Switch on the Wizard mode on the top toolbar to have more recommendations. As always, properly fill out appropriate requisition forms, indicating the test(s) ordered. - Each aliquot must be properly labeled as to the source and additives present. Chemistry, SST If possible, speak with the patient during the process. Clin Lab. z:` 3Lu Monitors therapeutic levels of drug Checks specimen requirements for ordered tests and stocks tray. Tumor Markers, SST Tests for Infertility and pituitary disorders Phlebotomy Essentials, Seventh Editionprovides accurate, up-to-date, and practical information and instruction in phlebotomy procedures and techniques, along with a comprehensive background in phlebotomy theory and principles. Identify the additive, additive function, volume, and specimen considerations to be followed for each of the various color coded tubes. &0uCcf;{8X@YZE1bCx The fluid-filled sac in the area of the elbow is called a bursa. Proper patient identification MANDATORY. Serology/Immunology, SST Lipids, SST . Chemistry, SST Chemistry, SST MMR V Immune, Dark LAVENDER Screening for diabetes, high or low blood sugar Avoid trauma and excessive probing. Confidentiality of all communications and other records pertaining to the patient's care. Active form of Throxine a. Patient care following completion of venipuncture. . Chemistry, SST doi: 10.1002/14651858.CD005179.pub3. Blood clots, and the serum is separated by centrifugation, Chemistries, Immunology and Serology, Blood Bank (Crossmatch), Serum separator tube (SST) contains a gel at the bottom to separate blood from serum on centrifugation, Plasma Separating Tube (PST) with Lithium heparin, Anticoagulates with lithium heparin; Plasma is separated with PST gel at the bottom of the tube, Hematology (CBC) and Blood Bank (Crossmatch); requires. Case study 5-2: Body Systems, Disorders, Diagnostic Tests, and Directional Terms Rapid Plasma Reagin Tests for cause of breast milk production without pregnancy 7. ensure labeling is complete Record "drawn distal/proximal to I.V." Drug treats bipolar disorder Collect and tag specimens exactly as outlined in each medical requisition . Tests newborns for Rubella Serology/Immunology, SST Profession : Clinical Laboratory. Tests for HCV infection (acute or chronic) Explain the risks of failing to cleanse the puncture site carefully, and discuss one method to monitor for such errors. Safely dispose of potentially infectious materials. Glucose Tolerance, SST The infant is several months old but was born prematurely and weighs only . Otherwise, satisfactory samples may be drawn below the IV by following these procedures: Turn off the IV for at least 2 minutes before venipuncture. Start studying Phlebotomy- Requisition Forms, Veni. \hline \text { Number of units per batch } & 25 & 9 \\ The unit covers the following learning objectives: 1. + Performs phlebotomy procedures according to established policies and procedures. The specimen was collected from the left arm, below the IV. Discuss at least eight precautions that must be taken in collecting and labeling specimens. The creation of a hormone is an example of: Which of the following is a structure within a cell? b) capillaries . a) blood-filtering structures Enjoy smart fillable fields and interactivity. Tests blood phosphorus levels Serology/Immunology, SST 8. note any special conditions on the requisition. Chemistry, SST Basic Metabolic Panel Laboratory coats or work smocks are not typically needed as personal protective equipment during routine venipuncture, but an employer must assess the workplace to determine whether certain tasks, workplace situations, or employee skill levels may result in an employee's need for laboratory coats or other personal protective equipment to prevent contact with blood. Refuse treatment to the extent permitted by law. Follow institution's guidelines regarding treatment and follow-up. Perform the venipuncture. Tests IgE for a variety allergies Patient Identification 3. Check for any allergies to antiseptics, adhesives, or latex by observing for armbands and/or by asking the patient. Phelan MP, Reineks EZ, Berriochoa JP, Schold JD, Hustey FM, Chamberlin J, Kovach A. Measures Lipoprotein-A Levels Drug Levels, RED Measures High Density Lipoprotein Cholesterol (Good) Check the requisition form for requested tests, patient information, and any special requirements. Lipids, SST Blood Collection Techniques in Exotic Small Mammals. a) helps keep alveoli inflated hb```f`` The phlebotomist's role requires a professional, courteous, and understanding manner in all contacts with the patient. 4. services, For Small Povidone-iodine wipes/swabs - Used if blood culture is to be drawn. Apply to Phlebotomist, Phlebotomy Technician, Mobile Phlebotomist and more!134 Phlebotomy jobs available in Rosemont, OH on Indeed.com. Brain Natriuretic Peptide Confirms HCV infection InputPricesDirectmaterialsPlasticMetalDirectmanufacturinglabor$5perpound$4perpound$10perdirectmanufacturinglabor-hourInputQuantitiesperUnitofOutputDirectmaterialsPlasticMetalDirectmanufacturinglabor-hoursMachine-hours(MH)Cat-allac4pounds0.5pounds3hours11MHDog-eriffic6pounds1pound5hours19MHInventoryInformation,DirectMaterialsBeginninginventoryTargetendinginventoryCostofbeginninginventoryPlastic290pounds410pounds$1,102Metal70pounds65pounds$217. \end{array} ______ c. Paid an employee's salary in cash. c) O&P b) cytoplasmic organelles A face mask reduces risk for blood culture specimen contamination. If an inpatient is able to respond, ask for a full name and always check the armband or bracelet for confirmation. Chemistry, Dark LAVENDER Phlebotomists typically enter the occupation with a certificate from a postsecondary phlebotomy program, but some qualify with a high school diploma and on-the-job training. 100 g Glucola, draw after 1, 2, and 3 hrs. Define delta check, and explain its use in QA. Drug treats seizures and bipolar disorder Transport to the appropriate laboratory. Hepatitis, SST Tests IgE for allergies in children Summarize the problems that may be encountered in accessing a vein, including the procedure to follow when a specimen is not obtained. Hemoconcentration causes the false increase of large molecules such as proteins and cholesterol and the false decrease of electrolytes like chloride and potassium. Radioallergosorbent Test - Inhalant Tegretol - Spinning samples below the required speed may result in incomplete separation of liquid from formed elements, affecting test results. Chemistry, SST The rubber stoppers are color coded according to the additive that the tube contains. A variety of techniques can be employed to reduce pain and anxiety. Indicates immunity to Hep B Intravenous Fluids: If possible, draw blood from the arm/hand that does NOT have intravenous fluid being administered. Serum Immunofixation Test If patient is an infant or confused adult, check arm band or ask person accompanying the patient for identification. For example, serum cortisol levels are highest in early morning but are decreased in the afternoon. Serology/Immunology, SST You should strive to avoid painful probing, unsuccessful punctures, and repeated draws and be scrupulously careful regarding site selection, accidental arterial puncture, and nerve injury. Assesses coronary risk If just a routine coagulation assay is the only test ordered, then a single light blue top tube may be drawn. Patient's date of birth and sex. Assesses coronary risk Which of the following urinary system structures? An example of a simple requisition form with the essential elements is shown below: A properly labeled sample is essential so that the results of the test match the patient. Tests amount of Immunoglobulin E (allergies) If a light blue top tube is drawn with a holder and butterfly needle, prime the tubing with a discard tube before filling the sodium citrate tube (light blue topped). 244 0 obj <> endobj 260 0 obj <>/Filter/FlateDecode/ID[<0B543455B554032E177952E9765C4675><0592223B55E44FE4A2ADA41BDB86EAE3>]/Index[244 22]/Info 243 0 R/Length 82/Prev 535313/Root 245 0 R/Size 266/Type/XRef/W[1 2 1]>>stream How is Thomson's model of the atom different from Dalton's model of the atom? Rast Panels, SST Double checking the phlebotomy labels and forms helps to ensure accurate standards of information. Skills Drills SKILLS DRILL 3-1: REQUISITION ACTIVITY A phlebotomist is sent to collect the specimens on the following requisition. Impact of Use of Smaller Volume, Smaller Vacuum Blood Collection Tubes on Hemolysis in Emergency Department Blood Samples. Jaundice) The companion exam review book (McCall R, Tankersley C. Phlebotomy Exam Review, 4th ed., available for separate purchase) prepares students for all the national certication exams in phlebotomy. d) lubricates joints, Which of the following tests is associated with the reproductive system? Mix and label all appropriate tubes at the patient bedside. b) involuntary Tests for liver disease and bone disorders Chemistry, SST Check all test requisitions or computer label against script to . - Samples requiring either cold or warm temperatures during transport must be placed in the appropriate container and must be handled so that the appropriate temperature is maintained throughout the transport process. a) heart Serology/Immunology, Dark LAVENDER Assesses coronary risk Monitors therapeutic levels of drug Monitors therapeutic levels of drug A phlebotomist is a member of the health care delivery team whose primary responsibility is that . Measures all cholesterol Enzymes, proteins, lipids, iron, and calcium are significantly increased with changes in position. It's similar to a doctor providing a prescription for medication. Lippi G, Salvagno GL, Montagnana M, Franchini M, Guidi GC. \begin{array}{lcc} Since opening in 1963, the hospital has expanded into a full-service medical center with 160 beds, 16 clinics, staffed by approximately 300 . Assesses coronary risk The recommended order of draw for plastic collection tubes is: First - blood culture bottle or tube (yellow or yellow-black top). Select the Sign tool and create an e-signature. Endocrine, SST Tests amount of Immunoglobulin A Employers may prefer to hire candidates who have earned professional certification. It also includes key terms matching exercises, chapter review questions, crossword puzzles, skill and knowledge drills, requisition activities, case studies, and procedure evaluation forms. Drug treats heart rhythm problems Cyclosporine Add highlights, virtual manipulatives, and more. January 23, 2020 Clin Lab Med. To prevent hemolysis (which can interfere with many tests): Mix tubes with anticoagulant additives gently 4-6 times, Avoid drawing the plunger back too forcefully, if using a needle and syringe, or too small a needle, and avoid frothing of the sample. #1 Internet-trusted security seal. With US Legal Forms the whole process of creating legal documents is anxiety-free. b) skeletal Identification errors in pathology and laboratory medicine. - Variation may indicate the need to replace worn parts . \begin{array}{ll} USLegal has been awarded the TopTenREVIEWS Gold Award 9 years in a row as the most comprehensive and helpful online legal forms services on the market today. Digoxin Chemistry, SST Regardless of the source of payment, request and receive an itemized and detailed explanation of the total bill for services rendered in the hospital. Tests amount of Immunoglobulin G 2013 Oct 10;(10):CD005179. Radioallergosorbent Test - Indoor Employment Type: Casual Position Classification: Technical Assistant Grade 2 Remuneration: $28.39 - $29.54 per hour plus superannuation Hours Per Week: Casual Requisition ID: REQ393323 Location: Royal North Shore Hospital Applications Close: 7 May 2023 - 11:59pm About The Opportunity We are currently seeking a motivated and reliable casual Pathology Collector to join our team and work across . b) As Pco2 &\textbf {Cat-allac } & \textbf {Dog-eriffic } \\ Alanine Aminotransferase - As part of QA program, microbiology department keeps records of blood cultures contaminated with normal skin flora. 8 Y E! Check all test requisitions or computer label against script to . Chemistry, SST Endocrine, SST d) organelles, What type of muscle lines the walls of blood vessels? - Iodine should not be used for dermal puncture \end{array} Check all test requisitions or computer label against script to . The hydrostatic pressure causes some water and filterable elements to leave the extracellular space. - Accidental puncture with a used needle must be reported immediately to a supervisor Serology/Immunology, SST Hematoma - may cause erroneous test results. R*1qQ\k\A~Xlp_|XyA}%3Ey\IB`}E"g:/7 % 8 endstream endobj 248 0 obj <>stream for at least 2 minutes and draw from a vein other than the vein with the I.V. Adjust the angle (the bevel may be against the vein wall). Effects of Exercise: Muscular activity has both transient and longer lasting effects. Dehydroepiandrosterone Tumors of testes, ovaries Assesses kidney problems Chemistry, SST Wipe away the first drop of blood, which tends to contain excess tissue fluid. A government issued photo identification card such as a driver's license can aid in resolving identification issues. Other Factors: Age, gender, and pregnancy have an influence on laboratory testing. Several essential steps are required for every successful collection procedure: Patient comfort. Follow the same procedure if a sample must be drawn during blood products transfusion. Rast Panels, SST Phlebotomy Requisition Form Tests 5.0 (2 reviews) CBC Click the card to flip Light LAVENDER Complete Blood Count Hematology Click the card to flip 1 / 150 Flashcards Learn Test Match Created by Side 1: Test Abbreviation Side 2: Tube color, test name/purpose, department Terms in this set (150) CBC Light LAVENDER Complete Blood Count Hematology b. Compute the p-value and interpret its meaning. You select a random sample of 50 bottles, and the mean amount of water per 1-gallon bottle is 0.995 gallon. Tumor Markers, SST Drug decreases immune response for organ transplants Tests IgE for allergies: Dust, pollen, mold, dander + Identifies patients and properly labels specimen tubes. Animal Gear Company makes two pet carriers, the Ensure that the info you add to the Phlebotomy Requisition is updated and correct. Precautions include a medical grade face mask. Upon arrival at the patient's room, he finds an airborne precautions sign on the door. Tests liver infection from HAV (all antibodies) - Specimen transportation variables include the method of delivery, the treatment of the sample during transportation, and the timing of delivery Confirms cervical cancer Electrophoresis, SST The best locations for fingersticks are the 3rd (middle) and 4th (ring) fingers of the non-dominant hand. When using a syringe inserted into the line, blood must be withdrawn slowly to avoid hemolysis. Information found on requisition forms 2. d) venostasis, Which part of a cell contains the chromosomes or genetic material? TopTenReviews wrote "there is such an extensive range of documents covering so many topics that it is unlikely you would need to look anywhere else". Recognize complications associated with the phlebotomy procedure. . Hepatitis B Core Antibody Immunoglobulin M Because of contacts with sick patients and their specimens, it is important to follow safety and infection control procedures. Business. \hline \text { Expected sales in units } & 530 & 225 \\ Proper patient identification procedures. h\Qk@W{ T"'wb{[FV;7 b@rrP 1oasH=7IBYWc. The essential elements of the requisition form are: Patient's surname, first name, and middle initial. (Z `y!s Tests for past or present (chronic) HBV infection (IgM Antibodies) Oxidative stress was measured by fluorometry. . Draw 5 ml of blood and discard before drawing the specimen tubes for testing. Squeeze puncture site to promote bleeding. General health and nutritional status - QA procedures include monitoring the number of accidental punctures and instituting additional training or equipment modifications in the event of frequent accidents revenue. The performance of routine vascular access procedures by skilled phlebotomists requires, at a minimum, the use of gloves to prevent contact with blood. The moon is accelerating toward the earth. Folate vitamin (amount) Hemolysis may occur, with pseudohyperkalemia. Assess the patient's physical disposition (i.e. $__________________________$ : expressed even if only one copy is present. Discuss the monitoring of variables during sample transport. Serology/Immunology, SST Endocrine, SST The fifth finger tends to have less soft tissue overlying the bone. \quad\text{Metal} &\text{\$ 4 per pound}\\ Click on the Get Form button to start filling out. Assess the need for sample recollection and/or rejection. Patient identification is critical for safety. 1 Hour Glucose Tolerance Test Specialty: Phlebotomy. to increase 5% in April. Side 1: Test Abbreviation Cleanse in a circular fashion, beginning at the site and working outward. xYy\?y{ot[Hruo[DRT*K(KiC" *KEB1J12i0,fcuOyz~.9Y9%\4"?nW#bVs4,]ua)|yvpX^,u}xg_V Describe the contents of the procedure manual, and explain how the phlebotomist can use it. Gloves - can be made of latex, rubber, vinyl, etc. The recommended location for blood collection on a newborn baby or infant is the heel. A physician order is an authorization for you to have lab testing performed. Get your online template and fill it in using progressive features. Assesses coronary risk Each phlebotomist generally establishes a routine that is comfortable for her or him. Chemistry, SST d) ovary, Evaluation of the endocrine system involves Draw a picture of each model. \textbf{Inventory Information, Direct Materials}\\[3pt] Clinic codes are unacceptable. Endocrine, SST anti-coagulant, additive. If this is not successful, remove the needle, take care of the puncture site, and redraw. JOB SUMMARY: Phlebotomist I performs daily phlebotomy activities of the Patient Service Center (PSC) or In-office Phlebotomy (IOP) accurately and on time. Lactate Dehydrogenase . The patient who is at ease will be less focused on the procedure. Lipids, SST Tests for HBV surface ANTIBODY Lipids, SST Foot veins are a last resort because of the higher probability of complications. a) diagonally into upper and lower portions NOTE:Tubes with additives must be thoroughly mixed. + Ensure the proper information is provided on the requisition. c) vertically into front and back portions INCLUDES: Glucose, BUN, Creatinine, Na, K, Cl, Ca Recurrent Breast Cancer Screen Label the collection tubes at the bedside or drawing area. Which of the following are all endocrine system tests? d) skeletal, Gametes are . Technology, Power of Measures HIV RNA present c) farthest from the center PROBLEMS OTHER THAN AN INCOMPLETE COLLECTION: A hematoma forms under the skin adjacent to the puncture site - release the tourniquet immediately and withdraw the needle. C-Reactive Protein, more sensitive Join to apply for the Phlebotomist - Job Fair 4/29/23 role at Quest Diagnostics. Information for the two products for the month of April is given in the following tables: InputPricesDirectmaterialsPlastic$5perpoundMetal$4perpoundDirectmanufacturinglabor$10perdirectmanufacturinglabor-hourInputQuantitiesperUnitofOutputCat-allacDog-erifficDirectmaterialsPlastic4pounds6poundsMetal0.5pounds1poundDirectmanufacturinglabor-hours3hours5hoursMachine-hours(MH)11MH19MHInventoryInformation,DirectMaterialsPlasticMetalBeginninginventory290pounds70poundsTargetendinginventory410pounds65poundsCostofbeginninginventory$1,102$217\begin{array}{l} Hepatitis, SST \end{array} List three types of analytical variables. It is an employer's responsibility to provide, clean, repair, replace, and/or dispose of personal protective equipment/clothing. !0ots?V4&7y mA(7wA?FX'~6> d~g6 XO*`.m*Enym$D .kcd#[${Hdh(Th@JdFhG: "@h. Tumors of liver, testes, ovaries Matches laboratory requisition forms to specimen tubes. Phlebotomy issues and quality improvement in results of laboratory testing. Tests blood potassium levels Get access to thousands of forms. Since newborns do not often bleed immediately, use gentle pressure to produce a rounded drop of blood. Phlebotomy is a booming career path within the medical field. Tumor Markers, SST The line must be flushed first. \end{array} Highest customer reviews on one of the most highly-trusted product review platforms. %PDF-1.6 % The statistically important correlations of proteasomal factors were topologically represented in undirected networks. Ifyou believe that this page should betaken down, please follow our DMCA take down process, Ensure the security ofyour data and transactions. Tests Kidney Function Check out the preview! WHO guidelines on drawing blood: best practices in phlebotomy. Serology/Immunology, SST Endocrine, SST Grasp the patient's arm firmly using your thumb to draw the skin taut and anchor the vein. 2009;47(2):143-53. It can take months of training to become a phlebotomist. When wearing gloves, change them between each patient and wash your hands frequently. Endocrine, SST The essential elements of the requisition form are: Patient's surname, first name, and middle initial. d) visceral, Which of the following is an accessory organ of the digestive system? The exception is for samples collected in serum separator tubes, which are stable once they are spun and a good gel seal is in place. d) nearest to the point of attachment, The process by which the body maintains a state of equilibrium is Make the cut across the heelprint lines so that a drop of blood can well up and not run down along the lines. Serum Proteins Add the date to the document with the Date function. Tests for B12 or Folate deficiency Drug treats seizures, mood disorders, migraines Although the larger and fuller median cubital and cephalic veins of the arm are used most frequently, the basilic vein on the dorsum of the arm or dorsal hand veins are also acceptable for venipuncture. \textbf{Input Quantities per Unit of Output}\\[3pt] a) blood gas studies Syringes - may be used in place of the evacuated collection tube for special circumstances. The blood is bright red (arterial) rather than venous. hbbd``b`@q?`RR@Y$D8$,XQkX @#C3F$? endstream endobj startxref 0 %%EOF 265 0 obj <>stream (Uman et al, 2013). Diurnal Rhythms: Diurnal rhythms are body fluid and analyte fluctuations during the day. Hepatitis, SST Electrophoresis, NO TUBE The cells you see are long, cylindrical, multinucleated, and heavily striated. \end{array} Clean up any blood spills with a disinfectant such as freshly made 10% bleach. Patient's surname, first name, and middle initial. Holder/Adapter - use with the evacuated collection system. Make sure that every area has been filled in correctly. Cat-allac and the Dog-eriffic. Ordering physician's name, code and signature. line. Chemistry, SST Date and time of collection. \text {Machine-hours (MH) } & 11~\mathrm{MH} & 19~\mathrm{MH} Indicates active Hep B Infection Hepatitis, SST Preferred venous access sites, and factors to consider in site selection, and ability to differentiate between the feel of a vein, tendon and artery. Collect drops of blood into the collection device by gently massaging the finger. \text { Beginning inventory in dollars } & \$ 1,000 & \$ 4,650 Phlebotomists are responsible for drawing blood from patients for different reasons. Giavarina D, Lippi G. Blood venous sample collection: Recommendations overview and a checklist to improve quality. However, do not use too high a temperature warmer, because baby's skin is thin and susceptible to thermal injury. List at least four blood collection sites that may lead to sample contamination, and list six sites that may result in pain or injury to the patient. Deliver specimens promptly to the laboratory. 2006;52(5-6):217-30. Airborne precautions may be considered to provide a level of safety against infectious diseases such as tuberculosis, influenza, and COVID-19. Bilirubin Total and Direct Source of specimen. At least two patient identifiers, such as name and date of birth, are needed. 2019;95(1):15-19. doi: 10.1016/j.diagmicrobio.2019.04.001. Uman LS, Birnie KA, Noel M, et al. Pair the correct organ with its disease or condition and write a brief definition of the term. Test for copper deficiency This phlebotomy presentation is the first in a series that I'll be creating. What body systems of the patient are being evaluated? AntiNuclear Antibody QA - the larger set of methods used to guarantee quality patient care, including the methods used for patient preparation and collection and transportation protocols; The team approach improves production by reducing errors and waste, thereby resulting in a reduction in healthcare cost; QA programs use written documentation to set standards for the performance of procedures, monitor compliance with written procedures, and track patient outcomes with scheduled evaluations of all laboratory activities. Tests for cardiovascular disease risk Use it now! Glucose Tolerance, SST Date, time and initials of the phlebotomist must be on the label of EACH tube. Alpha Fetoprotein Hematology, Dark LAVENDER & SST What occurrence has made them dangerous to the global ecosystem? Patient's ID number. Tests for acute and chronic tissue damage 2. collected in the right order Explain the effects of sample-processing variables on sample quality (e.g., separation times and centrifugation). MMR V Immune, SST Tests Adrenal function in the patient's chart. Be sure to dispose of the lancet in the appropriate sharps container. For samples that MUST be collected from an arm with an active I.V., the best option is to collect the sample distal (below) the intravenous site. For an inpatient DO NOT DRAW BLOOD IF THE ARMBAND OR BRACELET IS MISSING. \text { Inspection time per batch } & 0.5 \text { hour } & 0.7 \text { hour } Tests for unexplained inflammation/edema d) viscera, Sudoriferous glands are The venipuncture procedure is complex, requiring both knowledge and skill to perform. Have the patient make a fist and flex the arm, which helps engorge muscles to fill veins. Step 1: Review and accession test request Initiation of the test request By physician or designated healthcare professional Required requisition information (Box 8-1) Several formats Manual (Fig. Tests risk of heart disease and cardiac arrest The patient should make a fist without pumping the hand. It compares previous patient results with current results. When finished, elevate the heel, place a piece of clean, dry cotton on the puncture site, and hold it in place until the bleeding has stopped. Phlebotomists are considered to have occupational exposure to blood borne pathogens. Tests thyroid function IF AN INCOMPLETE COLLECTION OR NO BLOOD IS OBTAINED: Change the position of the needle. So You're Going to Collect a Blood Specimen: An Introduction to Phlebotomy, 13th Edition (2010), College of American Pathologists, Northfield, IL. \text { Selling price } & \$ 205 & \$ 310 \\ Lines - Drawing from an intravenous line may avoid a difficult venipuncture, but introduces problems. Many drugs will have "peak" and "trough" levels that vary according to dosage levels and intervals. A delta check is a QA procedure that helps spot identification errors. Select a vein other than the one with the IV. Salaries are expected Rheumatoid Factor Requisition : 89735. Is the seating comfortable and has the patient been seated for at least 5 minutes to avoid being rushed or confused? LLC, Internet - Ammonia samples must be separated within 15 minutes of collection. Verify the patient's condition.
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