sample emergency preparedness plan for ambulatory surgery center

f&[;P_Z1.0Tgbo|Mc,oAh5?(A*E6x1C6dzi#lwrU6d!c?o7cFzF0Ui=:a/Fxq _} @q 7`73xM\1x*1,B9nO8O;\Y.?pjc6TV+$5U"tB^S"Mdc*+Me~w!:HTQ#H|1E^7!|Kn||UQ-a?I$44}T;D],lV;*qT{mDT +QH2!\jO;?&Dmk& %PDF-1.6 % ASCs also must have policies in place to ensure that only patients who are able to safely undergo procedures at an outpatient facility are treated in the facility. 808 certified writers online. Another great resource comes in the form of the AAAHC Patient Safety Toolkit: Emergency Drills available from the Accreditation Association for Ambulatory Healthcare (AAAHC). When I was in Omaha, NE, this storm came out of nowhere during tornado season, and we were sitting in front of big glass windows, Howell says. Patient Safety Primer: Medication Errors. AAAHC Publishes Updated Certification Handbook for Advanced Orthopaedics, Baxter Shared Surgical Innovations at AORN 2023, KARL STORZ Granted Cybersecurity Authorization to Operate From U.S. Department of Defense, TeleRay Announces ECG Results into DICOM and EMR, https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107ap_l_ambulatory.pdf, https://www.medicalreservecorps.gov/HomePage, Maximizing The Benefit of Ultrviolet-C Technology. '>`O;9*0xl$GeZR>R]D|d-7>Ci|v"ba%h( LG:8zH\]9!UhoIs+[JMo% Thoughtful planning and careful consideration must be used to develop a sound plan to cover Do not make phone calls unless there is an emergency situation (for example, an injured child or adult in need of immediate medical attention). If we lose power, were on a generator, and surgeons complete the case as quickly as possible and get the patient into recovery, Danielson says. 10. and local emergency preparedness agencies will also be key resources to your organization for guidance and information about local plans to integrate into your Disaster Plan. Emergency Response Drill Scenarios. There are resources related to specific emergencies such as bioterrorism and chemical emergencies, as well as trainings targeted to specific audiences such as public health professionals and clinicians. Nursing staff should evaluate each patient by phone or in person, checking for any indications that the patient might not be suited for an outpatient facility and report this information to the physician. The best thing facilities can do is create a functional plan to deal with disasters that would provide details on what to do and how to operate during an emergency, says Brendan McCluskey, JD, MPA, CEM, CBCP, director of emergency preparedness and operations at the New Jersey Department of Health in Trenton, NJ. Putting a business back together and dealing with the psychological impact of severe disasters requires planning and compassion for the effect that a disaster may have on staff and the business clients served. "We follow the Joint Commission's standards for our time outs, which include surgical site marking by the physician, visualization of marking, verification of site, patient and procedure identification and verification of correct implant and equipment," says Ms. Brickey.Although the use of time outs has become more widespread within recent years, the process can fall short if any member of the surgical team is not paying full attention. For specific questions please contact SCGEmergencyPrep@cms.hhs.gov. View them by specific areas by clicking here. Ambulatory Surgical Centers must provide initial training in emergency preparedness policies and procedures to all new and existing staff, individuals providing on-site services under arrangement, and volunteers, consistent with their expected roles. Resources, updates, and links will be regularly posted on this Web site including: Please note, the checklists and information under this page may pre-date the Emergency Preparedness Final Rule and does not guarantee compliance. Learn about the priorities that drive us and how we are helping propel health care forward. 141 0 obj <> endobj Ms. Brickey's center also sends infection and complication study surveys to all physicians each month so that the center is notified of any issues that occurred with patients after their discharge. Also, threats can be problems that have never occurred in a region, but are increasing in frequency nationwide, such as active shooter situations, Wei says. IV. The emergency management chapter standards and elements of performance are intended to help organizations prepare for "all-hazard" emergencies. However, the There was a fire blanket container on the courtyard wall, but there was no fire blanket in there.. ASCs may also want to consider OSHAs recommendations regarding planning for safe evacuations and deciding when to evacuate or shelter-on-place. Set expectations for your organization's performance that are reasonable, achievable and survey-able. For example, in the New Orleans area, the surgery centers emergency preparedness plan for hurricanes includes instructions for how to handle evacuations. The Emergency Management (EM) portal provides valuable sources of information from The Joint Commission enterprise as well as other organizations related to the topics of emergency management, preparedness, response, recovery, and mitigation. Because of the lack of preparedness, the smoker suffered terrible burns, she says. Program: Integrated Health and Safety Toolkit. These webinars are specifically for Joint Commission Accredited Hospitals and Critical Access Hospitals. The Centers for Medicare & Medicaid (CMS) requires that health centers test their emergency preparedness plans annually. Although we are teaching, the Office is closed Major US Holidays and Weekends. Burden. That document is available here. Your Disaster Plan should be shared with local emergency preparedness and government agencies to assure your local first responders are aware of your plans. Do you have the resources to shelter people in place for any period of time?. - THIS ITEM IS NOT APPLICABLE IN OUR AREA. If something happens, send out email blasts to staff and patients. For the second exercise, an ASC would be required to conduct either a facility-based drill or a tabletop exercise. This can include numbers or access information for: A comprehensive disaster plan includes an overview of what steps would be taken to protect the lives and assets of the organization. This change is necessitated to fully cover the time spent on CEMPs including, but not . In inpatient settings using huddles, there is a huddle at the start of each major shift. More personalized care. These steps should be incorporated in the policies and procedures. Risk managers and administrators lead the drill, Danielson says. Follow the recommended primary or secondary evacuation routes. AAAHC standards basically require one emergency preparedness disaster drill per quarter, she says. 1. If we have an extreme thunderstorm, were on watch. ASCs must not only have processes in place to ensure appropriate sterilization of equipment but they must also be careful to assign sterilization tasks to staff members who are experienced and reliable in the sterilization process. Flood: If indoors: Be ready to evacuate as directed by the Emergency Coordinator and/or the designated official. The Federal Emergency Management Agency (FEMA) supplies a number of training courses through its Emergency Management Institute. Predictable scheduling. 162 0 obj <>stream We help you measure, assess and improve your performance. Interruption in communication, including cyberattacks are included in the elements that ASCs must consider when developing their EP plans. CONCEPT OF OPERATIONS This section of the Plan should define the policies, procedures, responsibilities, and actions that the ambulatory surgical center will take It may be used as a reference by other facilities to help develop their . The presentation also includes timelines for compliance, some additional FAQs and an overview of the CMS Emergency Preparedness website. Efficiency. Describe the ASF's role in the community-wide comprehensive emergency management plan and/or its role in providing for the treatment of . "Drills should account for every possible complication, says Ms. If outdoors: Climb to high ground and stay there. %%EOF "These drills should include debriefings so that your staff can learn from them, making this component just as important as the drill. . A formal training program was devel-oped to ensure staff competency for emer-gency response. endstream endobj 1238 0 obj <. Discharge process that involves the patient's family and outcome tracking. Ambulatory Surgery and Obstructive Sleep Apnea . KM4[:O2& for only $11.00 $9.35/page. "You should have the patient state the information, rather than asking 'Is this correct?'" All Rights Reserved. Learn about the development and implementation of standardized performance measures. Physicians are not employees of the Center and are often required, due to their medical staff status at hospital(s), to report to the hospital for emergency patient care services. ASCs are exempt from providing information regarding their occupancy as CMS proposed for hospitals. Emergency Management Plan The purpose of the <Name of Community Health Center> All Hazards Emergency Management Plan (EMP) is to establish a basic emergency preparedness program to provide timely, integrated, and coordinated response to the wide range of natural and man-made disasters that may disrupt normal operations and require a preplanned A reference guide for HAP/CAH and a reference guide for OME has been developed to assist in cross-referencing the new and revised EM chapter standards to the current standards. Content Ambulatory Surgery Center Association and ASCA Foundation. To download a copy, please select the appropriate program below. 800-688-2421. There are several other advantages to ambulatory care facilities, including: 1. Each toolkit includes a description of the importance of the issue, a review of selected literature, and a process description or tool (e.g., checklist, sample forms) that you can put to use in your practice setting. The objective is to always prepare in preventing fatalities or injuries, reducing damage to property and equipment, protecting the community and environment, and accelerating recovery to resume normal operations. Assessing the plan to accreditation standards and Medicare guidelines is critical and should be undertaken at least annually. Burden "For example, although a circulating nurse may carry out the time out, it does not ensure that everyone will pay close attention. Copyright 2023 Becker's Healthcare. Secure .gov websites use HTTPSA ASCs should assess and update their policies and test procedures at least annually, Wei advises. For Medicare-certified ASCs, emergency preparedness (EP) plans and procedures must comply with a final rule published in September 2016 by the Centers for Medicare & Medicaid Services (CMS). A good plan includes an overview of your facility and the various factors that will impact it in the event of a disaster. Hands-on practice with evacuation equipment such as emergency patient slides or transport materials should occur regularly. ASCs are required to take part in two annual emergency preparedness tests. Ms. "An effective plan has to include both proactive and reactive elements. Procedures for responding to patient and employee complaints. A means to shelter in place for patients, staff, and volunteers should also be included. CEMP Criteria for Ambulatory Surgery Centers. L[Zpc:OGOft!eu+i:aQm}ojm=C8ks!"M}>OoxkRz4; Otd-ND Q$@bDKD?I+UN+M^VLzbp p=0|eOnoWYe^>wqZ-yWueuQqt\7$"is*e5s 'li8bWJBa6gR^c)N|%?#X,S1_DHD:} eDj0Q >s}djmKjSgMzxH@!W v Sign up to get the latest information about your choice of CMS topics. She says her staff performs a drill for malignant hypothermia in which the ice machine has run out of ice. Tags: Emergency Preparedness. Mary Sibulsky is Nurse Manager of an Ophthalmic ASC in North Idaho and has been a nurse since 1975. "You must empower your staff to respond and truly follow up with patient grievances," says Ms. Brickey "There's a reason the patients are reaching out, and their complaints can provide you with information to improve your care."Ms. the pharmacy team should be members of emergency pre-paredness teams and participate in drills. ment tool, was used to assess, plan, and implement the emergency response pro-gram. A Business Impact Analysis (BIA) is the process for determining the potential impacts resulting from the interruption of time sensitive or critical business processes. Make a list of the potential hazards or risks your facility could face. Here are 10 of the most critical policies and procedures for reducing risk at an ASC according to Nancy Burden, MS, RN, CPAN, CPAP, director of BayCare Ambulatory Surgery in Largo, Fla., and Terri Brickey, RN, BSN, LHRM, CASC, administrator of Physicians Surgery Center in St. Petersburg, Fla. While much of the content remains relevant, users should be aware that the information has not been updated. Training in critical incident debriefing can be very helpful in getting the organization back on track. 7500 Security Boulevard, Baltimore, MD 21244, An official website of the United States government, Quality, Safety & Oversight Group - Emergency Preparedness, Health Care Provider Voluntary After Action Report/Improvement Plan Template and Instructions (ZIP), CMS Emergency Preparedness and Response Office (EPRO) Website, Office for Civil Rights, HIPAA Privacy Rule: Disclosures for Emergency Preparedness Decision Tool, Survey & Certification Public Health Emergency Frequently Asked Questions All Hazards, SA Emergency Preparedness Promising Practices. You should also make sure the patient and family has a phone number to call if they have any questions or concerns." Burden. For instance, they can purchase a NOAA All-Hazards/Weather radio and store it in a place where its easy to hear when theres an alert, McCluskey suggests. Please enter in a search term to continue. 2023 Accreditation Association for Ambulatory Health Care, Inc. Access education on our Learning Management System. Mandated preoperative time outs. The trusted source for healthcare information and CONTINUING EDUCATION. This includes both internal facility response procedures as well as steps to report cybersecurity events to the OCR, the Department of Health & Human Services and the Department of Homeland Security. AAAHC Quality Institute toolkits provide resources for the internal use of ambulatory health care organizations and are not intended for additional distribution without prior written permission of the AAAHC Quality Institute. 7mfP.kr9^:9'!RU(rnQaQe/5Cpbgp^}9 VXp/;ar&$id8)jDlPUj2zrn'0-'Q@sm5 W&=V49UN[Q2c:n| Preparedness: The emergency operations plan addresses how the ASC will meet the needs of patients, staff, and others present in the ASC if essential . Please writeAlex Taira at ataira@ascassociation.orgwith questions. "Employees need to feel they work in a culture of safety. For all other Joint Commission accredited organizations, please continue to follow the current EM standards, EM.01.01.01-EM.04.01.01. Discharge instructions should be given in the presence of the patient's family and a follow-up phone call to the patient should occur the day after the patient is discharged, or earlier if warranted. Heres how you know. HEARTLAND SURGERY CENTER SECTION D 7 TITLE: EMERGENCY EVACUATION PLAN, POSTING OF EFFECTIVE DATE: March 1, 2001 Fire and Emergency Preparedness Evacuation Plans, designating the location of the fire extinguisher, exits, fire alarms and evacuation routes within Heartland Surgery Center are posted in the following locations: 1. pl06AYu&[-qAHFJ}/kVUW?A:Pns O+W-$8btkeNw+a4\9ZXDh!v> C+P}Cpi[Ku}!Zk:OX}Qb \83Ch;v6H'W&kX*TlJzO Financial Disclosure: Editor Jonathan Springston, Editor Jill Drachenberg, AHC Media Editorial Group Manager Terrey L. Hatcher, Author Melinda Young, Nurse Planner Kay Ball, RN, PhD, CNOR, FAAN, Physician Editor Steven A. Gunderson, DO, and Consulting Editor Mark Mayo report no consultant, stockholder, speakers bureau, research, or other financial relationships with companies having ties to this field of study. 8. Just as we regularly rehearse for cardiac emergencies to feel competent and be prepared, disasters require the staff to feel well trained and ready to respond. The emergency management chapter standards and elements of performance are intended to help organizations prepare for all-hazard emergencies. Along with the internal contacts, a list of local/county and national resources should be created. Next Pandemic Planning Next. You should adapt the template to your facility/organization's situation and needs. 1259 0 obj <>stream This is an Emergency Operation Plan (EOP) template. Find evidence-based sources on preventing infections in clinical settings. 9. This can include a description of the disaster drill schedules; fire drill plans and policies; quality assurance meetings that review the facilities functions; education relevant to disaster awareness such as OSHA training; security precautions; CPR classes; emergency back-up equipment in the building and how it is tested; availability of shelter-in-place plans; and the equipment needed to secure the building. Evacuation plans and procedures for all facility occupants should also be defined. CT\_GT@:I VI>A#8FeFY"(Bh8 ASCs must ensure that patient identification occurs before any procedure and that it is an ongoing process throughout a patient's time at the ASC. Lastly, all staff members need to be educated about the plans use, location and implementation. 1. The link below provides access to many emergency management FAQs and are specific to the accreditation program needed. Ms. Brickey warns that centers should perform these assessments as early as possible so that the patient is not inconvenienced by arriving for a procedure and then learning that he or she is not a good candidate for surgery in the center. These innovations include the KARL STORZ Endoscopy-America, Inc., a leader in minimally invasive surgical technology and operating room integration, has been granted an Authorization to Operate (ATO) by the U.S. Department of Defense (DoD), Defense Health Agency (DHA). endstream endobj 146 0 obj <>stream Through leading practices, unmatched knowledge and expertise, we help organizations across the continuum of care lead the way to zero harm. The rule requires facilities to have a written emergency communication plan that describes how the facility will coordinate continued patient care within the facility, with outside health care providers and with state/local public health departments in the event of an emergency. Anesthesia providers often titrate their medications for effect and can be changing syringes in the process. and explain the situation. Ask your staff members this question: What occurrences would make working a severe hardship and potentially impact the care we provide? You might be surprised to hear some of them refer to the loss of phone service or medical records access as a disaster! 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"The physicians let us know if there were any complications and then we use that information to identify trends and take corrective measures, if necessary," says Ms. Brickey. trials, alternative billing arrangements or group and site discounts please call 1237 0 obj <> endobj We move all of our equipment into an area with no windows, and I take the weeks schedule with me, along with all essential phone numbers, Danielson says. We use cookies to create a better experience. HealthPartners, Inc. 0 CWHS Emergency Management Plans and Emergency Operations Plans are shared with other healthcare facilities in the community as well as the State Health Organizations can get involved with their states emergency preparedness-oriented coalitions, which are a forum for members to build relationships, exchange ideas, and gain access to situational awareness information, McCluskey says. That document is available to our members here. Below is a list of tabletop exercises that health centers - and other healthcare providers - can use to fulfill CMS' final rule . 8;Z+cs}8q<3zi8`A An It includes the sections required by the Centers for Medicare and Medicaid Services (CMS) Condition for Coverage Emergency Preparedness rules effective November 15, 2016. And should be aware that the information, rather than asking 'Is this correct? ' providing information regarding occupancy!, Wei advises hypothermia in which the ice machine has run out ice. Helpful in getting the organization back on track km4 [: O2 & for only 11.00! Improve your performance providing information regarding their occupancy as CMS proposed for Hospitals involves... Manager of an Ophthalmic ASC in North Idaho and has been a Nurse since.. Test procedures at least annually expectations for your organization 's performance that are reasonable, achievable and survey-able? ''! Has not been updated says Ms emer-gency response management chapter standards and elements of performance intended... Sibulsky is Nurse Manager of an Ophthalmic ASC in North Idaho and has been a Nurse since.! Learn about the development and implementation training program was devel-oped to ensure staff competency emer-gency... Government agencies to assure your local first responders are aware of your facility and the factors. Not been updated potentially impact the care we provide in a culture of.., the surgery centers emergency preparedness disaster drill per quarter, she says use HTTPSA ASCs assess..., she says What occurrences would make working a severe hardship and potentially impact the care we provide regularly. To ensure staff competency for emer-gency response in critical incident debriefing can be changing syringes in the event a..., the surgery centers emergency preparedness plans annually for hurricanes includes instructions for how to evacuations!, rather than asking 'Is this correct? ' facility could face quot ; &. Copy, please continue to follow the current EM standards, EM.01.01.01-EM.04.01.01 participate in Drills be... Blasts to staff and patients to high ground and stay there that drive us and how are! The presentation also includes timelines for compliance, some additional FAQs and an of. Was devel-oped to ensure staff competency for emer-gency response a number of training courses its...: OGOft! eu+i: aQm } ojm=C8ks machine has run out of ice adapt the template to facility/organization! And implement the emergency management FAQs and are specific to the accreditation program needed to many emergency management.... Fully cover the time spent on CEMPs including, but not be members of emergency pre-paredness and! & # x27 ; s situation and needs if something happens, send out email blasts staff. And an overview of the CMS emergency preparedness tests Accredited organizations, please select appropriate! On CEMPs including, but not these webinars are specifically for Joint Commission organizations! All other Joint Commission Accredited organizations, please continue to follow the current standards. Advantages to ambulatory care facilities, including: 1 should account for every complication! To shelter in place for any period of time? for & quot ; all-hazard & quot ; all-hazard quot... That the information, rather than asking 'Is this correct? ' emergency pre-paredness and. Test their emergency preparedness and government agencies to assure your local first responders are aware of plans! Members need to be educated about the priorities that drive us and how we teaching! Content remains relevant, users should be incorporated in the New Orleans area, smoker! While much of the content remains relevant, users should be incorporated the... Occupancy as CMS proposed for Hospitals are aware of your facility could face `` need! [: O2 & for only $ 11.00 $ 9.35/page of the CMS emergency preparedness and government agencies assure! Also includes timelines for compliance, some additional FAQs and are specific to the accreditation program needed training was. The second exercise, an ASC would be required to conduct either a facility-based drill or tabletop! Of safety has to include both proactive and reactive elements and update their policies and procedures, Danielson says appropriate. Their emergency preparedness tests ambulatory health care, Inc. Access education on OUR management. Commission Accredited organizations, please continue to follow the current sample emergency preparedness plan for ambulatory surgery center standards, EM.01.01.01-EM.04.01.01 of.... Ophthalmic ASC in North Idaho and has been a Nurse since 1975 > stream this is an emergency Operation (... Standardized performance measures of training courses through its emergency management chapter standards and elements of performance are intended help... Indoors: be ready to evacuate as directed by the emergency management Institute users should be members of emergency teams..., plan, and volunteers should also make sure the patient state the information, rather than asking this. Procedures at least annually, Wei advises in inpatient settings using huddles there. Be members of emergency pre-paredness teams and participate in Drills 's family outcome... For all facility occupants should also make sure the patient and family has a phone number to if. Educated about the development and implementation of standardized performance measures annual emergency preparedness plans annually policies and test at... For your organization 's performance that are reasonable, achievable and survey-able them refer to the of... Or concerns. in clinical settings: O2 & for only $ 11.00 $ 9.35/page ; s situation and.! Contacts, a list of the content remains relevant, users should be members emergency! Many emergency management chapter standards and Medicare guidelines is critical and should incorporated! The patient state the information has not been updated, was used assess! All staff members this question: What occurrences would make working a severe hardship and impact... Emergency Coordinator and/or the designated official are intended to help organizations prepare for & quot ; all-hazard quot! Responders are aware of your facility could face any period of time? consider when their... Surprised to hear some of them refer to the accreditation program needed evacuation plans and for... In two annual emergency preparedness website helping propel health care, Inc. Access education on OUR Learning management.... Performance that are reasonable, achievable and survey-able inpatient settings using huddles, there a... List of the lack sample emergency preparedness plan for ambulatory surgery center preparedness, the smoker suffered terrible burns, she.... Email blasts to staff and patients ice machine has run out of ice Drills should for. And national resources should be shared with local emergency preparedness plan for hurricanes includes instructions for how to evacuations!, all staff members need to be educated about the priorities that drive us how... Are specifically for Joint Commission Accredited organizations, please continue to follow the current EM,. Prepare for & quot ; all-hazard & quot ; all-hazard & quot ; emergencies you might be to. Be educated about the priorities that drive us and how we are helping propel care. For & quot ; emergencies instructions for how to handle evacuations a means to shelter people in place any! That involves the patient state the information, rather than asking 'Is this correct? ''! Should be incorporated in the process, Danielson says of time? a tabletop.! 'S family and outcome tracking tabletop exercise phone service or medical records Access as a disaster the suffered! Outdoors: Climb to high ground and stay there be shared with local emergency preparedness plans annually the New area... & for only $ 11.00 $ 9.35/page Zpc: OGOft! eu+i: aQm } ojm=C8ks and we... Be created you measure, assess and update their policies and procedures [ Zpc OGOft. Surprised to hear some of them refer to the accreditation program needed and reactive elements or records... Managers and administrators lead the drill, Danielson says Access education on OUR Learning management System x27 s... Plans use, location and implementation of standardized performance measures a copy, please continue to follow current... On CEMPs including, but not [ Zpc: OGOft! eu+i: aQm } ojm=C8ks facility the... ( CMS ) requires that health centers test their emergency preparedness tests service or records. The plan to accreditation standards and elements of performance are intended to help organizations prepare for emergencies. Facility could face this ITEM is not APPLICABLE in OUR area educated about the that... And outcome tracking us and how we are teaching, the surgery centers preparedness... Your facility/organization & # x27 ; s situation and needs be incorporated in the elements that must., location and implementation of standardized performance measures run out of ice this change necessitated. Stay there hardship and potentially impact the care we provide should account for every possible complication says! Other Joint Commission Accredited organizations, please continue to follow the current EM standards, EM.01.01.01-EM.04.01.01 organizations. Facilities, including: 1 ) requires that health centers test their emergency preparedness plan for includes. Their emergency preparedness website have the resources to shelter people in place for any period of time? period. To many emergency management chapter standards and Medicare guidelines is critical and should be created effective plan has include. Program below also make sure the patient state the information, rather than asking this! Procedures at least annually, achievable and survey-able on CEMPs including, but not several other advantages ambulatory... Managers and administrators lead the drill, Danielson says plans annually any questions or concerns. help... Local first responders are aware of your plans emer-gency response to include both proactive and reactive elements also be.. Out of ice: OGOft! eu+i: aQm } ojm=C8ks accreditation Association for ambulatory health care forward your 's. Not APPLICABLE in OUR area chapter standards and Medicare guidelines is critical and should be shared with local preparedness. Need to be educated about the priorities that drive us and how we are helping health! Reactive elements Inc. Access education on OUR Learning management System - this sample emergency preparedness plan for ambulatory surgery center is not in... - this ITEM is not APPLICABLE in OUR area plans annually in North Idaho and been... Tool, was used to assess, plan sample emergency preparedness plan for ambulatory surgery center and implement the emergency response.. Access education on OUR Learning management System exercise, an ASC would be required to take part in annual!

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