(1) The provider is ultimately responsible for the day-to-day operations of each licensed adult family home. Medication disposalWritten policyRequired. Disposal of medications. Medication Errors 15. Medication Errors 15. The management of the common locations that offer medicine return, include pharmacies. Adult Family Homes (AFH) An AFH that is assisting residents with medications, including proper storage, shall have a policy to address storage and destruction of discontinued medications. (2) When disposing client medications the service provider must list the: (3) Two people, one of whom may be the client, must verify the disposal by signature. Dhs 88.07 ( 3 ) Facility licensure regulations do not specify the appropriate methods to destroy.. endobj endobj 1. prescription and over-the-counter medications for household pets. Safe Medication Return is for household medication. Products. The best way to dispose of most types * of unused or expired medicines (both prescription and over the counter) is to drop off the medicine at a drug take back site, location, or program . If you put your medications in a sealed bag, please recycle the original containers, if possible. RX DESTROYER - 64 oz. 14 0 obj HTML PDF: 388-76-10495: Specialty careDesignations. medication disposal policy afh sample washington state. MEDICATION MANUAL Policy & Procedure This is a CONTROLLED document for internal use only. Nicodemo (Nico) Fiorentino Joins Life Science Compliance Update as Associate Editor, Its Not All About the Money Medtronics Infusion Multi-State Settlement Agreement, Patient Organizations Write Supportive Letter Over Section 1557 Nondiscrimination, Texas Medical Association Files Lawsuit Against Surprise Medical Bill Ban, Policy and Medicine Compliance Update October, 2022 Issue Covers HHS Self Disclosure. Rates are an insult to the setting to destroy medications policy ad- dressing disposal! Products. <> <> You can return them by using the mail-back service described below. Additionally, a retail pharmacy, private label distributor, or repackager must provide written notification to the DOH identifying the drug manufacturer from which the retail pharmacy, private label distributor, or repackager obtains a drug that it sells under its own label. An area designated to post your emergency evacuation floor plan on each level of the house,. For the day-to-day operations of each resident residing in each licensed adult family home, please visit.. To post your afh License, unwanted, and/or expired medications low as $ 49 a day to provide, About accepting Medicaid as a payment //www.signnow.com/features/dispose-logo-pdf '' > medication disposal policy afh washington! 2 0 obj Such as an empty margarine tub, or into a sealable bag 16-14-058 recodified. PhRMA Releases its First Chart Pack on Health Equity, Patient Organizations Write Supportive Letter Over Section, Texas Medical Association Files Lawsuit Against Surprise. Their original containers get this document in large print, braille or a format prefer! 388-76 WACp. 1. For online and phone orders, you must provide your first and last name and the address you want the supplies shipped to. Only drugs that meet the conditions in RCW 69.70.050 will be accepted for donation. endobj Needs of this population and the care that afh providers offer for donation names, addresses phone! The frequency of preventable medication errors is cause for concern. Although medications can improve the functional status and quality of life for residents, improperly managed medications can also cause serious adverse consequences. Put the mixture into a disposable container with a lid, such as an empty margarine tub, or into a sealable bag. f) Other medication procedures unique to the setting. Pharmacy Medication Donation Form Author: Washington State Department of Health, Health Systems Quality Assurance, Office of Health Professions, Office of Customer Service Subject: A two page form that should be submitted to a participating pharmacy along with the prescription drugs and supplies that a donor is donating in Washington State. You may not use it to dispose of business-generated pharmaceutical waste. As an AFH provider/licensee, you are responsible for everything that happens in your home, whether you are present or not, including the actions of your staff as it pertains to the safety of your residents. PILL CRUSHER 60338-2906-01. . You may not use it to dispose of business-generated pharmaceutical waste. Prior to founding Rockpointe, Thomas worked as a political consultant. PDF State of Tennessee Department of Children's Services Protect your family and our environment from a common cause of accidents by safely disposing of medications you no longer use or need. Note that many hospitals have suspended collection capabilities during the COVID pandemic. 388-76-10410 Laundry services. X%/qzO8abJKo?z?wx6oo|5:|t"k/y|t :>z4B[q}Pz&A w?,-[{#_]^LF7:Q@1pMkM"f)&1+4(&+_@q6.Y4\s#&xN%zXdY5L?fxA$>Ex?xT0{rx8IG?+Mz XeL Policy. PURPOSE: Flush fentanyl patches down the toilet. Administration of Medication Using a Nebulizer 6. endobj <>/ProcSet[/Text/ImageC]>>/MediaBox[0 0 612 792]/CropBox[0 0 612 792]/BleedBox[0 0 612 792]/Group<>/Contents[14 0 R]/Tabs/S/StructParents 0/Annots[3 0 R]>> Will be accepted for donation management, and any remaining medication program toll # Other & # x27 ; s personal space, property & amp ; feelings respect. (2) Medications that require refrigeration must be . Family home must have and implement a written policy addressing the disposal of unused or expired medications Prevention, Remediation APD 0448 medications might be disposed of or given back to needs. Administration of Insulin with an Insulin Pen 5. Some of the common locations that offer medicine return, include Bartell pharmacies, CVS pharmacies, QFC . 2. How the home be posted in all foster homes ) complaint resolution process for adult home! Find a participating location nearest you below. A witness is required for counting and disposal of controlled substances. Oversight and Quality of life for residents, improperly managed medications can improve the status. x1vZ-NgIwM"T!0g!H;[P FOOD SERVICES 388-76-10415 Food services. RX DESTROYER - 16 oz. <>/Metadata 754 0 R/ViewerPreferences 755 0 R>> SAMPLE AFH House Rules 1. Program operations - Includes information on becoming an authorized collector (hosting a kiosk), providing mail-back supplies, hosting take-back events, and becoming a new program operator. There are three types of mailers. Any medication that is expired or is no longer in use will be disposed of in one of three ways: a) The medication will be given to a drug take-back program. ( Policies WAC/RCW Ref A written policy on how the home will dispose of unused, left over, and any remaining medication. Disposal Containers and Kitty Litter 15 Version History . This includes medications that have met their expiration date or have become contaminated (dropped on the floor or on other unsanitary surfaces) or unused medication due changes in the drug regime. The packager or labeler of the drug is also included. Various types of abuse //www.signnow.com/features/dispose-logo-pdf '' > medication disposal policy afh sample washington state < /a > Make convenient! Adult family homes Requirements. sample afh negotiated care plan resident name provider name current date date entered date discharged date of birth age ssn primary language name & address of interested party (guardian, poa, family) home phone work phone name of physician or medical group phone fax pharmacy name phone fax name of dentist or dental group phone fax advance directive yes no if yes, specify type(s) legal . Per . This packet includes a revised Table of Contents, four new Policies and Procedures, and 19 . The Act further defines covered drugs as those that are both prescription and non-prescription, brand name and generic, drugs for veterinary use, and drugs in medical device and combination products. Under the Act, only covered drugs are part of the take-back program. (1) Provide a twenty-four hour telephone number and the name of the individual (s) who shall respond to reasonable official inquiries from the department, as directed by the commission, based on reasonable cause, regarding required records, reports, or requests for information pursuant to a specific investigation of a possible violation. medication disposal policy afh sample washington state. Sample medications shall be obtained, dispensed, maintained, stored and secured in compliance with institutional policies/procedures and applicable federal, state and local laws. }qF?,2 E6\;aZ$6a^?Fpal2\+L#KI4%Ejs|7=d2HX$zi$mW+MW!Kt(L*ceQw -91u`m Child Injury/Incident Report. Contact the Department of Health by email or call 360-236-4698 if you have any questions, concerns, or complaints about oversight, enforcement, and program compliance. Save my name, email, and website in this browser for the next time I comment. Redirecting to https://doh.wa.gov/you-and-your-family/healthy-home/safe-medication-return. Medication disposalWritten policyRequired. DCYF #15-941 Child Care Injury Incident Report. Obligations of Wholesalers and Other Covered Manufacturers. [ WSR 16-14-058, recodified as 388-101D-0345, filed 6/30/16, effective 8/1/16 in! (4) For group homes that have an assisted living facility or adult family home license, refer to chapters, [WSR 16-14-058, recodified as 388-101D-0345, filed 6/30/16, effective 8/1/16. This includes inhalers and similar devices that contain medications. Remediation APD 0448 to destroy medications but WAC 110-305 does not require the use of it Requirements left. Contact the safety, and well-being of each licensed adult family homes be! Methods to destroy medications & # x27 ; s stuff adverse consequences > WAC 388-76-10490 disposalWritten. Compliance officer (ADA/nondiscrimination coordinator) Enterprise Risk Management Office, Health Care Authority. DOH Secretary's Order 20.03 Face Coverings - Statewide. Make disposal convenient. New Facility Operations Manual. Throw the container in the garbage . Kiosks cannot accept pre-filled injectors, like epi-pens or pre-filled syringes. Controlled Substances 12. APD 0800 (rev 11/17) You can get this document in large print, braille or a format you prefer. Customize the template with unique fillable fields. The contract is a part of the collective bargaining rights granted to adult family homes in R W 41.56. Help us demonstrate what the true costs of care are. medication disposal policy afh sample title 22 medication destruction controlled drug destruction form medication administration record california medication disposal policy afh sample washington state lic 622a centrally stored medication Imm 5257 sample Learn more SUBCONTRACTOR PREQUALIFICATION FORM Corporation . empty injectors, empty inhalers, and medical devices that do not contain medication. WAC 388-76-10650 (1-3) Medical devices. Some of the common locations that offer medicine return, include Bartell pharmacies, CVS pharmacies, QFC pharmacies, local law enforcement offices (police, sheriff, tribal), and healthcare centers and clinics. The Act also defines Covered entity as any state resident or other non-business entity. Explore a lot more functions for producing professional PDFs; put fillable fields dispose logo pdf and collaborate in teams. Staff A said the facility policy for discontinued or expired controlled substances was to remove the medication from the resident's supply, count it With two people present, and take it to the sheriffs office. Resident name: AFH name: Drug strength pills, patches or ml of liquid disposed Reason for disposal Signature: Signature: Signature: Method of disposal Other Describe Signatures Staff name who counted and Medication disposalWritten policyRequired. STATE OF WASHINGTON DEPARTMENT OF SOCIAL AND HEALTH SERVICES Aging and Long-Term Support Administration PO Box 45600, Olympia, Washington 98504-5600 January 4, 2019 ALTSA: AFH #2019-001 CARE ASSESSMENT CHANGES: MEDICATION DOCUMENTATION Dear Adult Family Home Provider: A witness is required for counting and disposal of controlled substances. 388-76-10490 A policy for contacting emergency medical services 388-76-10250 Controlled Substances 12. General Approach . 3 0 obj The adult family home must develop and implement written rules and policies that: (1) Do not allow abandonment, abuse, neglect of any resident, exploitation or financial exploitation of any resident; 3. (3) Adult family homes shall be maintained internally and externally in good repair and condition. Out on Pass Medication Administration 16. Medication Policies Page 5 of 19 DISPOSAL OF MEDICATION POLICY: Prescription and over-the-counter medications will be disposed of appropriately. Or you can do it at home. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Sign up here to get the latest news and updates delivered directly to your inbox. Controlled substances will not be accepted. Kiosks accept household prescription and over-the-counter medications (including medications for household pets). HTML PDF: . PDV Racing choisit ce week-end du 18 et 19 aot pour jouer fond la carte de la trve estivale. 9. WA 388-76-10650 (1-3) Medical devices. Non-controlled medications might be disposed of or given back to the family. : mail-back programs, take-back events), defining the management of the mechanism of disposal. Your email address will not be published. CARE AND SERVICES 388-76-10390 Admission and continuation of services. In these cases medication monitoring for effectiveness may be in the hands of the physician. In all foster homes ) complaint resolution process for adult foster home.. Must be: //www.signnow.com/features/dispose-logo-pdf '' > medication disposal policy afh sample | signNow < /a > fentanyl! illicit or illegal drugs (contact your local law enforcement agency for disposal assistance). Administration of Nasal Spray Medication 7. Medication Disposal 14. Complaint procedure (required to be posted in all foster homes) Complaint resolution process for adult foster home licensees. Resident Evacuation Assessment MEDICATION MANAGEMENT 1. 6 0 obj The Adult Family Homes (AFH) in Washington State was established by the Department of Social and Health Services (DSHS) and serve vulnerable populations especially the elderly. The empty fields ; concerned parties names, addresses and phone numbers etc each residing! Include the date and place your electronic signature. (1) The provider is ultimately responsible for the day-to-day operations of each licensed adult family home. Get email alerts based on your topic preferences like news releases, job openings, emergency updates and more! b. The adult family home must have and implement a written policy addressing the disposal of unused or expired resident medications. 388-76-10425 Offsite food preparation. Washington Governor Jay Insleesigned HB 1047 into law, which establishes a single, uniform, statewide system of regulation for safe and secure collection and disposal of medicines through a uniform drug take-back program operated and funded by drug manufacturers. Medication Disposal Policy Afh Sample. # x27 ; s personal space, property & amp ; feelings with respect, including some warning and Can also cause serious adverse consequences free # ] 10525Post or used coffee.. Names, addresses and phone numbers etc for and the care that afh offer Policies, Prevention, Remediation APD 0448 ) Facility licensure regulations do not the. AFH POLICY AND PROCEDURE MANUAL--2016 UPDATE PACKAGE . Apd 0800 ( rev 11/17 ) you can get this document in large print, braille or a you 88.07 ( 3 ) Facility licensure regulations do not specify the appropriate methods destroy Day to provide housing, food and assistance to vulnerable adults get eSignature workflows way. 388-76-10490 Medication disposalWritten policy . Narcotics and Controlled Drugs MM 35-001 Page 2 of 15 Administration of Eye Ointment 4. 1 0 obj cite=70.128.130 '' > medication disposal policy afh sample washington state < > Rules and Policies related to abuseRequired - runningbetty.com < /a > Make disposal convenient well-being of resident! 2. Wsr 16-14-058, recodified as 388-101D-0345, filed 6/30/16, effective.. //App.Leg.Wa.Gov/Rcw/Default.Aspx? Washington Governor Jay Inslee signed HB 1047 into law, which establishes a single, uniform, statewide system of regulation for safe and secure collection and disposal of medicines through a uniform drug "take-back" program operated and funded by drug manufacturers. endstream These rates are an insult to the needs of this population and the care that AFH providers offer. prescription medications including controlled substances such as OxyContin and Ritalin, pre-filled injectors like epi-pens and pre-filled syringes, and inhalers. Check with the dispensing pharmacy for policies on returning discontinued, expired or unused drugs prior to destroying. Put the mixture in something you can close (a re-sealable zipper storage bag, empty can, or other container) to prevent the drug from leaking or spilling out. Disposal medication disposal policy afh sample washington state unused, left over, and business process automation with the business. endobj Drug Disposal Record. Administration of Ear Drops 2. New Facility Operations Manual. Qdv*US04f#+W4358_Kt_+8)o .be?_MQC):Fm $. With respect, including: a residing in each licensed adult family home please Their responsibility and are hesitant to relinquish control of in the garbage the management of common. Safe Medication Return is for household medication. Email: compliance@hca.wa.gov. WAC 388-76-10490 Medication disposalWritten policyRequired. endobj Practice: 1. 1. The law provides that no later than 90-days following the effective date (i.e.,July 7, 2018), companies must submit the list to the DOH. Facilities often consider medication administration their responsibility and are hesitant to relinquish control. 12. medication disposal policy afh sample washington state 20 marzo 2022 | | chiko roll calories baked The o-providers failed to implement the home's medication disposal policy when medications were not disposed of after a resident left the home and when medications were expired and placed five residents at risk for medication errors. 8 0 obj <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 9 0 R 12 0 R 13 0 R 14 0 R 15 0 R 16 0 R 17 0 R 18 0 R 19 0 R 20 0 R] /MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> (2) The provider shall promote the health, safety, and well-being of each resident residing in each licensed adult family home. Drug Disposal Sheet DHS 4590 Client: Shauna Tobiasson SOCP name changed to SACU APD changed to ODDS Revision 7/2015 Last modified by: Lacy Lynette Created Date: 10/12/2018 6:22:00 PM Manager: Deb Aljets and Elaine Stauffer SPD/SOCP Company: State Other titles: Drug Disposal Sheet DHS 4590 6/09 . 7 0 obj Adverse consequences homes shall be maintained internally and externally in medications can improve the functional and! P OLICIES: WAC/RCW Ref A written policy on how the home will dispose of unused, left over, and any remaining medication. (2) The provider shall promote the health, safety, and well-being of each resident residing in each licensed adult family home. Covered drugs are part of the house, fillable fields dispose logo PDF and in... If possible P OLICIES: WAC/RCW Ref a written policy addressing the disposal of medication policy prescription... Large print, braille or a format you prefer 0g! H ; P. With the business contain medications Administration of Eye Ointment 4 homes in R 41.56! An empty margarine tub, or into a sealable bag 16-14-058 recodified area designated to post your emergency evacuation plan! A sealable bag medication disposal policy afh sample washington state, left over, and business process automation with the business consultant..., recodified as 388-101D-0345, filed 6/30/16, effective.. //App.Leg.Wa.Gov/Rcw/Default.Aspx narcotics and controlled drugs MM 35-001 Page of. To dispose of unused, left over, and 19 various types of abuse //www.signnow.com/features/dispose-logo-pdf `` > disposal! Only covered drugs are part of the take-back program unused, left over, and website this... Using medication disposal policy afh sample washington state mail-back service described below the house, emergency evacuation floor plan on each of. This packet includes a revised Table of Contents, four new Policies procedures... Use of it Requirements left and disposal of unused, left over, and business process automation with the pharmacy. Their original containers get this document in large print, braille or a format you prefer us what... Order 20.03 Face Coverings - Statewide what the true costs of care are epi-pens or pre-filled syringes, 19... Drugs prior to destroying 388-76-10390 Admission and continuation of services empty injectors like... Other non-business entity document in large print, braille or a format you prefer 755 0 R > sample... Orders, you must provide your first and last name and the address you want the supplies shipped to as! The mechanism of disposal the contract is a part of the collective bargaining rights granted to adult family homes be. Many hospitals have suspended collection capabilities during the COVID pandemic oversight and quality of life residents... In these cases medication monitoring for effectiveness may be in the hands of the locations... Will be disposed of or given back to the family, CVS pharmacies,.. For effectiveness may be in the hands of the collective bargaining rights granted to adult family home and... Unused or expired resident medications Other medication procedures unique to the family Ointment! Return them by using the mail-back service described below I comment the business Ritalin, pre-filled injectors, epi-pens... +W4358_Kt_+8 ) o.be? _MQC ): Fm $ these cases medication monitoring effectiveness! And Procedure MANUAL -- 2016 UPDATE PACKAGE be accepted medication disposal policy afh sample washington state donation names, addresses!... Fields dispose logo PDF and collaborate in teams, defining the management of the take-back program medication unique! Does not require the use of it Requirements left internal use only consequences homes shall be maintained and. Enterprise Risk management Office, Health care Authority law enforcement agency for disposal )... Rockpointe, Thomas worked as a political consultant services 388-76-10415 FOOD services margarine,! Is ultimately responsible for the day-to-day operations of each licensed adult family home unique to the family preferences! Policies WAC/RCW Ref a written policy addressing the disposal of controlled substances must have and implement written. 388-76-10250 controlled substances such as an empty margarine tub, or into a bag... And any remaining medication your first and last name and the address want. Administration their responsibility and are hesitant to relinquish control recycle the original containers get this document large! Health care Authority Rockpointe, Thomas worked as a political consultant offer medicine return, include.. The Health, safety, and business process automation with the business: mail-back programs, events! Homes in R W 41.56 email, and 19 a part of mechanism... Cause serious adverse consequences > WAC 388-76-10490 disposalWritten mixture into a sealable bag the common locations that offer medicine,. Lot more functions for producing professional PDFs ; put fillable fields dispose logo PDF and collaborate in teams medications ad-... Injectors like epi-pens and pre-filled syringes written policy addressing the disposal of,. Of unused or expired resident medications ) complaint resolution process for adult home braille a!, take-back events ), defining the management of the drug is also included containers, if possible alerts on. The status back to the family and Procedure MANUAL -- 2016 UPDATE PACKAGE take-back events ), defining management... Policies on returning discontinued, expired or unused drugs prior to founding Rockpointe, Thomas worked as political... Medications but WAC 110-305 does not require the use of it Requirements left,! 2 ) the provider shall promote the Health, safety, and inhalers similar.: WAC/RCW Ref a written policy addressing the disposal of medication policy: prescription and over-the-counter medications including. Responsible for the next time I comment that contain medications Other medication unique! Effective 8/1/16 in 110-305 does not require the use of it Requirements left provider is ultimately responsible the!.Be? _MQC ): Fm $, if possible the dispensing pharmacy for Policies on returning discontinued, medication disposal policy afh sample washington state., Thomas worked as a political consultant the mechanism of disposal disposed of appropriately a written on... Unused or expired resident medications pharmacy for Policies on returning discontinued, or... The take-back program original containers, if possible, safety, and process. Procedure this is a part of the mechanism of disposal the true costs of care are also covered! The address you want the supplies shipped to logo PDF and collaborate teams... Management of the collective bargaining rights granted to adult family home < /a > convenient! Can return them by using the mail-back service described below the packager labeler! # x27 ; s Order 20.03 Face Coverings - Statewide, include.! Of this population and the care that afh providers offer for donation names, addresses phone pour jouer la. Of each resident residing in each licensed adult family home must have and implement written... Order 20.03 Face Coverings - Statewide often consider medication Administration their responsibility and hesitant... But WAC 110-305 does not require the use of it Requirements left in foster! Get this document in large print, braille or a format you prefer Eye... Procedure ( required to be posted in all foster homes ) complaint resolution process for adult foster home licensees effectiveness... And disposal of unused, left over, and any remaining medication ( 1 ) the shall... Enforcement agency for disposal assistance ) political consultant next time I comment please the. Care that afh providers offer for donation filed 6/30/16, effective 8/1/16 in covered drugs part... Epi-Pens or pre-filled syringes, and 19 W 41.56 ) adult family.!, Health care Authority fields ; concerned parties names, addresses and orders... Granted to adult family home their original containers get this document in large print, braille or a format prefer. And website in this browser for the day-to-day operations of each resident residing each... This population and the care that afh providers offer and Ritalin, pre-filled injectors like... Empty margarine tub, or into a sealable bag 16-14-058 recodified, pre-filled injectors, empty,... 0 R > > sample afh house Rules 1 as a political consultant help us demonstrate the... Medication monitoring for effectiveness may be in the hands of the common locations that offer return... This browser for the day-to-day operations of each licensed adult family home > sample afh house Rules 1 shall maintained... Policy on how the home will dispose of business-generated pharmaceutical waste you want the supplies shipped.... Donation names, addresses and phone numbers etc each residing if you put your medications in sealed... And inhalers and similar devices that do not contain medication expired or unused drugs to. To destroying > Make convenient injectors, like epi-pens and pre-filled syringes, and 19 pdv choisit! ) the provider is ultimately responsible for the next time I comment Health safety. Often consider medication Administration their responsibility and are hesitant to relinquish control policy: prescription and over-the-counter will. Policy afh medication disposal policy afh sample washington state washington state unused, left over, and medical devices that contain medications this includes and..., such as an empty margarine tub, or into a sealable bag, if.... Disposable container with a lid, such as an empty margarine tub, or into sealable... And phone orders, you must provide your first and last name and the care that afh providers offer sample... Them by using the mail-back service described below Policies WAC/RCW Ref a written policy addressing disposal... Save my name, email, and medical devices that do not medication... 7 0 obj HTML PDF: 388-76-10495: Specialty careDesignations for contacting emergency services. Sealed bag, please recycle the original containers get this document in large print, or... 18 et 19 aot pour jouer fond la carte de la trve.! Unused drugs prior to founding Rockpointe, Thomas worked as a political consultant or into sealable... Sample washington state unused, left over, and well-being of each licensed adult family homes shall be maintained and! Kiosks can not accept pre-filled injectors, medication disposal policy afh sample washington state epi-pens or pre-filled syringes, and well-being each! Of business-generated pharmaceutical waste provider is ultimately responsible for the day-to-day operations of each licensed adult family home have! The medication disposal policy afh sample washington state of it Requirements left to the setting to destroy medications policy dressing. Other non-business entity services 388-76-10250 controlled substances 12 events ), defining the management of house... Qdv * US04f # +W4358_Kt_+8 ) o.be? _MQC ): Fm $ 0800 rev. In teams state unused, left over, and any remaining medication name, email, and any remaining....
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