prn medication protocol example

Company LOGO Name: Chip Brown Date: 6/1/yr Health Care Provider: Dr. Jones Allergies: no known allergies Reason … We only give them in specific situations or a specific time. 4 0 obj PRN medication is usually prescribed for a very short duration or in the case when intermittent intervention or management is required. Examples of PRN medications. 3 0 obj endobj PRN is an abbreviation that comes from the Latin term "pro re nata." Many common over-the-counter products such as pain relievers, antacids, or cold medications, but also opioids and psychotropic medicine, might be prescribed PRN on behalf of an AL r… Examples include childhood immunisation programmes, seasonal vaccinations, occupational health vaccinations and travel vaccinations. With patient [s consent and engagement, nursing staff to complete patient assessment %PDF-1.5 Writing protocols 2015, 1 JJustad, MD, DDP . ?�"�=~\�Aʸ2e�������7iQ�T�@�8N T}���v��↡�*�! It also demonstrated a pre-coordinated generic medication coded at the SDC level (generic 600mg Oral Tablet) in RxNorm hierarchy. "���J����/Y8Zq@�se���;��)}��.�#h�E�t�����}dx8��1�x�!�����^1eğl%�6��14����7��0@! PRN … Mr. Beck represents an example where PRN medications likely contributed to his short and long term unfavorable clinical outcomes. PRN prescribing is a highly advantageous and effective way for a person to be treated if they are suffering with an acute or irregular condition. Some of the most commonly prescribed medicines on a PRN basis are non-steroidal anti-inflammatory drugs and other analgesics. PRN (Pro Re Nata) medicine should be administered ‘when required’, usually when the individual deems they are in need of it. Recent studies have examined medication-related issues, especially the potential for errors made by unlicensed staff who administer medications, though none have focused on the use of as-needed, or pro re nata (PRN), medications. When to take your PRN medication. PRN medications are prescribed for a specific situation and thus the situation that existed that needed the medication administration, the exact time that the med was given, then a follow up note of any changes would need to be documented. For example, medication that is not immediately documented may be re-administered by another nurse, resulting in overdose. original prescription bottle or manufacturer’s bottle . SAMPLE ‘WHEN REQUIRED’ MEDICATION (PRN) PROTOCOL Name of medication Include strength and formulation Paracetamol 250mg/5mL oral suspension Name and D.O.B Miss Minnie Minnie 01/07/1924 Name of General Practitioner and Surgery Dr Well, Sunny Surgery Reason why medication is prescribed Pain relief Dose as stated on the label Take 10 to 20mls every 4 to 6 hours when required for pain … Adding a PRN protocol allows the team to enter additional information about the medication and how it is to be administered. 1 0 obj For example, many people take nitroglycerin tablets that melt under the tongue for chest pain. Custodian. Staff will then make an assessment to decide whether or not the medication can be given safely. Histoire de la raison de consultation et des ATCD pertinents. In order for medication to be administered at school, parents/guardians must complete and return this form with the. 2 0 obj stream ��h����y����!�� ��a�}�����I�c������=S_� 4��b�i�ʟ���SN���+x��Q���t�ݻY?+�p���z��B������-����>�'Q���2D�����oZx{�ti��C�+N"����$'r�i���/�H3���'���bKY���p+N�Ğ_����J���#���u�T� Q�^�⅞�s��� @������ y*d��ŏ�q@{y����ŋ�'�� _�8�ĕ�X�� =�d���ŭ��e�O��B�X� $~����8��㍓u��q���h���̢VL�˘ DM�xR��ɧ�%H|��X��7��eZ%`��@�������n��g~(�x�xʍ�3���7t�ɒ)bV����1�E}o�9c�U�z�EN��S��⼍�ת���A�6�u�s�8��A�X����V� F`��s�C���z�J����z���ɧ� ��HG�\�� i_s|Ki��I˝K�Vw��`n�0S�ü3���}N6�H�cx��s��3v. Validation location . Clear records enable staff to make informed decisions about when to administer. Example of a pharmacy label: When patients are prescribed ‘PRN’ medication the information above must be entered onto the patients’ MAR charts. @/�h $}���t-V�-;� ⴖA2Z_��>>�G]�gb����-,��Vac�7z��uB�R�N��{�N��`�5n�ėoN���/_W�6p�O�]�+ SITE; Comments. endobj PRN Medicines Protocol; Homely Remedies and Medicines available over the Counter ; Medication Review; MCA / Compliance Aids; Refused / Missed Doses; Self-Administration; Swallowing Difficulties; Medication and Falls; Other Useful Documents; Community Pharmacies. %���� Some analgesics are known to be irritating gastric mucosa and they must be avoided for the same reason. LOGO PRN Orders No Ranges For example: 2 tabs NOT 1-2 tabs 10 mls NOT 5-10mls Every 4 hrs NOT every 4-6 hrs 3 times per day NOT 2-3 times per day. %���� In order to give a PRN medication, you must have a medication order and a PRN Protocol. endobj 2 0 obj ‘When Required’ (PRN) Template The following information must be referred to when offering and administering when required (PRN) medication. contains an example of a protocol along with an administration record. PRN MEDICATION FORM. A physician’s clinical judgment is impaired if he or she relies on inaccurate documentation or verbal report when evaluating a patient’s PRN use and standing order. 1 0 obj The re-evaluation date for the patient may be made prn after the initial evaluation. <> In some circumstances, according to the individual’s care plan and local policies and procedures, the care giver may also be required to make a decision about the appropriate administration of a PRN. ;�~2pe[F��`[�KH?��?���u,�����)��f�u^V����ޮ��Bo-=���eƽ�Qڥ�α';i�T|��48x�bf9��01��� =W)���������s@�mh$}B�OZ��ԇ1gG�`��g�8�=)��,��9�%Hډ1��UW��8�1Dd߉t�SqigbWu����a`��-j@�$����O��)��qXH\��n��i … For example, a resident who has been prescribed a PRN anti-emetic will have an entry to state that the medication is used to treat nausea or vomiting. Si elles sont utilisées, l’utilisation doit être de courte durée en attendant que la médication fasse effet. Company LOGO Frequency of PRNS Examples Every 4 hrs as needed Every 6 hrs as needed Once daily as needed Every 3rd day as needed. This document MUST be kept with resident’s medication administration record (MAR) charts for reference. DN should place medications in JiC box (North Somerset) with needles & syringes or offer JiC labels from leaflet. �D�'��(�c'N���-+�ñ�2! <>>> Medication protocols are written … <> Some protocols can be general such as basic safety guidelines and documentation requirements. Patient education Incentives for cooperation Referral to a specialist Nursing services Consultation from an OT, SLP and/or Dietician 6. These are best kept with the resident [s Medication Administration Record (MAR) charts (See appendix 1) The information in the PRN protocol should include (See appendix 2): The reason for administration. Consider PRN lorazepam tablets sublingually for anxiety (0.5-1mg 8 hourly). Analgesics, occasional night time sedatives and laxatives are amongst common examples of medicines prescribed in this way. <>>> All prescription medications must be brought to school by parent/guardian. Patients only on prn medications must have an RT protocol evaluation done upon admission. ;�bk�RU��+�����۞����g*�P�8t�y,��Lj�V�үa�. Histoire. endobj �@1�Eq?���L��g���O?����ė�xFzK�Cb���v�Q�hq$���g;����堐�ǩ��t��@�ڑƌ7�3�ώ˜�C��[��Ř]�{KF>��- �Vh� i�F�%ڄF�Vh� ���p@{!3� ��z� � � � endobj It was generated based on SDWG list-serv discussion in December 2013. How much medicine you can take in a set period of time. x��}Y�9��{���nj���y8���2����֦�iw��!+�:��Lufjz��/�P �p�mRI�~ ��|���ӻ��7O���z��������W�ߞ����_�_�������o��]?������շ�����_��~����_�U_�oV�v����CgW/?|�E�zS>�Ë�z����/~�Z��k��}��_J;c[�H[~�����v���_=��ܮ�իO����v�~毌?hqӆ�m�o>ks�B|�vCX y�] }7����_�翭�J�C���Sgr^��:��R^ݔ֟����ͭ�W�߯���_����w���_a�~����W�43}�CB� ��]N+p\ㄸ��mj��G�?Ǐ����]�3�f���b�L��`�~�N����.��������qh���්��Ջ�3{�t}�����j������x�37��9�n�2oӭ��^ Medications in empty CCD. This is an example of a medication which is QID and PRN (as needed) but with no precondition specified. x��}[o9��{���z�c�x'?��eg���t703� ۊ�m[��r����xn,�Te+V9/�AOL����s�!�ͻ�����bۼ}���v���^^6�|�~�ݮ���ͯ~^�����Y-�7���Y�����__�z�j⼵ͯ�^�RM������yȵw�_������_���O���^��6w��U�d殥���v��킛+;���wzl��I�x۶Ɯ����sg��gXJg!�c?��B�/����? PRN medication will have a specific protocol that may include other options to attempt prior to offering PRN or may have required authorizations of others before administering. Search results Jump to search results. Its actual translation to English is "for the thing born," but its common medical meaning is "as needed." Pro re nata is a Latin phrase meaning in the circumstances or as the circumstance arises (literally "for the thing born"). The PRN Protocol gives you directions about how to administer an as needed medication. Note: They relieve symptoms (fever) rather than treat the illness (flu) causing the symptom. For example: Mary has a medication order and a PRN protocol for Tylenol, 650 mg by mouth every four hours as needed for pain or fever. Use this guide to add PRN protocols to a resident’s profile, the information will be … {�[��N�OG� �?+�-��X�-�����������j·Ȑ��AT=����ё�wM˻�y�q�WS Fǘ��mW�ڶm��+� ��(B�9��m���Ӷ���m�3��4�٦����?����G�lr:�<=�3�i�. for example: PRN pain meds --- document OPQRST prior to med and then follow up with pain relief afterwards. <>/XObject<>/ExtGState<>/Pattern<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 595.32 841.92] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> ����Qxzw��D?�~8:��cu?H��.s��+j�� �-�����)݈B}��̌1IB�������N�Y�p�9u���� }2:�;bs���y�y,v�������ߺ�O�_��Pp�}���S(d�L*�ׁ��w+XQe=�����#e�`#�Lw>�ꀐ�����@ىAM_��v����2BVϺ[7�S��3qd���yF7��,��1_�KT~}[�sr��>}�f`�����3{̾l;Ogf�l�%?�}}�3��LqB{NMN�`;ώ2H����4�����ݝꎐIuޡ�r�B&Օ��L�#���;���`�SMg��rR9�\DzV=77�: �;� .s�q=�n'�!�.��͚!��{�Y�ٹz{���!��=~��p��%�Y}9��1l6����.�\@_���O�o��������{�l�w(寧��b*��>o05��94q�Z�i}�L?���Ԃ�������������y�&-�� �4�1!��=�;k?��r�� ��~g����jqӦw� iӟ�.�c��7˛6�I�~Zǫw0��w�Apq�иȓ�-T6�?�K`6v���1w�38�q�u��WȾ��E�x+�����ki-�����xX��s���{�Z��������;�� P�w�8�=��3���_Q��cr�m%�S��#>W1u�5Py 8@�xq����l$f��O�3�|g�DZ�ϑ��%FťUϚ��H�֖�1KI��Y;���x�$UN:�Qq�z m�Y�Gi�`�T76,ε���@T�QT�(! Medications to modify behavior (psychotropic medications) cannot … It used to identify a medication that can be taken as the patient needs it rather than on a fixed schedule. 5 An Bord Altranais supports the development of medication protocols for nurses and midwives using a nationally recognised template based on international evidence and best practice. 4. 4 0 obj with the student’s name. <> <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 595.32 841.92] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Per district policy, students are not allowed to bring prescriptions medications to school. <> � � �� ��f�e�Ȉ'�(�H.$N�G�EN"�0E�;�D�d1T��7����1�D�ĉ�G�]�L�����c��I ��J[uk $T�(��й�s;5�>�;(`�o.��Ю�~/�!C⅓�26������[h�H�F��y/�[}ha9\1���х�Q)��T�{���E4h/ދ��ɇ��W]\xQ�F�^�C�n����)i��Be��OY�PB�r!w=������@ҩn.FN�w2����xz�4t}�;��ן]k� It is important to … ‘PRN’ medication must NOT be administered to a patient if there are no specific instructions from the GP or on the Pharmacy label. There should be one PRN protocol per prescribed PRN drug. The use of a PRN medication for behavior support will always produce an Event Report. Consider various alternatives to address the situation, for example Changes to medication regimen Changes in approach with the individual Taking the medication in food (without hiding it!) For example where the service user is unable to communicate by asking for the medicine, the care plan and the information either on the MAR chart or the sheet in front of their MAR chart should show how the need for the “PRN” must be identified e.g. Guidelines for writing protocols Protocols are written instructions for caregivers to follow when individuals have specific problems from a health and/or safety concern. 3 0 obj You have checked the medication log to see that Evidence-based information on prn medication from hundreds of trustworthy sources for health and social care. But if you use three doses in 15 minutes and symptoms don’t go away, you should seek immediate medical attention. Protocol for Self-Administration of Medication Programme Pharmacist and Doctor to review therapy, rationalise medication and simplify regime. NHS Community pharmacy Influenza Vaccination Service; Community Pharmacy Opening Hours; Repeat Dispensing; … S’assurer que ni le patient ni le personnel ne se blesse. {��'�F�U�@�c�7��$��oB���}� $�2�0Pݓ�p����)z��� I���nj6$]�`S� Ik]�*��y���2RȔ��2"@� �*bp�3�� �Ùj�7R0��h#��W�iw�i} �=�┴w~��D3��q�ڮo�!�������8��#��C����~�Yu��V���`i SAMPLE ‘WHEN REQUIRED’ MEDICATION (PRN) PROTOCOL Name of medication Include strength and formulation Name and D.O.B Name of General Practitioner and Surgery Reason why medication is prescribed Dose as stated on the label Maximum dose (per … %PDF-1.5 ÉVALUATION. 6 What are Medication Protocols? Appeler la sécurité PRN seulement et éviter le plus possible l’usage de contention physique. Mary has a headache. Definition – ‘When required’ (PRN) medication is administered when the service user presents with a defined intermittent or short-term condition i.e. ‘See PRN protocol.’ Refer to Appendix 1 for examples of how to correctly complete a PRN protocol. If more than one protocol exists for a particular therapy, the specific protocol must be referenced in the order. Example: Opioid (10 PRN doses), antiemetic, Midazolam 10mg/2ml, Hyoscine Butylbromide 20mg/ml. not given as a regular daily dose or at specific times e.g. ‘When Required’ Medication (PRN) !! n���Y[[�2&��1"�~m����q�i�����_���o�q���'�8;�dP�T �q �E�O߽�61z`���A���s�rӲ ���5����T�v�|�����o �pq��8L�1��H���X�įSLBb���~P��H>�a����Q��1�� ��R2������@��$鳉�?I�Ѡ�}�@�sT�u��F�c�t�p諨�o4�}�x�g$��u!z�_ If the patient takes the prn medication for any reason, they will have a re-evaluation done at that time and a re-evaluation date will be set for no less than three days after this second evaluation. It is commonly used in medicine to mean as needed or as the situation arises.Generally abbreviated to P.R.N. ���@�� Please note that if this is used, the MAR chart should be annotated accordingly e.g. PROTOCOL FOR PRN MEDICATIONS PRN or ‘as needed’ medications are often used to provide short-term relief of mild to moderate symptoms and may be ordered for specific physical complaints or symptoms such as fever, pain, or nausea. The majority of assisted living (AL) residents receive assistance to take medications. endobj stream Benzodiazepines, which can cause excessive sedation and increase the risk of falls. Examples of medicines that may be inappropriate in older people include: Amitriptyline (particularly doses > 50mg), which is likely to cause sedation and also has strong anticholinergic actions - nortriptyline is recommended as a safer alternative if a tricyclic is required. (N�@�'�8;b���s��:?�sg�K�Y��xi��\DU����Z�Z�3$O�Z�0l����OF�xt���b�c�%��k��V��oz��(}��&����g����_h� 2. refuse the “PRN” medicine. Safe Medication Practices (#100-170) • Dose range examples: – Example 1: an order for morphine 2-8 mg IV every 3 hours PRN severe pain may be given as an initial dose of 2 mg. To use a person-centred PRN protocol for each individual PRN medication prescribed. That comes from the Latin term `` pro re nata. English is `` for the patient needs rather. Protocol must be avoided for the thing born, '' but its common medical meaning ``... Mucosa and They must be avoided for the thing born, '' but its common meaning... ( North Somerset ) with needles & syringes or offer JiC labels from leaflet the same reason have... You must have a medication order and a PRN protocol per prescribed PRN.. Very short duration or in the case when intermittent intervention or management is required sublingually for (. Make an assessment to decide whether or not the medication can be taken as the situation arises.Generally abbreviated to.... Protocols are written … to use a person-centred PRN protocol allows the team to enter additional information about medication! The patient needs it rather than treat the illness ( flu ) causing the symptom � '' �=~\�Aʸ2e�������7iQ�T� @ t... Complete a PRN basis are non-steroidal anti-inflammatory drugs and other analgesics protocol evaluation done upon admission sedatives and are. Fasse effet sedation and increase the risk of falls attendant que la médication fasse effet prescribed drug... List-Serv discussion in December 2013 QID and PRN ( as needed or as the patient may be made after... Meaning is `` as needed medication ) charts for reference the thing born, '' its... Or as the patient needs it rather than on a PRN protocol protocol for Self-Administration of medication Pharmacist... Protocol allows the team to enter additional information about the medication can be taken as the situation abbreviated. A very short duration or in the case when intermittent intervention or management is required to correctly complete PRN... In order to give a PRN medication is usually prescribed for a very short duration or the. Evaluation done upon admission with resident ’ s medication administration record ( MAR ) for. �8N t } ���v��↡� * � sources for health and social care a specific.. English is `` for the patient needs it rather than on a PRN medication is usually for. Dietician 6 flu ) causing the symptom from an OT, SLP and/or Dietician 6 than a. December 2013 et des ATCD pertinents elles sont utilisées, l ’ usage de contention physique short duration in. Should place medications in JiC box ( North Somerset ) with needles & syringes or offer JiC from... People take nitroglycerin tablets that melt under the tongue for chest pain needles & syringes or JiC! ( North Somerset ) with needles & syringes or offer JiC labels from leaflet record ( MAR charts. Upon admission relief afterwards how to correctly complete a PRN protocol per prescribed PRN drug of time � ��N�OG�! Needed. specific problems from a health and/or safety concern many people take nitroglycerin tablets melt. Team to enter additional information about the medication can be general such as basic safety and. Writing protocols 2015, 1 JJustad, MD, DDP support will always produce an Event Report always an. Initial evaluation at specific times e.g required ’ medication ( PRN )! * � of... Go away, you must have an RT protocol evaluation done upon admission to give a basis! Gastric mucosa and They must be avoided for the patient needs it rather than treat the illness flu. An abbreviation that comes from the Latin term `` pro re nata. Programme Pharmacist Doctor... And/Or safety concern with needles & syringes or offer JiC labels from leaflet rather treat... With no precondition specified in December 2013 it was generated based on SDWG discussion... Other analgesics, l ’ utilisation doit être de courte durée en attendant que la médication fasse.!, parents/guardians must complete and return this form with the excessive sedation and increase the risk of falls actual! If you use three doses in 15 minutes and symptoms don ’ t go away, you should immediate. Trustworthy sources for health and social care if more than one protocol exists for a very short or! You can take in a set period of time, seasonal vaccinations, occupational vaccinations. Prn protocol gives you directions about how to administer an as needed medication t } ���v��↡� �... � < =�3�i� patients only on PRN medications must be brought to school travel vaccinations relieve symptoms ( )... You directions about how to correctly complete a PRN basis are non-steroidal anti-inflammatory drugs and other analgesics referenced the. The team to enter additional information about the medication and how it is to be administered at,! Example: PRN pain meds -- - document OPQRST prior to med and then follow up pain... Vaccinations, occupational health vaccinations and travel vaccinations prescription medications must have a that! Éviter le plus possible l ’ usage de contention physique can cause excessive sedation and increase the risk falls! Be irritating gastric mucosa and They must be kept with resident ’ s medication administration record ( MAR charts. As basic safety guidelines and documentation requirements meaning is `` for the same.... To review therapy, rationalise medication and simplify regime on a fixed schedule the team enter! Follow when individuals have specific problems from a health and/or safety concern have specific problems a! Needs it rather than treat the illness ( flu ) causing the symptom referenced in the case intermittent! Level ( generic 600mg Oral Tablet ) in RxNorm hierarchy MD,.! ’ Refer to Appendix 1 for examples of how to administer an as ). Medication which is QID and PRN ( as needed. or at specific times e.g its actual to. Such as basic safety guidelines and documentation requirements than one protocol exists for a very short duration in!, occasional night time sedatives and laxatives are amongst common examples of prescribed!, DDP and symptoms don ’ t go away, you must have a medication and. T go away, you should seek immediate medical attention ) rather than on a PRN protocol Self-Administration. Short duration or in the case when intermittent intervention or management is required be general such as basic safety and! Plus possible l ’ usage de contention physique symptoms ( fever ) rather than on a PRN from... Brought to school by parent/guardian tablets that melt under the tongue for chest.... ) with needles & syringes or offer JiC labels from leaflet protocol exists for a very short duration in... Medicines on a fixed schedule consider PRN lorazepam tablets sublingually for anxiety ( 0.5-1mg 8 hourly ) sedatives laxatives... ‘ when required ’ medication ( PRN )! that if this is used, the MAR should. Particular therapy, the specific protocol must be avoided for the patient needs rather. Immediate medical attention not allowed to bring prescriptions medications to school medication from hundreds of trustworthy sources for and... Jjustad, MD, DDP tongue for chest pain decide whether or not the medication can given! Medical attention per district policy, students are not allowed to bring prescriptions medications to school parent/guardian... Examples include childhood immunisation programmes, seasonal vaccinations, occupational health vaccinations and travel vaccinations on a PRN protocol prescribed! With no precondition specified anti-inflammatory drugs and other analgesics to mean as needed medication review... The PRN protocol for each individual PRN medication prescribed mucosa and They be. @ �8N t } ���v��↡� * � that can be taken as the patient may be made after... The re-evaluation date for the same reason caregivers to follow when individuals have specific problems from health... Éviter le plus possible l ’ utilisation doit être de courte durée en attendant la. Be kept with resident ’ s medication administration record ( MAR ) charts for.... Will then make an assessment to decide whether or not the medication can be taken as the patient may made! All prescription medications must be brought to school ’ medication ( PRN )! and. ���V��↡� * � medication to be administered at school, parents/guardians must and. Produce an Event Report in a set period of time accordingly e.g caregivers... The tongue for chest pain specific time to give a PRN protocol give a medication! Incentives for cooperation Referral to a specialist Nursing services consultation from an OT, and/or. Intermittent intervention or management is required minutes and symptoms don ’ t go away, must... The initial evaluation therapy, the specific protocol must be brought to school by parent/guardian PRN pain meds -- document! Commonly prescribed medicines on a PRN protocol gives you directions about how prn medication protocol example administer an as or. Md, DDP that melt under the tongue for chest pain and don... Prn basis are non-steroidal anti-inflammatory drugs and other analgesics situation arises.Generally abbreviated to P.R.N QID and PRN ( needed. A specialist Nursing services consultation from an OT, SLP and/or Dietician 6 dn should medications... Travel vaccinations rationalise medication and simplify regime a pre-coordinated generic medication coded at the SDC (! Analgesics, occasional night time prn medication protocol example and laxatives are amongst common examples of medicines prescribed this! To decide whether or not the medication and simplify regime parents/guardians must complete and return this with... Required ’ medication ( PRN )! one protocol exists for a very duration! Based on SDWG list-serv discussion in December 2013 ( North Somerset ) with needles & syringes or offer labels. Minutes and symptoms don ’ t go away, you should seek immediate medical attention adding a PRN.. Excessive sedation and increase the risk of falls utilisation doit être de courte en... Fixed schedule to administer an as needed medication PRN protocol. ’ Refer to Appendix 1 for examples of medicines in. Childhood immunisation programmes, seasonal vaccinations, occupational health vaccinations and travel vaccinations information about the can! Sublingually for anxiety ( 0.5-1mg 8 hourly ) Latin term `` pro re.! Health and social care be one PRN protocol patients only on PRN medications be... Can be general such as basic safety guidelines and documentation requirements '' but common!

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