.gov/applications/autonomous-aprn-registration.pdf. From what I've read previously, Nurse Practitioner practice in Florida has some unique challenges. All the NPs I know work for other people or facilities so I would appreciate any help you may give me. Not be subject to any disciplinary action in Florida or any other state or territory within the 5 years immediately preceding the registration filing. Code 610-X-5-.08 (4)). Money and Outpatient Psychiatry: Practice Guidelines from Accounting to Ethics, Getting Started in Private Practice: The Complete Guide to Building Your Mental Health Practice, http://cme.medscape.com/viewarticle/508395. durham ontario police; does maddie know the killer in hush; I want to know if this is legal to do or does the MD need to be the sole owner of the business? What can a DNP do that an NP cannot? for greater than a seven-day supply, for treatment for psychiatric and mental health conditions. The remaining restrictions arent just limiting the services that Floridas NPs can provide; theyre also potentially incentivizing healthcare professionals to move out of the state. The cookies is used to store the user consent for the cookies in the category "Necessary". Which U.S. States Have the Highest Demand for Nurse Practitioners? She is the recipient of state, national, and international leadership and advocacy awards. Passing the bill meant a bitter and protracted fight with the Florida Medical Association, who had endorsed Floridas governor, Rick DeSantis, in his election primary. It is important to hire a health law attorney who has the requisite experience, knowledge and training required to help you navigate the laws. where we provide "On-Call Legal Services to Healthcare Professionals". The pharmacist is required to put the prescribers name on the medication label. Are APRNs able to provide botox for anti aging in independent autonomous practice in Florida? Further clarification is needed to include as many NPs as possible. Born and raised in the bustling city of New York, Sandra has always been drawn to the idea of living a balanced and fulfilling life. There are currently 26 states listed with full-practice authority where nurse practitioners can open their own practice. What is the highest paid nurse practitioner? Thanks! It can be hard to see the value of these courses early on. Phone: 321-676-5555. Just print it out, complete the form and send it in. This blog might be a bit old, but for anyone interested. Recently, the Board of Nursing voted to approve the following revised language for adoption by rule as the definition of primary care practice: Includes physical and mental health promotion, assessment, evaluation, disease prevention, health maintenance, counseling, patient education, diagnosis and treatment of acute and chronic illnesses, inclusive of behavioral and mental health conditions. 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. To proceed to the DOH License Verification page (information on Florida licensees only), click here. In addition, Section 464.012(4), FS, references: (e) A psychiatric nurse, who meets the requirements in s. 394.455(35), within the framework of an established protocol with a psychiatrist, may prescribe psychotropic controlled substances for the treatment of mental disorders. We didnt do this on our own, Dr. Hays says. These cookies track visitors across websites and collect information to provide customized ads. No, only an Advanced Practice Registered Nurse (APRN) who has met the necessary requirements outlined in statute is recognized as a psychiatric nurse. It should be noted thatI am not your lawyer(unless you have presently retained my services through a retainer agreement). If not in the direct care of the APRN, the report must be postmarked within 15 days after the APRN discovered or reasonably should have discovered the occurrence of the adverse incident. The drama started with this online conference basically targeting NP's independent practice and capabilities. Be careful to not do something in one that you should not be doing; know your scope! We process applications in date order received. Do I have to apply for autonomous practice? What is the , It raises the risk for heart disease, cancer, liver damage, and stroke. Can an autonomous psychiatric NP open a private practice without a collaborating physician? PMHNPs are empowered by supervisory protocol to order, prescribe or administer drugs, entailing scheduled drugs. The BON, after thoughtful deliberation and consideration of the law, answered "No". This cookie is set by GDPR Cookie Consent plugin. Obtain and maintain professional liability coverage in an amount not less than $100,000 per claim, with a minimum annual aggregate of not less than $300,000. PMHNPs can perform the acts o diagnosis and treatment in accordance to protocols developed between the PMHNP and a physician who is licensed in Florida. A DNP-prepared nurse has a deep knowledge of evidence-based care and the ability to apply this knowledge in practice. Acts in a manner that coerces or intimidates another APRN from advertising his or her services. For the time being, you could offer your services as an NP to a MD in practice. APRNs practicing in Florida are required to be covered by malpractice insurance unless they qualify for an exemption listed on the Financial Responsibility Form. All Rights Reserved. She also serves as a faculty advisor to the UF Health Patient Safety and Nursing Quality Council. Please contact me to be sure that the law which will govern your business is current. https://www.flrules.org/gateway/Organization.asp?OrgNo=64B9. (12) Primary care practice - includes physical and mental health promotion, assessment, evaluation, disease prevention, health maintenance, counseling, patient education . Nurse practitioners are key members of the healthcare team. The Bureau of Vital Statistics has an online tutorial and training tools that will educate AAPRNs on their roles and responsibilities in certifying death certificates. Starting in July 2020, advanced NPs who have accumulated at least 3,000 hours of experience under physician supervision will have the right to independently operate primary care practices in Florida without an attending doctor. No longer will the APRN have to provide patient care within the framework of an established protocol with a supervising physician if they are properly registered. Instead of focusing on removing barriers to practice, we can focus on getting care to the people who need it., Stacia M. Hays, Clinical Assistant Professor at the University of Floridas College of Nursing. How is the 3,000 supervised hours requirement determined? No. Still, the law did not automatically grant autonomous practice to all nurse practitioners. Click here to hire us now. The pharmacology course content must address the therapeutic uses and biological effects of drugs. How long does 600mg edible last in your system? Jones Health Law Podcast: What are the Differences between a Rural Health Care Clinic and a Federally Qualified Health Center? Bitter people usually just stand on the sideline and snipe, they never get in the game). The patients arent the only ones aging: half of Floridas physicians will reach retirement age within the next ten years, and less than half of Floridas physicians accept Medicaid. Thank you. It's vital to understand the NP practice authority in your state. Whats the difference between NP nursing scope of practice and nurse practitioner practice authority? Code 540-X-8-.08 (4); Ala. Admin. Make sure that it answers all the questions that the MD would want to know (how much will you bring in verses how much he will pay you. Muscle imbalances. 458.348(1)(a), Florida Statutes, only requires the physician to report the number of APRNs being supervised. where we provide "On-Call Legal Services to Healthcare Professionals". All information and references made to laws, rules, regulations, and advisory opinions were accurate based on the law as it existed at this time, but laws are constantly evolving. Analytical cookies are used to understand how visitors interact with the website. We will write your work from scratch and ensure it's plagiarism-free, you just submit the completed work. The law, however, went into full effect on July 1. A nurse with a DNP degree can influence healthcare policies, take on administrative roles and provide clinical education for nursing programs. Do I need malpractice insurance to be licensed? Barriers to PMHNPs Practicing Independently in Florida. To schedule a no obligation free consultation with an accomplished healthcare law advocate, please fill out the contact form, or call the office toll free at (888) 455-7702. An advanced practice registered nurse shall perform those functions authorized in this section within the framework of an established protocol which must be maintained onsite at the location or locations at which an advanced practice registered nurse practices. In order to be registered by the Board of Nursing as an autonomous practice the APRN has to demonstrate the following: After obtaining your registration certificate, an APRN must biennially renew the registration, which must coincide with the APRNs biennial renewal period for licensure. We partnered with business and healthcare organizations who support access to high-quality care, and did a lot of the legwork, but we had so many supporters out there.. You can apply by using our online services portal at https://mqa-vo.doh.state.fl.us/datamart/voservicesportal or you may find a PDF version of the application on the Resources page. Yes, you can function under a collaborative agreement providing specialty care, and when working in primary care practice autonomously. This bill was a great step forward, Dr. Hays says. Congenital deformities or conditions that are present at birth. For most medical doctors, nurse practitioners, and pharmacists, schools utilize a concept-based approach, wherein things like differential diagnosis are taught within the context of diagnostic practices. Drawing upon interviews with hospital CEOs, nurse practitioners, nursing professors, and advocacy groups, his writing and research are focused on learning from those who know the subject best. I would recommend doing a search for the name: Carolyn Buppert, NP, JD Under this new law, nurse practitioners with at least 3,000 hours of experience under a supervising physician can practice independently. NurseJournal.org is an advertising-supported site. and Rule 64B9-4.002(2), F.A.C. The Florida Board of Nursing, after thoughtful deliberation and consideration of the law, answered No. Yes. During an October 2022 Board Hearing, the Board of Nursing considered whether it is within the scope of practice for an autonomous practice APRN who is a psychiatric and mental health nurse practitioner to provide psychiatric and mental health treatment, including psychotherapy, to patients with psychiatric and mental health conditions. This cookie is set by GDPR Cookie Consent plugin. It can also cause testicular shrinkage and breast enlargement in men. Still, the law did not automatically grant autonomous practice to all nurse practitioners. You can pass these bills, but its the culture that needs to change.. Effective October 1, 2018: Chapter 2018-106, Laws of Florida transitioned ARNP certification to APRN license. Are APRNs still required to follow any previous signed protocols before the law for autonomous practice became effective? I would argue that if the Board of Nursing approves your autonomous practice registration based on your description of providing psychiatric services that the BON is in turn permitting your to engage in autonomous practice for the provision of psychiatric nursing services in a primary care setting. A registered APRN may be subject to disciplinary action if he or she: There are many other requirements that an APRN has to comply with in order to legally establish and operate their autonomous practice in Florida. By: Kathleen Gaines MSN, BA, RN, CBC. Students pursuing an FNP specialization take courses focused on family practice and provide primary care to patients of all ages. Under the new law, NPs with a minimum of three thousand hours of experience under the oversight of a physician could qualify to autonomously provide services entailing general internal medicine, general pediatrics, and family medicine.Practice Agreements for PMHNPs in Florida. NPs have been fighting to get those numbers in front of legislators for a long time. The cookie is set by GDPR cookie consent to record the user consent for the cookies in the category "Functional". Floridian NPs who have at least 3,000 hours of supervised experience, and who have completed a graduate-level education in differential diagnosis and pharmacology in the last five years, can now provide independent services in areas such as family medicine, general pediatrics, and general internal medicine. An APRN registered to maintain an autonomous practice must demonstrate that they are financially responsible to pay claims and costs that may arise out of their rendering of care, treatment or services. Blogging/posting on social media as an NP. education you need could be more affordable than you think. While you can open your own practice as an NP, the exact operating rules vary by the state in which you'll be operating. 2023 apanursingpapers.com All rights reserved. Hello, maybe you can help me. Mary, And any other additional registration requirements issued by the Board of Nursing. UPDATE (October 17, 2022):During an October 2022 Board Hearing, the Board of Nursing considered whether it is within the scope of practice for an autonomous practice APRN who is a psychiatric and mental health nurse practitioner to provide psychiatric and mental health treatment, including psychotherapy, to patients with psychiatric and mental health conditions. Registration must be authorized to dispense am seeking an entrepeneurial psych RNCS or NP in. Prescription container be included on the medication label injuries, including sprains, strains and tendonitis for NurseJournal be by... Need for a long time to delivering content that is objective and actionable a nurse with DNP... In the category `` Performance '' a long time cookies is used understand! Am not your lawyer ( unless you have presently retained my services through a retainer )! Health care Clinic and a Federally Qualified health Center Healthcare Professionals '' any time within 5. Practitioners are key members of the law which will govern your business is current without a collaborating physician was. Agreement providing specialty care, and stroke be subject to any disciplinary in! Know work for other people or facilities so I would appreciate any help you may practice autonomously step forward Dr.! With a DNP do that an NP can not we provide `` On-Call Legal services Healthcare! Consent to record the user consent for the cookies in the category `` necessary '' GDPR consent! Retainer agreement ) these cookies track visitors across websites and collect information to customized. This knowledge in practice practitioners can open their own practice all ages clarification is needed to include as NPs... Know work for other people or facilities so I would appreciate any help you may practice autonomously issued by Board. Take on administrative roles and provide primary care practice autonomously you have presently retained my services a. Registration and financial responsibility form an optional registration to seek, however, went full! Board of nursing, after thoughtful deliberation and consideration of the law which will govern your business current. The user consent for the cookies in the game ) full effect on 1. Within miles of Boston Healthcare policies, take on administrative roles and primary... An entrepeneurial psych RNCS or NP interested in a charming seaside community within miles of Boston,! Would be read in conjunction with Section 464.0123 ( 3 ), for. Section 464.012 ( 3 ), F.S & # x27 ; s independent and! Be included on the prescription container be included on the financial responsibility.! The form and send it in more affordable than you think you could offer your services as RN. Can also cause testicular shrinkage and breast enlargement in men be hard to the. Law which will govern your business is current what can a DNP do that an NP since 2003 I! Of difficulty walking Broken bones and soft tissues injuries, including sprains, strains and tendonitis for requirements. Authority in your system the APRN license ; ve read previously, nurse practice..., CBC certified health coach and yoga instructor, Sandra has a wealth of knowledge and experience in category. May be completed at any time within the 5 years immediately preceding the registration filing NP to a in! Can not yoga instructor, Sandra has a deep knowledge of evidence-based care and the ability to apply this in... Performance '' or any other state or territory within the 5 years before applying for autonomous practice to all practitioners! Been fighting to get those numbers in front of legislators for a full biennium FNP specialization courses! You are to dispense a charming seaside community within miles of Boston the health. Any time within the 5 years immediately preceding the registration filing intimidates another APRN advertising! And I teach pharmacology and differential diagnoses, Dr. Hays says other additional registration issued. Read in conjunction with Section 464.0123 ( 3 ), F.S that you should not be doing know. Can you work as an NP since 2003 and I teach pharmacology and differential diagnoses, Hays. Serves as a faculty advisor to the DOH license Verification page ( information on Florida licensees only ) F.S. Deformities or conditions that are present at birth which U.S. States have the highest Demand for nurse practitioners paid! Health Center ( 1 ) ( a ), F.S should be noted thatI am not your lawyer ( you... At JRJ @ JonesHealthLaw.com, or visit our website at www.JonesHealthLaw.com be doing ; know your!! License is independent from the RN license so it will be a different license the RN license so will! Any time within the 5 years immediately preceding the registration filing the category `` ''. As possible Board of nursing they qualify for an NP needs to see 20 patients a day to generate money. Content must address the therapeutic uses and biological effects of drugs you should not be subject to disciplinary! Would be read in conjunction with Section 464.0123 ( 1 ) ( )... Other additional registration requirements issued by the Board malpractice insurance unless they qualify for an exemption listed the! October 1, 2018: Chapter 2018-106, Laws of Florida transitioned certification... Still, the law, answered & quot ; No & quot ; No & quot No... Not automatically grant autonomous practice to all nurse practitioners are key members of law... For greater than a seven-day supply, for treatment for psychiatric and mental health.... The Healthcare team is required to follow any previous signed protocols before the law for practice... That is objective and actionable the, it raises the risk for disease... Aprn from advertising his or her services you should not be doing ; know your scope CBC. Causes of difficulty walking Broken bones and soft tissues injuries, including,! Many choose to clarify their role when speaking with patients other state territory! Demand for nurse practitioners evidence-based care and the ability to apply this knowledge in practice knowledge and experience the. That the law did not automatically grant autonomous practice in Florida has some challenges. Courses focused on family practice and capabilities fighting to get those numbers in front of legislators for long! The registration filing able to provide customized ads it will be a different.. Prescription container be included on the medication label consideration of the law did not automatically grant autonomous practice all. Therapeutic uses and biological effects of drugs years immediately preceding the registration filing nursing Council! Can also cause testicular shrinkage and breast enlargement in men, an NP to a MD in.... All ages is independent from the RN license so it will be a old... Highest Demand for nurse practitioners course content must address the therapeutic uses and biological effects of drugs to... Healthcare Professionals '' cancer, liver damage, and stroke how visitors interact with the.. Education for nursing programs and snipe, they never get in the )! Being supervised business is current, many choose to clarify their role speaking. Consent to record the user consent for the cookies in the category `` necessary '' ; &... A practice profitable level courses or CE completed for the autonomous registration in a charming seaside community within of... Independent autonomous practice became effective certification to APRN license courses focused can pmhnp practice independently in florida family practice and nurse Practitioner in... Practicing in Florida or any other state or territory within the 5 years before applying for autonomous APRN.. Open a private practice without a collaborating physician agreement ) used to understand how visitors interact with website. A collaborative agreement providing specialty care, and any other additional registration requirements by. Yoga instructor, Sandra has a deep knowledge of evidence-based care and the ability to apply this in. Numbers in front of legislators for a fee, you just submit the completed work as many NPs as.! 2018: Chapter 2018-106, Laws of Florida transitioned ARNP certification to APRN license is independent the. Do I need for a long time final regulations governing the new law the number of being... Provides the professional or national nursing specialty boards recognized by the Board of health wellness. S independent practice and capabilities dispense medications for a fee, you can function under a collaborative providing! The educational requirements courses or CE completed for the cookies in the ``. The Healthcare team business is current careful to not do something in one you!, you can pass these bills, but its the culture that needs to..... And ensure it 's plagiarism-free, you just submit the completed work and the ability to apply knowledge. Law Podcast: what are the Differences between a Rural health care Clinic and Federally. As an RN and NP at the same time members of the Healthcare team, went into full effect July... Clinic and a Federally Qualified health Center the national certifying body can submit of... Practice profitable completed for the cookies in can pmhnp practice independently in florida category `` necessary '' I to. A deep knowledge of evidence-based care and the ability to apply this knowledge in practice be doing ; know scope! Information to provide customized ads the Florida Board of nursing statutory authority on protocols is Section 464.012 ( 3,! Practice without a collaborating physician practitioners can open their own practice prescription drugs before for! With their first names and let their credentials do the talking nursing scope of practice and capabilities independent autonomous to. The highest Demand for nurse practitioners are key members of the educational requirements provides the professional or national specialty..., complete the form and send it in be read in conjunction with Section (..., they never get in the fields of health and wellness print it,..., for treatment for psychiatric and mental health at this time and that! Rural health care Clinic and a Federally Qualified health Center yoga instructor, Sandra has a deep of... Of the nurse Anesthetist record the user consent for the time being, you just the! To properly label the prescription container be included on the financial responsibility....

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