AACN News—September 2008—Association News
Vol. 25, No. 9, SEPTEMBER 2008
Scholarships Advance Education for Nurses
Awards Support BSN Completion and Graduate Programs
Click here to enlarge the image
Click here to enlarge the image
Sixty-seven AACN members are pursuing academic degrees with the assistance of AACN Educational Advancement Scholarships awarded for the 2008-2009 academic year. The scholarships of $1,500 each were presented to nurses at 54 schools in 25 states (see page 8 for the list of recipients).
The named scholarships listed to the right represent tribute or memorial contributions of $1,500 or more to the AACN Scholarship Endowment. This year, 10 scholarships have been awarded in memory of Linda J. and Thomas A. Krausz, honoring their commitment to AACN and to nursing education. The couple, who were both nurses, were killed in a motorcycle accident. Linda Krausz was an advanced practice nurse and a longtime, active member of AACN.
Commitment to Education
The Educational Advancement Scholarship program continues AACN’s more than 20-year history of supporting registered nurse members in their professional development. Since the first educational advancement scholarships were awarded in 1984, AACN has been at the forefront of supporting critical care nurses in continuing their academic and professional education. AACN also supports individuals entering nursing, as a major contributor to the National Student Nurses Association scholarship program.
Funds for scholarship support are allocated in the association’s operating budget each year and offset in part by gifts from individual donors and industry. Since 2001, AACN has been growing a Scholarship Endowment to ensure the program’s existence for the future. Thanks to gifts from generous donors and other fundraising initiatives, the endowment fund has grown to more than $1,169,000.
For more information or to contribute to the Scholarship Endowment to help reach its $2 million goal, call Wayne Goebel at (800) 394-5995, ext. 333; e-mail firstname.lastname@example.org, or write AACN Development Office, 101 Columbia, Aliso Viejo, CA 92656.
Recognizing a generous gift of $209,000 from the Estate of Linda J. and Thomas A. Krausz, AACN has created the Linda J. and Thomas A. Krausz Legacy Circle. A legacy circle is a giving group honoring those who make provisions to support AACN through bequests in their wills, trusts, and other financial planning vehicles. For more information, call Ramon Lavandero at (800) 394-5995, ext. 505, or e-mail email@example.com.
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New AACN E-Learning Programs Focus on Developing Preceptors and Improving End-of-Life Care
Nurses face tough issues every day. Patients and their families rely on nurses at the most vulnerable times in their lives. Knowing that nurses want to provide the highest level of care for their patients, and that there are times when their confidence is challenged, AACN has developed two online, interactive courses to help nurses build their experience and confidence in a safe environment. The courses are self-paced, which allows nurses to study when it is convenient for them.
Promoting Excellence in Palliative and End-of-Life Care:
An Interactive Learning Experience From AACN
Nurses spend more time with patients and families facing the end of life than do any other health professionals. Intimately involved in all aspects of end-of-life care, nurses are in a position to address the many needs facing individuals at this time of life. Expert nursing care has the potential to greatly reduce the burden and distress of those facing life’s end, as well as offer support for the many physical, psychological, social, and spiritual needs of patients and their families. Acute and critical care nurses often reflect upon end-of-life care as one of their most common sources of moral distress and workplace dissatisfaction.
AACN’s new course is designed to transform palliative and end-of-life care for patients by building nurses’ knowledge about this complex care issue, utilizing their existing knowledge and practice, and providing an opportunity to test their knowledge in a safe environment. This course engages individual learners, challenges their thinking, and provides immediate feedback on their application of skills, communication and evidence. Designed specifically for acute and critical care nurses, this program will significantly elevate skill levels in appropriately applying palliative care for all patient situations and in caring for dying patients and their families.
This new 3.5-hour curriculum is based upon the AACN Protocols for Practice manual and other evidence-based AACN resources. In a virtual environment, the program simulates the experience of being in the room with patients and their family members. By conveying the accurate the “trajectory of death” in a variety of situations, the course allows nurses to practice different approaches without affecting real patients and families.
One of the primary goals in the program is to minimize the nurse’s moral distress level. Success is marked by the nurse’s estimation that the patient received the care that was best for them, and that he or she (the nurse) expertly provided that care. Success is achieved when the nurse feels that he or she has transitioned a patient, their family, and themselves through the end-of-life experience.
The successful learner will be able to:
1. Provide accurate symptom management (technical skills)
2. Manage family issues and interventions (communication skills)
3. Demonstrate withholding and withdrawing life support
4. Demonstrate appropriate measures of self-care (caring for the caregiver)
The Preceptor Challenge:
The AACN Preceptor Development Program
Nurses commonly engage in a preceptor-preceptee relationship.
Precepting is vital to promoting new nurses in their competence, familiarity, confidence, and security in a new environment. Historically, there have been few standardized or universally accepted guidelines for the curriculum that should be included in the preceptorship model. It is common practice to select preceptors because they exhibit superior clinical skills. However, exceptional clinical acumen does not necessarily go hand-in-hand with excellent teaching skills so many preceptors feel unprepared for this role.
This new 3.5-hour course will provide nurses with the opportunity for practical application of theory-based precepting practice in real world situations using virtual tools. In the highly interactive program, nurses apply best practices and identify the rationale that makes these practices “best.”
“What do I do now?” is a decision point nurses face dozens of times each day. The course uses virtual characters in accurate, realistic, hospital-based scenarios. In this safe, experimental arena, learners will experience what a successful interaction with their preceptee feels like. This course provides preceptor nurses, both inexperienced and seasoned, with the information, practice, and resources to prepare them for the unique challenges they will face in their day-to-day work.
The successful learner will be able to:
1. Describe the roles and responsibilities of a preceptor.
2. Demonstrate best practices in communication skills with the preceptee, staff, and patients.
3. Develop and implement a learning plan with a preceptee based on his or her needs and goals.
4. Demonstrate understanding of critical thinking skills as supported by current protocols, evidence-based research, and best practices according to hospital standards of care.
5. Provide constructive feedback and evaluation to the preceptee.
Both groundbreaking e-learning programs will be available in September. Access to the programs is instantly available to organizations that already have an AACN e-learning system site license. If you are interested in finding out how your organization can access these programs, go to www.aacn.org/e-learning or call 800-899-0573.
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Members on the Move
Michael W. Day, RN, CCRN, MSN, former AACN Certification Corporation board member, and trauma nurse-coordinator at Sacred Heart Medical Center, Spokane, Wash., wrote an article titled “Fracture in the Field” for the June issue of Nursing 2008.
Robin Braden, RN, APRN, MSN, ACNP, APN-C, nurse practitioner, joined Northeast Georgia Inpatient Services’ hospitalist program, Gainesville, Ga.
Patricia Gonce Morton, RN, PhD, ACNP, FAAN, immediate past AACN board member, attended a two-week course titled “Management and Leadership of Higher Education,” sponsored by the Graduate School of Education at Harvard University.
Vicki S. Good, RN, MSN, CCRN, CCNS, AACN board member, was recently named director of nursing practice integration for CoxHealth, Springfield, Mo. She facilitates the implementation and integration of Shared Leadership for Nursing Services and assists in the promotion of evidence-based care.
Susan Burnett, RN, CCRN, was named patient care director, and Rodilyn Glushchenko, RN, MSN, is the new nurse educator in the Neurology/Urology and NeuroStepdown Unit at Caritas St. Elizabeth Medical Center, Boston, Mass.
Collette Hendler, RN, MS, CCRN, wrote a CE article titled “A Perfect Match: Preventing Blood Incompatibility Errors,” for the June 16, 2008 edition of Nursing Spectrum.
Pierre Richard, RN, MS, CCRN, a 20-year veteran of the healthcare industry, has joined the staff of Oak Hill Hospital, Park Hill, Fla. He is the new director of education.
Cathy Thompson, PhD, RN, CNS, former AACN and AACN CertCorp board member, received the 2007 Clinical Nurse Educator of the Year award from the National Association of Clinical Nurse Specialists (NACNS). She is an associate professor and CNS option coordinator at the University of Colorado Denver, College of Nursing.
Michelle Heron, RN, BSN, a critical care nurse at Emerson Hospital, Concord, Mass., was honored with the Theresia Emerson Nursing Excellence Award, at the fifth annual Clinical Advancement Recognition Tea.
Mary Spigarelli, RN, CCRN, who works in the ICU/CCU at St. Joseph’s Wayne Hospital, Wayne, N.J., received the annual Ursula Cahsens Critical Care Excellence Award.
Beatrice Davis Fincher, RN, BHS, CCRN, is a New York/New Jersey regional winner of the Nursing Spectrum Excellence Award. She is a neurosurgical intensive care nurse at Mount Sinai Hospital, New York City, N.Y.
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Thank You to All the 2008 Volunteer Scholarship Reviewers
Jill Hecker Fernandes
Connie Sobon Sensor
M. Cecilia Wendler
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July Fireworks Set Off Latest Month of Member Recruiting Campaign
In July, 407 new members joined AACN as a result of the continuing recruiting efforts of both individual members and chapters. For the past few years, those efforts have significantly contributed to the record growth of the AACN family. With only one of reporting month remaining in the current campaign, 1,290 individuals and chapters have recruited 5,847 new members.
317 new members recruited by 135 individuals
90 new members recruited by 41 chapters
In individual recruiting for the month, Coleen Rakers, RN, MSN, AA, CCRN, CNA-BC, of Webster Groves, Mo. had a great month with 20 new members recruited. Also with a strong performance was Ann Brorsen, RN, BS, MSN, CCRN, CEN, of Sun City, Calif., who recruited 16. Brorsen is now in second place overall in the campaign with 46 new AACN members.
Adding 12 new members in July, Lorraine Fields, RN, CNS, MSN, BSc, CCRN, CNRN, APN, of Uniontown, Ohio solidified her lead in the campaign with a total of 74. Now in third place overall is Kathleen Richuso, RN, MSN, RN-BC, of Chapel Hill, N.C. with 41. Following close behind in fourth place is Mary Holtschneider, RN, BSN, MPA, RN-BC, of Durham, N.C. with 39.
The chapter recruiting the greatest number of new members was North Central Florida with 10. The Houston Gulf Coast Chapter still has the overall lead in the campaign with 99. The Greater Portland Chapter remains in second place overall with 61 new members recruited.
The “I Can Make a Difference” campaign began Sept. 1, 2007 and ended Aug. 31, 2008. Final results of the campaign will be listed in a future issue of AACN News. Participation in the Member-Get-A-Member drive offered the opportunity for recruiters to receive valuable rewards, including a $1,500 American Express gift check awarded to the top individual recruiter. Members who recruited more than 20 new members by campaign end were entered into a random drawing for a $1,000 American Express gift check, those who recruited 10-19 new members by campaign end were entered into a random drawing for a $750 American Express gift check, and anyone who recruited 1-9 new members by campaign end was entered into a random drawing for a $500 American Express gift check.
After recruiting their first five new members, participants received a $25 gift certificate toward AACN products and services, and $50 after recruiting a total of 10 new members.
In addition, individuals who recruited at least one new member in a campaign month were entered into a drawing for a $100 American Express gift check. Jennifer Woodcock, RN, BSN, CCRN, of Peoria, Ariz. won the gift check in July.
The overall top-recruiting chapter will be awarded a $1,500 honorarium check toward the chapter treasury. Recruiting chapters will also be entered into a random drawing at campaign end for an honorarium check toward their chapter treasury: If they recruit more than 20 new members by campaign end, chapters are eligible for a $1,000 honorarium check, 10-19 new members recruited by campaign end, they are eligible for a $750 honorarium check, and with 1-9 new members recruited by campaign end, chapters are eligible for a $500 honorarium check.
In addition, chapters are eligible for monthly drawings for a free NTI registration any month they recruit a new member. The winner for July was the San Antonio (Texas) Chapter.
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Scene and Heard
Our Voice at the Table
Caryl Goodyear-Bruch, RN, PhD, CCRN, AACN board president, Beth Hammer, RN, MSN, APRN-BC, AACN president-elect, and CEO Wanda Johanson, RN, MN, participated in a planning retreat in Chicago, Ill. with the leadership of the American College of Chest Physicians, American Thoracic Society and Society of Critical Care Medicine. Building on a long record of mutual respect and successful collaborative education and advocacy efforts, the societies’ leadership met to define priorities for acute and critical care nursing and medicine. In the next year, the societies will define plans to address interdisciplinary guidelines, quality improvement priorities, critical workforce shortages, communication issues and critical care research priorities. The leadership of the four societies is united in its commitment to helping nurses and physicians work together to improve their work environments and optimize patient safety and quality of care.
Linda Bell, RN, MSN, AACN clinical practice specialist, represented AACN at The Joint Commission’s 16th Annual Liaison Forum in Oakbrook Terrace, Ill. This forum provides a unique opportunity to review current Joint Commission initiatives; to discuss important quality- and safety-related healthcare issues; and to keep current on the regulatory environment. Key topics included a new Standards Interpretation Group panel as an open forum to ask questions about standards; an election-year overview of legislative efforts and the health-related platforms of the candidates; infection control, healthcare associated infection, and MRSA; updates regarding The Joint Commission’s Standards Improvement Initiative (SII); current public policy initiatives; an overview of the 2008-2009 National Patient Safety Goals; a Mock Survey Tracer; and the latest paper from the Hospitals, Language, and Culture Study: “One Size Does Not Fit All: Meeting the Health Care Needs of Diverse Populations.” A free copy of the report can be downloaded at www.jointcommission.org /patientsafety/hlc. AACN will have many opportunities for timely information dissemination and member support in all of the above areas through AACN News, Critical Care Newsline (eNewsletter), AACN’s journals and the Web site. AACN will also consider these messages when developing future education and practice products.
Ramón Lavandero, RN, MSN, MA, FAAN, AACN director of development and strategic alliances, Justine Medina, RN, MS, AACN director of professional practice & programs, and Hammer attended the first meeting of the Hospital Care Collaborative. The Society of Hospital Medicine invited professional organizations representing acute and critical care nursing (AACN), health system pharmacists (ASHP), case managers (CMSA), respiratory therapists (AARC) and healthcare social workers (SSWHLC) to join them in identifying quality and safety issues for which the strength and expertise of these particular organizations has a high likelihood of achieving enduring solutions. The organizations agreed this can be a valuable approach and have started to identify the most pressing issues to focus on.
Our Experts Share Their Knowledge
John Whitcomb, RN, PhD, CCRN, AACN board member, gave a lecture at the Society of Critical Care Medicine Carolinas/Virginia Chapter, 26th Annual Scientific Symposium, in Chapel Hill, N.C. His topic was “Critical Care Nursing: Year in Review,” which included a discussion with nurses and physicians about healthy work environments and how they can work together to create them.
David A. Swankin, Esq., AACN Certification Corporation board member, was invited to deliver an address to the Irish Board of Nursing (An Bord Altranais) at the board’s annual meeting in Dublin, Ireland. Swankin’s speech was titled “Public Expectations for Health Professional Regulation, A View from America.” Among the subjects he discussed was the need for, and importance of, strong, cooperative relationships between licensing boards and voluntary certification agencies as applied to the nursing profession.
Kathryn Roberts, RN, MSN, CCRN, CCNS, CRNP, AACN board member, co-presented a full-day preconference titled “Pediatric Physical Assessment: Enhancing Your Knowledge and Skills” at the Pediatric Nursing Conference in Las Vegas, Nev. She also presented a concurrent session titled “Pediatric Fluid and Electrolyte Imbalances.”
Julie Miller, RN, BSN, CCRN, AACN board member, presented a CCRN Review at Medical Center Hospital of Odessa, Odessa, Texas and at Midland Memorial Hospital, Midland Texas. In addition to presenting the reviews, she discussed the value of certification and healthy work environments.
Dave Hanson, RN, MSN, CCRN, CNS, immediate past AACN president, Goodyear-Bruch and Johanson attended the biannual House of Delegates meeting of the American Nurses Association (ANA) in Washington, D.C. AACN, along with 20 other national nursing associations, is an organizational affiliate member of ANA. AACN participates in this collaborative to strengthen its voice in advocating for issues of importance to acute and critical care nurses. A major topic of the meeting was developing strategies to get federal legislation enacted for safe nurse staffing. This is a high-priority area for AACN; joining forces with ANA and other nursing organizations increases the power of nursing’s voice.
Affiliates have a seat on the ANA board to ensure shared knowledge of the issues of concern to specialty nursing, including acute/critical care nursing, and cohesive approaches to issues facing the profession. In recognition of AACN’s leadership and long history of successful collaboration in the nursing community, Hanson was elected to serve a two-year term (July 1, 2008 to June 20, 2010) as the affiliates’ representative to the ANA board. This opportunity provides an even stronger link for legislative and advocacy efforts on behalf of AACN members.
Just prior to the ANA House of Delegates meeting, AACN representatives attended a leadership conference sponsored by the Center for American Nurses. Because of AACN’s significant contributions to strengthening the nursing workplace by promoting healthy work environments, AACN received the center’s 2008 Workforce Advocacy Champion Award. Specifically cited as the basis for this distinguished award were AACN position papers on workplace violence prevention and zero tolerance for abusive behaviors, the AACN Standards for Establishing and Sustaining Healthy Work Environments, and AACN’s overall sustained leadership and commitment in improving the work environments of nurses. “The mission of the Center for American Nurses is to create healthy work environments through advocacy, education, and research. We are pleased to recognize the excellent work done by AACN to achieve those same results,” said Carrie Houser James, MSN, RN, CNA, BC, CCE, president of the center.
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AACN Member Selected as 2008 Harris Manchester Fellow
Cindy Munro, PhD, RN, FAAN, professor in the Department of Adult Health and Nursing Systems at the Virginia Commonwealth University School of Nursing, was selected as a fellow for the 2008 Harris Manchester College Summer Institute. Munro traveled to Oxford in July where she spent a week engaged in research activities with her fellow scientists.
Munro’s research focused on obtaining consent for research participation in critically ill subjects. She also examined legislation and attitudes toward research consent in the United States compared with other countries.
The Summer Research Institute invites scholars from many U.S. universities to study and write while in residence at Oxford. Munro was one of three VCU researchers chosen for the 2008 program.
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Palliative, End-of-Life Care Topic for Final Webinar Series
The last in a series of webinars developed by AACN and Joint Commission Resources (JCR) is scheduled for October, when Palliative and End-of-Life Care will be the topic. Registrants will gain understanding of palliative care as a crucial element of all nursing care, end-of-life care and supporting Joint Commission standards.
Presented in three parts, the discussions will center on “Palliative Care Isn’t Just End-of-Life Care” Oct. 7, “Family Presence in Critical Care” Oct. 14 and “End-of-Life Care” Oct. 21. CE credit is available.
Representing AACN on Oct. 7 will be Patsy Treece, RN, MN, a critical care research nurse with the Division of Pulmonary & Critical Care at the University of Washington Harborview Medical Center. J. Randall Curtis, MD, MPH, FCCP, director of the division, will represent AACN for the Oct. 14 and 21 programs. Beth Glassford, RN, MS, MHA, CHE, a consultant and past member of the AACN Certification Corporation Board of Directors, will represent JCR.
You can register for this program now by visiting the JCR Web site at www.jcrinc.com. Cost is $249 per session or $600 for all three topics within this series. Organizations can sign up for one telephone connection with multiple attendees participating in one conference room. The audio CD, complete with PowerPoint handout, is also available for purchase.
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Respiratory Nursing A Core Curriculum
Compiled by an expert team of respiratory nurse practitioners, Respiratory Nursing is essential for all nurses seeking the expertise needed to care for persons with respiratory disease or compromised function. The book is a must-have for respiratory and intensive care specialists, related healthcare professionals and teachers and students in graduate and undergraduate nursing programs. (#128905)
Member $80.75, Nonmember $85
Comprehensive Neuro Assessment
By viewing this new DVD, you’ll learn how to recognize potential neurological problems and make a difference in the outcome of patients. Explore, via demonstration, assessment techniques across the life span, including all five areas of the neurological examination: cortical function; cranial nerves and pupils; motor and cerebellar function; sensory function; and reflexes. (#301515)
Member $36, Nonmember: $39.95
Monthly Super Savers
These Super Saver prices are valid through Oct. 31, 2008. All orders must be received or postmarked by October 31 to be eligible for the Super Saver price.
Management of the Mechanically Ventilated Patient, 2nd Ed. (#128903)
This guide functions as both an educational manual and a clinical reference for those involved in monitoring, managing, and delivering care to patients requiring respiratory intervention or mechanical ventilatory support. The range of coverage and practical approach in this easy to understand guide provides the nurse and other healthcare professionals with the clinical practice information needed to deliver safe and effective respiratory care.
Member $51.25, Nonmember $53.95
Super Saver Price
Member $43.65, Nonmember $45.95
Fundamentals of Lung and Heart Sounds, 3rd Ed. (#128902)
Designed to help readers understand the origins of lung and heart sounds, this text and CD provide all the essential information needed to interpret cardiopulmonary auscultation for accurate, efficient patient care. Content has been expanded in this edition to include cardiac anatomy and physiology and basic heart sounds, in addition to coverage of pulmonary anatomy and physiology, fundamentals of sound, bedside patient assessment, the stethoscope, mechanisms of lung and heart sounds, and the clinical applications of auscultation. Case studies and other learning features strengthen essential critical thinking skills for the clinical environment.
Member $57.95, Nonmember $60.95
Super Saver Price
Member $50.34, Nonmember $52.95
Respiratory Disease: A Case Study Approach to Patient Care, 3rd Ed. (#128901)
Well-written text for students learning to understand the assessment and treatment of patients with respiratory disease. Each chapter begins with a background of selected disorders, followed by a case study with questions and answers designed to stimulate the critical thinking skills of students.
Member $52.50, Nonmember $54.95
Super Saver Price
Member $49.63, Nonmember $51.95
NEW From AACN’s PDA Center
Clinical Content from the
American Journal of Critical Care
(AJCC) now available in PDA format
As an AACN PDA Medicopeia subscriber, you will now receive two clinical features from AJCC FREE. Bimonthly, you will automatically receive the following two clinical articles when you hotsync your PDA device. Read them at your leisure and save or delete as you wish. Medicopeia also offers a vast variety of nursing software, as described.
AJCC Clinical Pearls
AJCC is a reliable source for evidence-based research on the latest scientific advances in high acuity and critical care, but sometimes the practical bedside applications of its published studies are not immediately evident to readers. To help solve this problem, the Clinical Pearls page summarizes some of the most practical clinical content from each issue in digest form. In just a few quick sentences and bullet points, entries on the Clinical Pearls page offer a “Reader’s Digest” version of the bedside implications of select research articles, encouraging readers to take a closer look and to dive into studies they might otherwise have missed. Readers are encouraged to share the page with other interested clinicians.
AJCC Patient Care Page
Although AJCC maintains editorial independence from AACN, topics in the journal often dovetail with association projects and publications (such as AACN Standards for Establishing and Sustaining Healthy Work Environments) that aim to better working conditions and generally improve patient outcomes. As such, the AJCC Patient Care Page represents another means by which readers can learn about best practices in critical and high-acuity care.
Select articles in each issue of the journal are accompanied by this special page, which carries AACN’s endorsement and summarizes clinical information for use by nurse managers and others who provide patient care throughout the hospital. Similar to the JAMA Patient Page, the AJCC Patient Care Page offers easy-to-use, easy-to-understand information about diseases and conditions, interventions, techniques, protocols and standards of care that readers are likely to encounter in high-acuity and critical care environments. Building on the article’s content, the AJCC Patient Care Page offers basic health information and the latest standards of care based on available scientific evidence.
AACN’s Medicopeia Suite for PDA
In addition to the new features listed above, you will receive the following software with a Medicopeia subscription:
• Conference or Educational Trends
• Epocrates RxPro
• ER ICU Toolbox
• Pocket ICU Management Clinical Reference
• Cardiac Medications E-reference
• Critical Care Assessment E-reference
• Hemodynamic Management E-reference
• Adobe Acrobat Reader for Palm OS
• AACN Critical Care Newsline weekly e-newsletter
To subscribe, please visit the AACN PDA Center at www.aacn.org/pdaspecials
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