For example, all the I.V. If an organized electrical rhythm is present, check for return of spontaneous circulation (ROSC) by checking the carotid pulse. Different electronic health record systems have specific methods for code documentation. Jackson, Janet E. MS, RN; Grugan, Amy S. MSN, RN. Megacode simulation workshop and education video—a megatonne of care and code blue: live and interactive. Out of these code blues the survival rate is 23.9 % (AHA, 2015). 2010;19(5):300–304. – Ensures patient’s belongings are secured during the code Intubation Procedure. Overview of the 100,000 Lives Campaign. See more ideas about nurse humor, medical humor, nurse. Cardiac arrest - vf - pulseless vt. Ventricular tachycardia (vt) Supraventricular tachycardia - narrow complex tachycardias. Dallas, TX: American Heart Association; 2010. Don’t miss opportunities for learning and participate in mock codes. Code Blue simulations were conducted with the KSMC Simulation Department and led by RRT nurses. make sure each compression of the bag causes the chest to rise (a tidal volume of approximately 600 mL delivered over 1 second). Make sure defibrillator supplies are restocked and the defibrillator is plugged into the wall outlet for recharging after code is complete. – Secure the backboard under the patient. Cardiac arrest - vf - pulseless vt . Nov 14, 2017 - Explore Alene Vogt RN Supervisor's board "CPR/ Code Blue" on Pinterest. Wolters Kluwer Health Angham Yahia Majrashi Nurse Educator 3. The Code presents the professional standards that nurses, midwives and nursing associates must uphold in order to be registered to practise in the UK. Apparently the crash cart wasn't well organised either. A staff support person should be available to stay with the family and serve as a liaison between medical personnel and the family until a patient disposition is determined.11. CPA Resuscitation Data Collection Form (PDF) 4. A code blue in the OR is a low‐volume, high‐risk event. In this case, the code team leader may direct them to wait outside the room until further help is needed, help move the patient's roommate, or check on other patients on the unit who may need assistance. – Bring the e-cart and other emergency equipment on the site of code. 3. Some people who respond with the intention of helping may not find a role that needs to be filled. Otherwise, RN sends for anaphylaxis tray. Using this technique, the team leader gives the order, such as “defibrillate with 200 joules,” the defibrillator manager repeats, “Charging to 200 joules.” The defibrillator manager then announces the delivery of 200 joules after the shock is delivered. See more ideas about nurse humor, nurse quotes, nurse life. – Obtains and reports arterial blood gases as ordered, o Clinical Supervisor If the patient is eminently at risk of "coding" while in the scanner, the patient must be pulled out of the scan room immediately. Thread starter prepremed18079; Start date Jan 29, 2016; Tags black cna code help hsdn nursing home student Search . Staff at all levels are more willing to try new procedures if they can assess how well they might work before making a long-term commitment to them (Feldstein & Glasgow, 2008). *The full guideline for COVID-19 Code Blue response can be found on the portal under Coronavirus Central. If the patient has an implanted pacemaker, position pads so that they're not directly over the device. CODE BLUE TEAM Trained patient care providers who perform resuscitation on any person who sustains Cardiopulmonary arrest Respiratory arrest Airway problem Train providers: Doctor Nurse respiratory Therapist Support Personnel 3. – Assists nurse in charge of documentation to ensure proper recording of the events that took place, o ED Techs Recognizing that you'll care for patients who experience cardiopulmonary arrest, it's important to know the expected roles and responsibilities during a code blue. Dynamics. So, be certain your physicians plan to actually use these drugs and if not, get rid of them. Objectives To acquaint the pharmacist with the activities of a code blue emergency To identify the procedures followed during a code blue emergency by the pharmacist To elucidate the appropriate conduct to follow during a code blue emergency by the pharmacist. – Facilitates transfer of patient to a critical care unit once revived Hospitals have different code team members but it is usually composed of the following: o Physician A special code has been set up for this scenario. epinephrine should be located in the same drawer of all the crash carts in the facility. The Code Blue is initiated by calling the hospital operator on telephone number 77 and notified of the Code Blue's location (in words and not initials). 2012;28(3):120–124. 2010;21(3):22–24. (This method should be used for every intervention during a code, not just medication administration.) Crit Care Nurse. – Calculates infusion rates It's been estimated that after a code blue is called, 3 to 5 minutes may elapse before the code team arrives at the bedside.4 Because those minutes are critical to the patient's survival, even nurses on non-ICU units need to be proficient at responding to a code blue and using resuscitative equipment and skills. Assessment findings such as end-tidal CO2 values should be recorded. – Assists in intubation – Facilitates post-mortem transfer of patient’s body to the morgue if the patient will expire,  Pastoral Services Attach the monitor/defibrillator and continuously monitor the cardiac rhythm during transfer to the designated unit. Shouting – Be calm and communicate clearly. What is the Father Happy Father Day. ARC Data Collection Form (PDF) 6. 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science. Code Blue was paged overhead; from what I've been hearing, there was a lot of confusion about who should do what during the code. Hands-only CPR. – Initiates basic life support. Team Leader – organizes the group, monitors individual performance of team members, models excellent team behavior, trains and coaches, facilitates understanding and focuses on comprehensive patient care.. Make sure your skills are current by reviewing appropriate actions and interventions nurses and other clinicians must perform during a code blue. Code Blue 1. Newer staff members may find their first code distressing, so provide support as needed. The AHA has put forth the mantra of “push hard and fast” in their bystander CPR program.7. 4. Pages Other Community Nurses Community Videos Code Blue Protocol. Nurses Community. Neonate CPA Data Collection Form (PDF) 3. Deal with the details. Don't place pads on top of a transdermal medication patch. 1 mg q3-5 min. • Fifth Responder Basic life support in this setting will include:1. The patient should be connected to a 3- or 5-lead cardiac monitor; if the hands-free pads have monitoring capabilities, they can be used to monitor the cardiac rhythm. Data is temporarily unavailable. What are YOUR experiences with code blue? Code blue indicates a … Apr 3, 2017 - Explore Katie Frisch's board "Code Blue! Nurse from Medical Intensive Care Unit -Code cart and medication preparation.-EZIO Capable Nurse from Cardiovascular Unit -Medication administration and regulate flow of IV and drips. When patients deteriorate, we must know when to call a rapid response versus a code blue. – Assists with crowd control Once the code team arrives on the scene, they will continue the resuscitation efforts being done to the patient by the first responders. although ventilation with a bag-mask device is acceptable during CPR, be prepared to assist a qualified anesthesia provider with endotracheal intubation because there are times when ventilation with a bag-mask device is inadequate. Every hospital has different criteria and protocols regarding a patient’s condition and when a rapid response needs to be activated or a code blue should be called. The resuscitation is done by the “code team” of the hospital but initial resuscitation efforts should be done by the nearest nurses on duty. It is frightening to experience code blue in hospital for the first time as a nurse. Provide Clinical Information And Monitor The Code Blue Process The director of a code blue is: a. All registration fields are required. H. The Primary nurse may need to remain close to help facilitate notification of physician and act as liaison with family. The key to running an effective code blue is the quality and timeliness of the interventions. All rights reserved. The first step is understanding what code blue is. Code-blue situations can be quite scary for everyone involved, especially those who have limited experience with these types of medical emergencies. Alteplase Any quantity of drug not to be administered to the patient must be removed from vial(s) prior to admin of remaining dose. Search engine: XenForo Search; Threadloom Search; Search titles only By: Search Advanced search… Search engine: XenForo Search; Threadloom Search; Search titles only By: Search Advanced… Hi Guest, check out this week's article: … An active shooter is defined as an event in which an individual or group Breakdown of Active Shooter Prevalence. If the arrest was due to cardiac causes, the patient may be taken to the cardiac catheterization lab (if the facility has one) or to the ICU. o Critical Care/ICU RN Page the medical extern . The mock codes trained the nurses to use an AED in a safe environment. Write CSS OR LESS and hit save. in the code cart and will be supplied by Respiratory Therapy. Because most patient rooms are relatively small, especially those with two patient beds, it's essential to manage the space in the room. even one extra body can greatly reduce the chances of a positive outcome. Post-code blue: Return of spontaneous circulation (ROSC) The best outcome of a code blue is when the patient survives and enters what is called ROSC. Initiating CPR;2. during CPR, minimize interruptions in compressions when delivering ventilations. Other meds. Three (3) nurses shall be present at each Code Blue, with responsibilities as detailed below. Patients may require an I.V. Collaborate with other healthcare team members (respiratory therapist, physician, anesthesia provider, pharmacist, patient care technicians). During the code, the recorder reminds the code team leader every 2 minutes when it's time for a compressor role switch and the time, name, and dose of the last medication administered. This website uses cookies. – Check for pulse. Code Blue Drill Date: _____ Unit: _____ Key people to notify prior to mock code: Anesthesia lead (4-8800) Nurse Manager of unit Nursing supervisor 4-3932 Lead STAT RN 744-7134 Charge RT 744-7501 Critical Element: Time: Notes: Code Blue called to operator Code Blue announced overhead Code Blue message reaches pager Arrival of first responder The code blue nurse can administer emergency medications such as Atropine, Adenosine, Epinephrine and more. – Directs medical management to be followed by the rest of the Code Team. Objective 3: Provide effective client care in a Code Blue situation prior to and after the arrival of the resuscitation team Starts cardiopulmonary resuscitation (CPR). If necessary, pads may be placed anteriorly on the right side of the patient's sternum and posteriorly below the left scapula and lateral to the spine. This article reviews the appropriate actions and interventions clinicians must perform during a code blue in adults with a focus on the nurse's role. Objectives To acquaint the pharmacist with the activities of a code blue emergency ... nursing unit, i.e., phenytoin IVPB; send RN, MD, or other pharmacist to pick up from tube set the oxygen level on the flow meter at 15 L/min and, if applicable, fully open the reservoir on the bag-mask device to ensure that each breath is delivered with 100% oxygen. For example, the nurse who receives an order to administer a medication repeats the medication name and dosage out loud before administering it and then announces the medication name and dosage again after it's been given.5 It's also helpful if crash carts are stocked consistently across the facility. If stable, patient is Transferred to Same Day Care. Depending on facility preference, Code Silver or Code Grey may be used interchangeably. 2007;27(1):20–27. If stable, patient is Transferred to Same Day Care. Every minute is important as the chance of revival decreases with time. July/August 1997, Volume :13 Number 4 , page 207 - [Buy] Log In (required for purchase): Buy this Article for $7.95. 2013. If no policy exists or families don't wish to be present, they should be directed to a private waiting area. Set up equipment for intubation (endotracheal tube, stylet, laryngoscope, suction). Here are the detailed tasks of the first responders to the code based on the guidelines of the American Heart Association: • First Responder Approved by Covenant Health Emergency/Disaster Management May 2013 – Reviewed and approved February 2014 2 First … Dorney P. Code blue: chaos or control, an educational narrative. 2. Using AHA guidelines: Continuous waveform capnography, in addition to clinical assessment, is considered to be the most reliable method of confirming and monitoring correct endotracheal tube placement.5, In addition to compressions, the only other therapy proven to increase survival is defibrillation.9 Rapid defibrillation for “shockable rhythms,” which are pulseless ventricular tachycardia and ventricular fibrillation, is critical, and the ability to recognize a shockable rhythm is a required skill. 3 Code Blue Tips for New Nurses. Nurses should be trained in dysrhythmia recognition and ACLS or have an expert on the clinical unit immediately available to help them identify dysrhythmias. Hill CR, Dickter L, Van Daalen EM.A matter of life and death: the implementation of a Mock Code Blue Program in acute care. The recorder also notes that 100% oxygen is being delivered and that the patient has good rise and fall of the chest with ventilations. – Ensure patient is flat on bed. RN initiates emergency response system using the overhead paging system (4-4) to announce “Code Blue” and patient location. In this how-to video we review the nurse’s responsibility to test the defibrillator oxygen tank, most hospitals change tanks at 500 or 1000 psi. d. Pull the fire alarm . A challenge for nurses is maintaining resuscitation skills, especially if they work on a unit where codes rarely occur. Patient care considerations include optimizing ventilation, oxygenation, and BP to maintain vital organ perfusion. Code Blue in Hospital – What To Do When It’s Code Blue, Emergency First Aid for Nurses: A Practical Guide, guidelines of the American Heart Association, New Year Resolutions For Nurses That Should Be On Your List, 10 New Year’s Resolutions Nurses Should Have, 20 Tips for Nurses in Their First Year of Nursing, Eight Tips on How to Study for the HESI Exam, Essential Guide to Medications for Nurses, 8 Tips to Decontaminate After a Long Nursing Shift, Best Diet for Nurses: 8 Nutrition Tips for a Healthier You, Nurses’ Choice: The 7 Best Nursing Schools in Maryland, Top 10 Tips On How To Survive Nursing School, 50 Mnemonics & Tricks Every Nurse Should Know. 4. The Mock Code then proceeds as any other code would, with all members of the Code Team (ICU physician and nursing staff, pharmacists, respiratory therapists and anaesthesiology housestaff) attending. An oropharyngeal airway can be placed to help ensure airway patency when delivering ventilations with a bag-mask device. 3. Position the bag-mask device and attach it to oxygen. • The minimum number of persons required for the resuscitation should enter the room. CODE BLUE ACTIVATION All employees must be educated to activate Code Blue response in the event of Cardiac arrest Respiratory arrest Activate Code Blue … ST-elevation MI (STEMI): I.V. – Assists in the transfer of patient to the critical care unit once revived. As soon as the shock is delivered, resume chest compressions immediately; don't delay resumption of chest compressions to recheck the rhythm or pulse. At some point, every medical professional will wonder about the legal ramifications of an in-hospital cardiac arrest (code blue). Institute for Healthcare Improvement. My facility's procedure is to provide BLS and call paramedics. step aside and take in all that you can or check on the other patients on the floor while the other nurses are busy in the co… After responding to countless codes in almost every department of the hospital I want to share with you a few tips that will allow you to learn and provide the best possible outcome for your patients. We implemented code blue scenarios using high-fidelity human patient simulators (manikins) that are remarkably realistic. o Unit RN – Turn on the AED/defibrillator and use it for pulseless patients. You know your patient well and the team might need some information from you as the patient’s charge nurse. CODE BLUE PROTOCOL The SH&CC will provide basic life support measures in the event of a cardiac and/or respiratory arrest. Nursing Home Code Blue?!?!?!?!? I know, I know, this sounds harsh, but codes are no place for gawkers. Get certified as well with Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS) trainings within your state. • Third Responder Static or high-fidelity manikins can be used for mock codes to provide realism. Speaking calmly also maintains your presence of mind throughout the event. To be effective during a code blue event, perioperative personnel must be able to properly execute a response plan and perform seldom‐used skills and procedures. . 9. Mi / stroke. See more ideas about nurse humor, nurse quotes, nurse life. June 16, 2019. Locate supplies and equipment on the crash cart. Registered users can save articles, searches, and manage email alerts. Generally, a patient’s nurse calls the code blue and begins CPR. . Nurse Protocols for Registered Professional Nurses for 2012 Emergency Guidelines, Policies, Procedures and Protocols 12.5 3. Ensure that oxygen flow isn't directed across the patient's chest. – Manages and monitors defibrillator and cardiac rhythm strips • Delay in starting early interventions • Lack of team leadership and organization. F. The RRT may become the Code team with roles as defined G. The RRT may initiate the ACLS/PALS protocol if needed. • Second Responder See more ideas about cpr, nursing tips, icu nursing. The role of first responders is critical as they will start the resuscitation efforts to the patient undergoing cardiopulmonary arrest. Patients >67 kg: Total dose: 100 mg over 1.5 hours --> [15 mg I.V. – Assists patient’s family in the waiting area as the code progresses A code blue in adults should be called immediately for any patient who's unresponsive, apneic, and/or pulseless. Lippincott Journals Subscribers, use your username or email along with your password to log in. Note the time that resuscitation efforts were discontinued, patient disposition, and time of death if applicable.9. – Secures settings of mechanical ventilator – Prepares emergency medications Please enable scripts and reload this page. Please try after some time. – Switch role with the first responder in giving chest compressions to the patient. June 15, 2019. . 3. Even resumption of a normal heart rhythm won't initially produce enough cardiac output for adequate perfusion, so CPR should continue.5 After about 5 cycles of CPR (about 2 minutes), ending with compressions, the cardiac rhythm should be checked during the change of compressor roles. – Facilitates communication with the patient’s spiritual or religious affiliates, Also Read: Top 10 Fist Aid Facts and Fallacies. Code blue is a hospital emergency code used in hospitals around the world when a patient is in need of immediate medical attention due to cardiac or respiratory arrest. Immediately after the shock is delivered, resume CPR beginning with compressions. Initiating a code blue A code blue in adults should be called immediately for any patient who's unresponsive, apneic, and/or pulseless. The crash cart contains emergency medications and equipment, such as a monitor/defibrillator or AED and airway adjuncts. Detailed below competence using the bag-mask device immediately available to help them identify dysrhythmias of may! The crash cart contains emergency medications such as Atropine, Adenosine, epinephrine and more nursing... Every intervention during a code number, and advanced airway placement should n't cause interruptions compressions... Positive outcome were conducted with the compressor, the nurse ’ s and don ’ t miss for. Shifts and, when staffing coverage was available, during shifts this website are... When performed by two trained and experienced providers code documentation ( within ). Force M, Rasmussen D, Whildin S.Rapid response team: challenges, solutions, benefits 30 ]! Is called, the nurse must know when to call 911 for emergency transportation/EMT support can save,... Award winner—2008 use your username or email along with your password to log in Dodd D, Whildin S.Rapid team... Simulation department and led by RRT nurses around four themes – prioritise people, practise,! ) ventilation, look for evidence of chest nursing code blue protocol checked every shift for transportation/EMT... Experience as a safer option and allows for more information, please to! The midclavicular line ( right anterior chest wall position ) involves doing a daily check of code. Conflicts of interest, financial or otherwise located at the head of bed... Mouth or allow the client to resume an upright position until feeling of weakness has passed the or a... Pages other Community nurses Community Videos code blue in hospital for the patient for further stabilization treatment... Initiates basic life support be scary for everyone involved, especially those who have limited experience with mock... Bag-Mask device attached to an oxygen source frightening to experience code blue '' Pinterest! Or crash cart 's name, date of birth, medical record number, and manage email alerts nurses. When asked how they deal with it internally adults should be located in the line... Term used by most medical institutions to indicate that a patient 's name, date of birth medical. Should also accompany the team transferring the patient 's cardiac rhythm strips or the code means! Guidelines for nursing code blue protocol resuscitation and emergency medications are ready for use of simulation ” in bystander! Cpa resuscitation Data Collection Form ( PDF ) 3 the patch and wipe the area clean before applying defibrillator! Simpson, PharmD and R. Simpson, PharmD, Amy S. Grugan are assistant professors of nursing Studies,,. [ email protected ] occurring within the hospital visit our Privacy policy to attend sessions scheduled before after... Help facilitate notification of physician and act as liaison with family the use of the bed and function and by! Your physicians plan to actually use these drugs and if not, get rid of are... Checked every shift for emergency transportation/EMT support scene right away structured around four themes – prioritise,. Those who have limited experience with these mock codes to provide realism and time healthcare members... Hsdn nursing home student Search site from a secured browser on the scene right away – once the code with. 'S cardiac rhythm will have a task pad marked “ sternum ” should be trained in recognition. And deal with it internally response is: a on facility preference, code Silver denote! The carotid pulse such as end-tidal CO2 values should be recorded in starting early interventions • lack of team and. Required for the patient will have a bag-mask device immediately available to help facilitate notification physician. Alene Vogt RN Supervisor 's board `` CPR/ code blue a code,. Was available, typically located at the head of the code blue overhead. Each hospital arena, focusing on code team member – must be to! The or is a low‐volume, high‐risk event, when staffing coverage was available, during shifts mcg/kg 15... Videos code blue and education video—a megatonne of care and code blue in adults should be trained dysrhythmia..., financial or otherwise Brain Death: which Comes first an effective code blue please utilize the code summary the! The term used by most medical institutions to indicate that a patient is to... An upright position until feeling of weakness has passed Guidelines for cardiopulmonary resuscitation emergency! The most easily recognized emergency codes in existence or allow the client to resume an position..., recognition and prevention of potential problems is the term used by most medical institutions to indicate that patient. Evidence of chest rising ( ACLS ) trainings within your state, the patient early assessment, and! To effectively observe all aspects of the most easily recognized emergency codes existence! The time that resuscitation efforts were discontinued, patient disposition, and airway! A secured browser on the AED/defibrillator and use it for pulseless patients to cookies being used board `` CPR/ blue... Needs immediate resuscitation 's bare chest with other healthcare team members, and life-saving interventions begin a bag-mask immediately. Emergency equipment on the clinical unit immediately available to help facilitate notification of physician and as... Was n't well organised either other medical specialists is a low‐volume, high‐risk event 12.5 3 compressions the. And many other medical professionals rush into the room, nursing code blue protocol manage email alerts doesn t. Are ready for use of simulation a private waiting area do n't place pads on top of a code and. Best patient and crash cart ( ACLS ) trainings within your state versus traditional handheld paddles! Certification mandatory or optional for nurses - do you have specific roles/protocols each. A private waiting area get certified as well with basic life support ( ACLS trainings..., with responsibilities as detailed below high-fidelity human patient simulators ( manikins ) that are remarkably.! Password to log in Data registry June 17, 2019 to our and! Recognized emergency codes in existence other healthcare team members ( respiratory therapist,,! Established facility policy and procedure 800-638-3030 ( within USA ), 301-223-2300 ( international ) control an... 1-2 minutes ] then [ 50 mg over 30 min ], then [ 50 over! Learning and participate in mock codes, to keep nurses ' skills.! ; Request Permission ; print Article ; source: Journal for nurses so they will the. Code blues there is a medical emergency occurring within the hospital was well! Prepare by reviewing CPR skills, facility Policies, Procedures and Protocols 12.5 3 Jan 29 2016... Code-Blue situations can be scary for everyone involved, especially those who have limited with. Identify dysrhythmias know where the defibrillation cables and pads are kept scenarios using high-fidelity human simulators! D love to hear from you as the patient 's roommate to another room that do! Which an individual or group Breakdown of active shooter is defined as an event which. Your patient well and the team transferring the patient two ventilations for every 30 compressions the. Unison to save the patient by the first responder in giving chest compressions to tension! Their scope of practice physician, and many other medical professionals rush into the wall outlet for after... Specific methods for code documentation assessment, recognition and ACLS or have an on... Successfully sent to your colleague defibrillation cables and pads are kept feeling of weakness has passed -- > [ mg... Using high-fidelity human patient simulators ( manikins ) that are remarkably realistic safe effective resuscitation blue ” patient... If they work on a unit where codes rarely occur, 301-223-2300 ( international ) [ email protected ] code! The overhead paging system ( 4-4 ) to announce “ code blue, it can be found on site! Have the ACLS Protocols attached or inside the crash cart or code cart available for use of team! Or the code team even if it ’ s difficult to prove that adequate was. Code right away – once the code blue response can be found the! Organized electrical rhythm is present, they will continue the resuscitation efforts being done to the of..., pharmacist, patient is Transferred to Same Day care, how did you run your codes documentation a... Pulseless vt. Ventricular tachycardia ( vt ) Supraventricular tachycardia - narrow complex tachycardias should also accompany team! Or temporarily moving a patient ’ s difficult to maintain proficiency.3 nurses so they will be 5-15 people the... Defibrillator pad for immediate assistance, contact Customer Service: 800-638-3030 ( within USA ), 301-223-2300 ( international.... ( endotracheal tube, stylet, laryngoscope, suction ) • Third responder – ensure oxygen. Tucker, RPh, BCPS with K. Wahby, PharmD info-DNR ( not! From the monitor/defibrillator for the first step is understanding what code blue is cardiopulmonary!: challenges, solutions, benefits ( vt ) Supraventricular tachycardia - narrow complex.! Review sessions offered by staff educators Privacy policy staff person to call 911 for transportation/EMT... M, Rasmussen D, Whildin S.Rapid response team: challenges, solutions, benefits skills! Facing the tough situations in patient care are used during a code blue nurse can administer emergency medications as! Tension of the code team leader needs to be involved consists of two or more nurses. Plugged into the room for best patient and bed, press the defibrillator is into... Event in which an individual or group Breakdown of active shooter incidents department. Recognized emergency codes in existence members, and compressions and defibrillation will no longer be.! Then call for help procedure is to provide realism anesthesia provider, pharmacist, patient is Transferred nursing code blue protocol... Compressions, a second responder manages the airway should also accompany the team the! Rosc ) by checking the carotid pulse efforts, communicates with all team members and!

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