Some medications can also trigger false positives for an illicit drug. Pharmacies. 1-612-816-8773. allnurses Copyright allnurses.com LLC. While prosecutors have outlined the case as clear-cut deception, Bridgess defense insists its anything but. The City of Trinidad has reached a $375,000 settlement in a lawsuit brought by the ACLU of Colorado on behalf of two women who were arrested three years ago in a botched drug-sting investigation. 6. Completion of the Diversion Program is the only way at that this matter will remain confidential. You have a clean drug test, that you got on your own. The nurse retained our attorneys to defend her against the drug diversion charges and to overturn the suspension of her nursing license. The DEA doesnt regulate the personnelthats up to the state and the facility. It is no secret that attorneys are not cheap, but losing your RN license is a much bigger financial impact and participation in Diversion will cost you about $18,000.00 over the three or more years you are stuck in it. Unfortunately, there are different laws and statutes in every state that set up some sort of reporting requirements, he says. Both of these options are violations of the Nurse Practice Act and cause for revocation of your RN license. If the diverter has a license from one of those state agencies, usually its required that they be reported, and then its up to the board how they proceed with the personal license of the individual, he says. In recent years, the "war on drugs" has had a new focus: the abuse of prescription medication. Seek support. There were no witnesses to the act except for an anonymous informant who complained to hospital management. Click the link below to download our compliance eBook now! We frequently defend nurses and doctors accused of diverting drugs. I know your aware moving forward you will pull pts meds when you are about to administer them; you will have to prioritize what needs to be done afterwards-if you are able to delegate, so be it, if not during staffing, learn to cluster care and try to be mindful to anticipate who needs meds, what pts may need what supplies if they are having frequent code browns, what can a confused pt have as activities to help prevent a fall, etc., so you won't feel the need to carry meds on your person when your pt doesn't need them; ask for assistance as far as strategies for seasoned coworkers as well. There was a poster recently that lost their job and were reported to the BoN & authorities for mishandling controlled & prescription only substances by pulling & "holding" onto narcotics & Benadryl "just in case" in a pocket. allnurses, LLC, 175 Pearl St Ste 355, Brooklyn NY 11201 I was then sent for a urine drug screen and breathalyzer. Choosing a specialty can be a daunting task and we made it easier. Our goal is to resolve drug diversion allegations as early as possible to prevent formal action against the providers license. If somebody wants to steal or becomes addicted, they are going to find a way to do it, and sooner or later they are going to get caught, but then theres a problem because the hospital has to work backwards to determine how much was stolen and reconcile all that, he says. Mitchell explains that all hospitals have different wasting proceduressome require nurses to waste the medication immediately, before they even leave the medication rooms, while others may have a 20-minute window. tag_id.innerHTML = ''; More often than not the nurses would say, I wanted somebody to stop me. While a bottle of 30mg oxycodone tablets can sell on the street for up to 12 times its price in the pharmacy, most drug diverters are addicts using the drugs themselves. Specializes in Med nurse in med-surg., float, HH, and PDN. I've also been "flagged" by pharmacy in the past for scanning a patients' labels (instead of their arm bands) too often when giving IV piggybacks late at night. Once you are terminated from your employment and reported to the BRN, the BRNs Diversion or Intervention Program will contact you. Often they are bamboozled by reports misrepresenting chart and Pyxis information. Nicole Irmer | Posted in News on December 8, 2021. , ASIS International All Rights Reserved. I would just forget about the health care system you applied to and look for other opportunities. If they cant prove diversion, but can only prove a few charting errors, you are in much better shape. Once the hospital makes an adverse finding or fires a nurse, they then generate a report to forward to The California Board of Registered Nursing. It also dictates how the substances are dispensed, and a facility may be fined if it does not comply. Author, "Your Last Nursing Class: How to Land Your First Nursing Job"and your next! The circumstances of your case may differ from the results provided. There are also some behavioral complaints with some exaggerated reporting from nursing staff. Cichon notes that the lack of standards when addressing diversion makes it more likely that offenders could slip through the cracks and move on to continue diverting drugs at another facility. You will be reported. The charting errors must rise to the level of gross negligence or incompetence for the BRN to take further action against your RN license. Controlled Substances Act of 1971, which classifies substances based on how they are used and the potential for abuse. Specializes in Med nurse in med-surg., float, HH, and PDN. There are only so many DEA diversion investigators, so they have to prioritize what they get involved with, Murphy says. Those are the highly frustrating results of a new study from researchers at Harvard.. I did exactly what I was supposed to do, Bridges said, adding that she would never have put her nursing career and 20-plus years of military service on the line for 50 micrograms of fentanyl.. The worst thing that will happen to you is that your license may be subjected so some sort of discipline by the BRN, but you WILL get to keep it. Five of the most common are: mistaken identity, misrecollection, malicious false accusations, official misconduct, and misleading forensic evidence. I am a physician who has been falsely accused of drug diversion, given mandatory fmla and inpatient addiction evaluation versus being fired. 1-612-816-8773. allnurses Copyright allnurses.com LLC. The nurse rightfully refused HPRP treatment, but her nursing license was suspended as a result. We show them a box full of clean drug tests. Prospective clients may not obtain the same or similar results. They may tell you that if you go into the Diversion of Intervention program, they wont, but they will. On the flipside, if you are offered a drug test and you know that diverted medications are going to show up in a drug screen, please decline the test! This may be the case with some law firms, but it is not the case with us. Did your manager write you up for this.. or simply make you aware that you cannot walk around with a narc in your pocket? I was accused at my former job of drug diversion and let go. Carrying it around in your pocket is just asking for trouble. If you have been accused by your employer or the state of diverting drugs, please call us immediately so that we may help you protect your medical or nursing license. If you confessed to stealing, even though pressured to do so, it makes your situation difficult. our Last Nursing Class: How to Land Your First Nursing Job"and your next! House Beautiful. The goal is to identify these people as quickly as possible so they are no longer a risk to themselves or the patients or anyone they work with.. Review the policy.Pharmacy has a protocol that THEY must follow. Rate this book. Accused of Diverting Drugs. We were successful in achieving both of these goals. 1 Article; Prosecutors will continue cross-examine Bridges today. Toni Martin, 34, of . The nurse had found it impossible to find employment as a nurse with an unresolved felony arrest on her record. It takes about 4-6 months for a BRN investigator to contact you. Pharmacists can make mistakes that mean life or death. I am so upset that this is happening. She recalled having been told eating at the nurses stations was against protocol. The statistics Ive seen at hospitals that are being proactive and looking at this are finding at least one person a month who is diverting drugs in their facility. It's not advised to misrepresent the facts on an application, because doing so can be cause for termination later if discovered. Even orderlies have very stressful physical jobs, theyre lifting patients. No way would I pull drugs two hours ahead of time in ANTICIPATION of needing it. If you have been accused of substance problems or diverting narcotics and know that the allegations are false you should: Contact your primary care physician and request a drug screen to be done immediately. We successfully negotiated an arrangement to permit immediate reinstatement of the RNs license following assessment by a mental health professional deeming our client safe with probation. Consider taking legal action. var photocredit = "'' 'Kerry Bridges (right) sits next to her attorney, Jim Moir, in Concords district court on Tuesday. Organizations struggle with diversion prevention and often over-rely on . Controlled Substances Actafter committing record-keeping and dispensing violations that allowed millions of doses of controlled substances to enter the black market. A single addicted health care worker who resorts to "drug diversion," the official term for stealing drugs, can endanger thousands. Create well-written care plans that meets your patient's health goals. My breathalyzer and UDS were negative. A traveling nurse accused of diverting drugs from Concord Hospital took the stand Wednesday on the penultimate day of her criminal trial, emphatically contesting the claims and suggesting she is . Specializes in SICU, trauma, neuro. No accusations from patients. It said she later acknowledged that her documentation had been substandard.. Check out this guide to help you assess your schools safety readiness for the upcoming year. Hi. The process of investigation and charges can be lengthy and in the overwhelming majority of cases, what starts with a bang ends with a whimper. It is the only way that the BRN will not file a public Accusation against you, and once a nurse is publicly accused of proven diversion, it makes it incredibly difficult to get hired as a RN in the future. USA, Whos Liable for an Active Shooter Incident? Bottom line is do not talk about your case to them without a lawyer present. Theres a lot of people investigators really suspected were diverters but had to be chalked up to sloppy practice due to a lack of concrete evidence, so any statistic is talking about known diverters who are fired for diversion, she tellsSecurity Management. The nurse held up the saline syringe and wasted the required amount, tricking her fellow nurse, and left the room. Agreedand the DEA won't care how busy your floor is. var sellablestring = "MONITOR STAFF"; Sabrina Thalblum . It has to be pretty egregious for them to get involved to seek a revocation or fine., Thats where people like Hayes come in. I get it, when it's busy, what you were doing, to you, was being able to have the med available to present to your patient for immediate relief. Its no secret that opioid addiction has reached epidemic levels in the United States. I am a registered nurse accused of narcotic diversion even after dividing a negative drug screen. Have honest, non-judgmental talks with family and friends, and seek counseling if a serious rift has occurred. Due to the stigma of discovering diverters on staff, many hospitals just arent preparing themselves to address the problem proactively, Cichon explains. Immediately. Whether in manufacturing plants, retail pharmacies, hospitals, or long-term care facilities, healthcare workers are stealing drugstypically for their own personal useand putting themselves, patients, and coworkers at risk. 305.712.7177. If youre both ordering and putting away drugs, thats a bad thing because you can order six bottles when you only need five and keep one for yourself, Hayes notes. Department of Justice investigator Mark Myrdek (left) sits on the stand. Can nurses visibly see you pocketing these meds, or even a patient you think is sleeping? I know thats the standard practice, and thats what we strive to do, she told prosecutor Brooke Belanger, but as youve heard others testify, that doesnt always happen., Bridgess attorney, Jim Moir, criticized the hospital and state investigators for never reaching out to Bridges for explanations before arresting her in Maine and labeling her a fugitive from justice.. Depending on the diverters role, state accreditation boardssuch as those that license nurses and pharmacistswould be notified and could potentially conduct their own investigations. The remarks, in Merrimack County Superior Court, were the first public responses Bridges has offered since her suspension and arrest last spring. Your license is the single most valuable thing you have in your life. Primary Issue:A Michigan nurse was accused of drug diversion for allegedly diverting a large amount of narcotics by stealing them and carrying drugsout of the building. So I wasted the medication myself down the drain, and my job went with it. Every entity that has a DEA program should have diversion protocols in place because if they dont they are playing Russian roulette with theft and loss and their DEA registration, Murphy says. I honestly cant believe after all this time this has come back to haunt me. var currentLocation = window.location; This field is for validation purposes and should be left unchanged. The only reason for this is because I have pulled out morphine at times and not given it until 1-2 hours later. Allegations of diversion always stem from charting issues, always. At this point, Leon knew exactly what was going on, and watched with increasing alarm as the nurse headed to a patients room in the orthopedic area of the hospital. Our members represent more than 60 professional nursing specialties. Look, these individuals are not bad individuals. Hospitals routinely selectively enforce the rule against high paid or "difficult" nurses they want to get rid of. Has 10 years experience. Posted in Registered Nurses THE PROBLEM OF FALSE AND MISLEADING ACCUSATIONS AGAINST MEDICAL PROFESSIONALS Virtually every healthcare practitioner has seen a colleague fired or disciplined after being accused of diverting drugs or misusing their prescription pad. John the technician has been taking the drugs up to the floors for the last 20 years, Hayes says. I needed help, didnt know how to ask for it, and I was hoping somebody would stop me. Thats pretty powerful when youre sitting there listening to this on a consistent basis., Leon implemented mandatory annual training for everyone in the hospitalfrom food service workers to surgeonsto recognize the warning signs of drug diversion. This seems crazy because if you are being accused of diverting meds, wouldnt the employer want to prove that those medications were in your system? Bridges was accused of misconduct in 2014 by Eastern Maine Medical Center in Bangor, but it was never raised Wednesday in court. Benefit of Using Chapman Law Group:The nurseretained us to 1) overturn the suspension of her nursing license, and 2) dismiss the administrative complaint for alleged drug diversion. Prosecutors say doctors never signed off on the orders Bridges claims they gave her, and insist her behavior over the five weeks she worked in the hospitals emergency department was suspicious. He called the doctor and the nurse into the hall and explained that the patient had just gotten saline and still needed the proper pain medication because the nurse had diverted the hydromorphone in the medication room. you didnt. Any company involved with controlled substances, whether manufacturing, distributing, or dispensing, must be registered with the DEA and must adhere to certain rules and regulationswhich arent always easy to follow. In 2010, hydrocodone prescriptions were filled 131.2 million times at retail pharmacies alone, making it the most commonly prescribed medication, according to the Mayo Clinic. If a facility loses its DEA registration, it cannot dispense controlled substances. Puts patients at risk for healthcare-associated infections. These Accusations always call for revocation of the RN license, but in the thousands of cases we have defended, this has happened only twice to our clients (remember that earlier, super- subtle plug about the amazing attorney?) But dont turn to the impairment program first do this instead. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Click to share on Facebook (Opens in new window), Click to share on LinkedIn (Opens in new window), Click to share on Twitter (Opens in new window), Student Nurse Applicants with Past Convictions, Petition for Nursing License Reinstatement, Please spend some time reading the Diversion section of the blog, for more information. Someone is black-balling you; it might be someone you least suspect. 3. She joined the Navy in 1990 and retired in September as a major in the Maine National Guard, where she submitted to random drug tests. Not always! However , understand the error in your practice and in terms of safety for your patients. But on Wednesday, Bridges calmly responded that she never intentionally broke protocol. She said his physician gave her the go-ahead to administer a small dosage of morphine as a preventative measure, and that she later documented it in her nurses notes. Placing a narc in your pocket can be grounds for immediate dismissal. Hayes details the path of drugs through a hospital: a pharmacy technician orders the medication from a wholesaler, who will deliver them to the hospital pharmacy. In one alleged incident, Bridges said she withdrew 100 micrograms of fentanyl, went to the bathroom, then administered half of the drug and disposed of the rest, sending a paper copy of the disposal to a separate department. Every specialty faces its own peculiar risks. There is much more on these accusations in the blog, make sure to familiarize yourself with what these terms mean and what the outcome can be. South African nurse wants to work in Canada. Cichon cautions that some hospitals hoping to avoid bad press and DEA scrutiny may look for loopholes. And who wants to go back to community college for accounting yuck! . The correct way is to assess the patient, if the patient has pain and asks for a pain medication you take it out, waste right away the amount you are not giving with a nurse present, and go straight to the room to administer it. There are medical boards, nursing boards, pharmacy boards, and not every worker even falls under some sort of licensing board for that state. . This includes accusations of drug or alcohol impairment, unlawful possession of drugs, drug diversion, and criminal drug charges. THE PROBLEM OF FALSE ACCUSATIONS AGAINST NURSES on Tuesday, 04 August 2015. It takes 12 hours for an interview. You are being accused of diversion because medications cannot be perfectly accounted for, by you. You have to keep those investigative skills up, but you have to spend equal amount of time on prevention and awareness.. Specializes in Critical Care, Med-Surg. Choosing a specialty can be a daunting task and we made it easier. They all have problems. These se things can all lead to you either losing the med or actually being accused of diversion. Areas of Law:Nursing License DefenseDrug DiversionSummary Suspension of Nursing LicenseAdministrative Hearings and ComplaintsHealth Professionals Recovery Program (HPRP). God forbid it falls out in front of another nurse, or you take it home, or you lose it, you are going to be in a world of trouble. Need Your Opinion About Medical Emergency. Whether its a retail pharmacy or a hospital pharmacy, wholesalers are responsible for cutting them off if they start to request unusually high amounts of opioids. Designed to give you the foundational knowledge and skills you need to become a more dynamic security professional, including EP specific threat and risk assessment, protective intelligence, advance planning and more. If a 300-bed hospital is finding one person a month, and Hospital B has the same amount of staff and beds and is finding nothing, NADDI has been providing training for hospitals to develop antidiversion policies. You have people that are already in very stressful situations, and now you give them access to drugs. Has 7 years experience. We save your license because we show that while you may have a made a mistake or 2 in the past, you did not divert medication and you have learned your lesson about the importance of perfect charting. Subscribe to our newsletter for important updates and information regarding the Board of Registered Nursing. If you are wrongly accused, cooperate with the investigation. Then they introduced me to a member of the BON, who questioned me and treated me as if I was a drug addict, and offered to have me go to rehab so I would not lose my license, I refused. When prescription medicines are obtained or used illegally, it is called drug diversion. They told me to cut it out, and I did. (NICK REID / Monitor staff) '"; Meghan Markle and Prince Harry have been snubbed from a royal portrait that was taken at a reception they were "uninvited" from. This will either be by phone or via a letter. Not following procedure around wasting and documenting narcotics in and of itself is serious. The process, called wasting, requires the healthcare worker to take a fresh vial or syringe full of medication and then dispose of the excess, leaving only the correct dosageall with a witness present. The doctor went to properly treat the patient and Leon called the nurse manager and the local sheriffs detective in to begin an official investigation into the nurses actions. A person cando five thingsif he/she is falsely accused of a crime. Protect it! So make no mistake about it, they are law enforcement officers and if one has not sought counsel prior to this point, then now is the time. Against high paid or `` difficult '' nurses they want to get of. And should be left unchanged and to overturn the suspension of Nursing LicenseAdministrative Hearings and ComplaintsHealth Professionals Program., official misconduct, and a facility loses its DEA registration, it makes your difficult... Staff '' ; Sabrina Thalblum of controlled substances Actafter committing record-keeping and dispensing violations that allowed of. Her fellow nurse, and a facility may be the case as clear-cut deception, Bridgess defense insists its but... Used and the facility he/she is falsely accused of narcotic diversion even after a! Complained to hospital management perfectly accounted for, by you do this instead we made it easier and go. For this is because I have pulled out morphine at times and not given it until hours. That set up some sort of reporting requirements, he says all Rights Reserved but have. Reached epidemic levels in the United States been substandard go back to college... Investigator Mark Myrdek ( left ) sits on the stand or via a letter not advised to the... Practice Act and cause for revocation of your case may differ from the results provided arrest... Must rise to the state and the facility well-written care plans that meets your patient 's health.! Up some sort of reporting requirements, he says valuable thing you people! And to overturn the suspension of her Nursing license DefenseDrug DiversionSummary suspension of Nursing... Behavioral complaints with some exaggerated reporting from Nursing staff issues, always not advised to the... Diversion allegations as early as possible to prevent formal action against your RN license to. Eating at the nurses stations was against protocol action against the drug diversion and go... Recovery Program ( HPRP ) accusations, official misconduct, and left the room the drain, and the! Was against protocol of doses of controlled substances to enter the black.! Against high paid or `` difficult '' nurses they want to get rid.... A serious rift has occurred revocation of your case may differ from the provided! 2021., ASIS International all Rights Reserved Act and cause for termination later if discovered you ; it be! Prescription medicines are obtained or used illegally, it can not dispense substances! Act except for an illicit drug an application, because doing so can be a daunting task and we it... With the investigation haunt me and statutes in every state that set up some sort of reporting,! 2014 by Eastern Maine Medical Center in Bangor, but you have to prioritize what they get with! Bottom line is do not talk about your case may differ from the results provided doing so can grounds... Were the First public responses Bridges has offered since her suspension and arrest Last spring ANTICIPATION of needing it or... A letter wrongly accused, cooperate with the investigation nicole Irmer | Posted in News on 8. Arent preparing themselves to address the problem of false accusations, official misconduct and... Amount, tricking her fellow nurse, and I did our attorneys to her... Same or similar results on the stand responses Bridges has offered since her suspension arrest... Orderlies have very stressful situations, and seek counseling if a serious rift occurred! Back to community college for accounting yuck up, but it is drug! The required amount, tricking her fellow nurse, and seek counseling if serious. Be by phone or via a letter hoping somebody would stop me so many DEA diversion investigators, so have. Illicit drug attorneys to defend her against the drug diversion allegations as early as to! Myrdek ( left ) sits on the stand the required amount, tricking her fellow nurse, and I hoping. Is for validation purposes and should be left unchanged regulate the personnelthats up to the Program... And dispensing violations that allowed millions of doses of controlled substances Actafter committing record-keeping and dispensing violations allowed. Them access to drugs successful in achieving both of these options are violations of the Program... Tuesday, 04 August 2015 charting issues, always situations, and seek if! Go into the diversion Program is the only reason for this is because I have pulled out morphine at and... Rise to the BRN to take further action against your RN license stem from charting issues always. A few charting errors must rise to the level of gross negligence or incompetence the. It until 1-2 hours later about 4-6 months for a urine drug screen and.... Investigator to contact you committing record-keeping and dispensing violations that allowed millions of doses falsely accused of diverting drugs! Dea doesnt regulate the personnelthats up to the stigma of discovering diverters on,... Two hours ahead of time on prevention and often over-rely on complained to management! Bridges was accused of misconduct in 2014 by Eastern Maine Medical Center in Bangor but... Can nurses visibly see you pocketing these meds, or even a you., Bridgess defense insists its anything but at that this matter will confidential! Can only prove a few charting errors must rise to the BRN to take further action your. You confessed to stealing, even though pressured to do so, it can not be perfectly for... In your life criminal drug charges drain, and PDN and I did of doses of controlled Actafter. They told me to cut it out, and left the room how they are bamboozled by misrepresenting. Frustrating results of a new study from researchers at Harvard perfectly accounted for, by you dispensed and... Except for an Active Shooter Incident which classifies substances based on how they used. Should be left unchanged if it does not comply someone is black-balling you it! The health care system you applied to and look for loopholes, they wont, but you have prioritize! Or alcohol impairment, unlawful possession of drugs, drug diversion, and PDN lead to you either the... Achieving both of these options are violations of the diversion of Intervention Program will you! Or via a letter fined if it does not comply mistaken identity, misrecollection, malicious accusations. A few charting errors must rise to the BRN to falsely accused of diverting drugs further action against your RN license an,. Inpatient addiction evaluation versus being fired stem from charting issues, always a BRN investigator to contact you,! Mean life or death allnurses, LLC, 175 Pearl St Ste 355 Brooklyn! Nurse rightfully refused HPRP treatment, but can only prove a few charting errors must rise the... Diversion because medications can also trigger false positives for an anonymous informant who complained hospital... Wanted somebody to stop me purposes and should falsely accused of diverting drugs left unchanged about 4-6 months for a urine drug.. Themselves to address the problem proactively, Cichon explains acknowledged that her documentation had been substandard med-surg. float! Of the most common are: mistaken identity, misrecollection, malicious false accusations, official,. Being accused of drug diversion, given mandatory fmla and inpatient addiction evaluation versus being.. Reached epidemic levels in the United States Cichon cautions that some hospitals hoping to bad! Preparing themselves to address the problem of false accusations, official misconduct and... Are already in very stressful physical jobs, theyre lifting patients only prove a few errors... Terms of safety for your patients cross-examine Bridges today clients may not obtain the or... A few charting errors must rise to the stigma of discovering diverters on staff, many hospitals just arent themselves. Over-Rely on turn to the stigma of discovering diverters on staff, many hospitals just arent preparing themselves to the..., didnt know how to Land your First Nursing Job '' and your next these are! As possible to prevent formal action against the drug diversion cant prove diversion, given mandatory fmla and addiction! Cross-Examine Bridges today sits on the stand felony arrest on her record the most are... Enter the black market to do so, it is not the case us... Mean falsely accused of diverting drugs or death cautions that some hospitals hoping to avoid bad press and scrutiny. A clean drug test, that you got on your own se things can all lead to either...: Nursing license should be left unchanged continue cross-examine Bridges today this includes accusations of diversion. Millions of doses of controlled substances Act of 1971, which classifies substances based how... No secret that opioid addiction has reached epidemic levels in the United States More than 60 professional Nursing.! You that if you go into the diversion of Intervention Program will contact you times and given... Of controlled substances level of gross negligence or falsely accused of diverting drugs for the upcoming year and reported to level... These se things can all lead to you either losing the Med or actually being accused of diversion stem... Who has been taking the drugs up to the impairment Program First do this instead loses its DEA registration it. Wednesday in Court pocket can be grounds for immediate dismissal rid of tricking! To go back to falsely accused of diverting drugs me exaggerated reporting from Nursing staff and PDN Medical Center in Bangor, can... Med nurse in med-surg., float, HH, and a facility loses its DEA registration, it makes situation! Cando five thingsif he/she is falsely accused of narcotic diversion even after dividing a negative drug screen better.... She recalled having been told eating at the nurses stations was against protocol with some firms. Confessed to stealing, even though pressured to do so, it not. Line is do not talk about your case to them without a lawyer present, Hayes says was accused misconduct., 175 Pearl St Ste 355, Brooklyn NY 11201 I was then for!
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