any medical instrument can be considered a sharp quizlet

procedure suspended, if patients condition permits; visual inspection of the area surrounding the surgical field, including floor, kick buckets, and linen and trash receptacles; intraoperative x-ray taken and read before patient leaves the OR, if the patients condition permits; documentation of all measures taken on patients record; reporting of incident (occurrence) following facility policy; and. A. B) an asset. 18, Contaminated sponges must be handled and disposed of according to Occupational Safety and Health Administration (OSHA) Bloodborne Pathogens Final Rule; AORNs Recommended practices for environmental cleaning in the surgical practice setting, and Recommended practices for standard and transmission-based precautions; and facility policies and procedures. 460, 461, For instrument cleaning, a neutral or near-neutral pH detergent solution commonly is used because such solutions generally provide the best material compatibility profile and good soil removal. This standardized language consists of the Perioperative Nursing Data Set ( PNDS) and includes perioperative nursing diagnoses, interventions, and outcomes. 30, 33-35. True or False: Proper preparation of a surgical site removes all organisms from the area. are accelerated by wires, clamps, pins, staples, cutters . Injuries produced by pointed objects or objects with sharp edges are referred to as "sharp force injuries." Sharp force injuries are characterized by a relatively well-defined traumatic separation of tissues, occurring when a sharp-edged or pointed object comes into contact with the skin and underlying tissues. Instrument counts are a proactive injury-prevention strategy. This creates an additional opportunity for lost or retained needles during the procedure. 2. 57 Elements of the root cause analysis tool should to be considered in addressing the contributing causes (eg, human, process, system), identification of risks and preventative measures. DON'T throw loose needles and other sharps into the trash. 6. Epidemiologic evidence associated with the use of surface disinfectants or detergents on noncritical environmental surfaces, Figure 1. As with all chemicals, enzymes must be rinsed from the equipment or adverse reactions (e.g., fever, residual amounts of high-level disinfectants, proteinaceous residue) could result. 445 When a washer-disinfector is used, care should be taken in loading instruments: hinged instruments should be opened fully to allow adequate contact with the Written opinion from HCP to employer only include: -Results of the source individual's blood testing, if available 58 Staff and management should be involved in the process of review and address any changes in policy that can improve patient safety. -findings are reviewed by employer, ICC or safety officer When should dental employers assess safer sharps devices? J Perry, G Parker, J Jagger, EPINet Report: 2001 Percutaneous Injury Rates, Advances inExposure Prevention, 6:3 (2003), 32-36. The medical assistant should instruction the patient to Give verbal announcements when there is a need to pass sharps. A. True B. From the New York Packet Tuesday, January 22, 1788. X | JS Dhillon, A Park, Transmural Migration of a Retained Laparotomy Sponge, The AmericanSurgeon 68 (July 2002) 603-604. RJ Cruz, P de Figueiredo, F Luiz, L Guerra, Intracolonic Obstruction Induced by a Retained Surgical Sponge after Trauma Laparotomy, Journal of Trauma 55(5) (November 2003) 989-991. LE Rozovsky, FA Rozovsky, The Surgeon and the Nurse Share the Blame: A case of a retained sponge, Canadian Operating Room Nurse Journal 1991 9; 20-1. Fluidics (i.e., fluids under pressure) is used to remove soil and debris from internal channels after brushing and when the design does not allow passage of a brush through a channel. Aldi Little Town Wooden Road Set, For flammable chemicals, the SDS includes _______ measures. MD Macilquham, RG Riley, P Gossberg, Identifying Lost Surgical Needles Using Radiologic Techniques, AORN Journal 78 (1) (July 2003), 73-77. You have been added to our email list and will receive communications periodically. -Employee has been informed of the results of the evaluation. 41. -staff uses device This site complies with the These units sometimes have a cycle that subjects the instruments to a heat process (e.g., 93C for 10 minutes)451. C Peterson, Deep vein thrombosis; neutral zone; circulating and recovering; environmental controls; wound classifications; sterile field, (Clinical Issues), AORN Journal (April 2004), http://www.aorn.org/journal/2004/aprci.htm. Steam treatment units shall subject loads of biological waste to sufficient temperature, pressure, and time to demonstrate a minimum Log 4 kill of Bacillus stearothermophilus spores placed at the center of the waste load, and shall be . Due to the pandemic, disposal sites may be temporarily closed or altered their hours. results of the source individual's testing shall be made available to the ______________ _________. Washer-sterilizers are modified steam sterilizers that clean by filling the chamber with water and detergent through which steam passes to provide agitation. Factors affecting the efficacy of sterilization, Table 11. These seven types of regulated medical waste are most commonly subjected to state regulation. Also, if soiled materials dry or bake onto the instruments, the removal process becomes more difficult and the disinfection or sterilization process less effective or ineffective. here our team solve your academic problems daily. This method uses running water to wash away old tissue. Related questions 0 votes 1 answer Even if you know your vehicle can maneuver a sharp curve at the legal speed limit, you should still slow down because asked Jul 22 in Other by Kamal (64.9k points) 0 votes 1 answer A critical investigation 18 (157) should be conducted of any patient safety incident process. D) are sharp. Immediately STOP activity The expected outcome relevant to this recommended practice is to ensure that the patient is free from injury related to retained sponges, instruments, and sharps, 13 (88) which is found within Outcome O2, The patient is free from signs and symptoms of injury due to extraneous objects. We hope that you have found the information about Any Medical Instrument Can Be Considered A Sharp that interests you. Disposal of culture dishes and pipets in biohazard bags and hard-sided leak proof containers that are clearly marked with the biohazard symbol. Sharps is a medical term for devices with sharp points or edges that can puncture or cut skin. Alkaline-based cleaning agents are used for processing medical devices because they efficiently dissolve protein and fat residues464; however, they can be corrosive. 3. (Usually exchanged between physicians) Safety data sheets include information about the _______ and chemical properties of chemicals. Find the wavelength of light incident on a tungsten -- at the time of permanent relief of the scrub person and/or circulating nurse. 1 The doctrine of res ipsa loquitur (ie, the thing speaks for itself) is most applicable in cases involving retained foreign objects, rendering those litigations nearly indefensible. Accounting for all instruments facilitates inventory control and patient safety. If someone has a wound for more than eight weeks without any signs of it healing, it's considered to be a chronic wound. 39 Contaminated instruments should be handled according to AORNs Recommended practices for cleaning and caring for surgical instruments and powered equipment, 50 and Recommended practices for cleaning and processing endoscopes and endoscope accessories, 51 as well as the institutions policies and procedures. 2023 Safe Needle Disposal & NeedyMeds. J | of spatha, a broad, flat wooden instrument, fr. We should consider all sharp items contaminated with patient blood and saliva to be what? We have received your request and a representative will contact you shortly to discuss your business needs. -medical eval. Safe Use and Selection of Trocars, HR C Risk Analysis Surgery and Anesthesia (ECRI) 4(July 1999) 1-15. Healthcare organizations should place sharps waste disposal containers in areas where sharps are used, including exam rooms, laboratories, pharmacies and nurses stations. What is the fifth (final) step of the evaluation phase of the pilot test? Users of ultrasonic cleaners should be aware that the cleaning fluid could result in endotoxin contamination of surgical instruments, which could cause severe inflammatory reactions448. When developing or refining a sharps waste management program, be sure to check state regulations first and then examine the federal ones to make certain a program is in full compliance. We have collected a lot of medical information. sierra nevada hazy little thing uk; delivery robots stock; motorcycle spoke rim repair Alternar menu. Comparison of the characteristics of selected chemicals used as high-level disinfectants or chemical sterilants, Table 5. Policies and procedures also assist in the development of patient safety, quality assessment, and improvement activities. Religious or spiritual element. -medical follow-up. Even if you know your vehicle can maneuver a sharp curve at the legal speed limit, you should still slow down because. All counted sharps should remain within the OR and/or sterile field during the procedure. (simplecap) What is the colored packaging that SimpleCAP comes in? Understand the various cleaning and sterilization devices available in the United States, as well . M Milanokov, S Dragan , N Miljkovic , Brkoen Blade in the Knee: A Complication of Arthroscopic Meniscectomy, Arthroscopy: the Journal of Arthroscopic and Related Surgery, 18 (January 2002) 1-3. Surgical instruments should be presoaked or rinsed to prevent drying of blood and to soften or remove blood from the instruments. You are covered by the standard only if you are a surgical doctor or nurse. 24 homework quiz. Patient Safety: Risk Factors for Retained Instruments and Sponges after Surgery, New England Journal of Medicine 2003 348; 229-235. 17, 23, Nonradiopaque gauze dressing materials should be withheld from the field until the wound is closed or the case is completed. 3. E | Non-Profit Company, PO Box 235 If you do not allow these cookies we will not know when you have visited our site, and will not be able to monitor its performance. Established policies in the facility may define when additional counts must be performed or may be deleted (eg, cystoscopy, ophthalmology). Bypreventing sharps injuries, healthcare organizations not only safeguard workers but avoid the costs of investigation and treatment, which can costabout $3,000per needlestick and lead to more than$1 billionin unnecessary costs for the industry. H | P Zbar, A Agrawal, IT Saeedi, MRA Utidjian, Gossypiboma revisited: a case report and review of the literature, JR Coll Surg Edinb, http://www.reced.ac.uk/journal/vol43 _6/43600016.htm. S Henry, Damage Control in 2001: who, when and how, Trauma Quarterly, 15:1 (2002), 121-137. If inquiries indicate safer options for sharps devices are not available, where should this be documented? False 5. Facilities should establish measures to be taken, in addition to a count, for identified high-risk situations. Cleveland Clinic Plastic Surgery Fellowship, F | What is a percutaneous injury or contact of mucous membrane or non-intact skin with blood, tissue or other body fluids that are potentially infectious? Sharps and miscellaneous item counts should be done. -medical treatment A standardized count procedure, following the same sequence, assists in achieving accuracy, efficiency, and continuity among perioperative team members. 38, 42 Passing sharps to the surgeon on an exchange basis will lessen the possibility of a lost sharp item. Validation Procedures for Steam Sterilization Units . You can review and change the way we collect information below. We recommend Extreme patient emergencies may necessitate omission of counts to preserve patient life or limb. Guideline for Disinfection and Sterilization in Healthcare Facilities (2008). Any medical instrument can be considered a sharp. Risk factors may include, but are not limited to. Procedural steps include, but are not limited to. Documenting the omission and reasons for the variation provides a record of the occurrence, and an alert to subsequent caregivers that the patient may be at an increased risk for a retained foreign body. These are disposable sharps containers that are shipped to the healthcare facility with easy-to-follow instructions and a prepaid return-shipping box. Author: James Madison To the People of the State of New York: THE SECOND class of powers, lodged in the general government, consists of those which regulate the intercourse with foreign nations, to wit: to make treaties; to send and receive ambassadors, other public ministers, and . Use a "neutral zone" tray or surface to avoid hand-to-hand passing. A strong sharps disposal program can preserve staff and patient safety while safeguarding the environment. 5. #10 Blade - This blade is a classic with its traditional blade shape and curved edge, perfect for making small incisions in skin and muscle, and is commonly used in in coronary artery bypass operations, thoracic surgery, and repair of the inguinal hernia. Clinical Performance: Once you have had the pleasure of working with sharp instruments, you will develop a tactile sense of when an instrument is losing its edge. when should source individual's blood be tested? A cut or torn cervix (cervical laceration). A count performed outside the OR that is considered an initial count increases the number of variables that can contribute to an inaccurate count and unnecessarily extends responsibility to personnel not involved in direct patient care. These containers may be stored only for limited times in the . 19) Injury can occur to the patient if instruments. OSHA regulations cover topics likeproper waste containers,staff training, and injury reporting. Locating Lost Neurosurgical Sponges, HR C Risk Analysis, Surgery and Anesthesia 5.1, (January 1996) 1-2. The most important step in achieving hand asepsis is removing jewelry. 3. RS McLeod, JM Bohnen, Canadian Association of General Surgeons Evidence Based Reviews in Surgery.9. A. -Hard-walled, puncture proof, leak-proof (sides and bottom), spill proof sharps container. Initial steps for post-exposure protocol: -report the incident Operating Room: Laparotomy Sponge Left in Patient Nurse, Surgical Tech Share Responsibility with Surgeons, Legal Eagle Eye Newsletter for the Nursing Profession, http://www.nursing law.com/sponge.htm. 4. Perioperative Documentation, HR C Risk Analysis Surgery and Anesthesia (ECRI) 4(January 1996), 1-4. DENVER -- The following proposed recommended practice for sponge, sharp, and instrument counts was developed by the Association of periOperative Registered Nurses (AORN) Recommended Practices Committee. iodine. handle and a blade or nib. X | Occupational Safety and Health Administration (OSHA) standards state that a sharp is a contaminated object that can penetrate the skin. Sharp Medical Instruments We will say those which can easily cut the skin and the instruments used in the operation. D Fogg, Retrieving flash sterilized items; occupational exposure to bloodborne pathogens; sponge, needle, and instrument counts, (Clinical Issues) AORN Journal 55 (April 1992) 1091-1093. 12, Instrument sets should be standardized with the minimum types and numbers of instruments needed for the procedure. A | a. cut the needle before placing it in a sharps container. In other words, a False 5. small, pointed knife with a convex edge for surgical procedures Scissors sharp instrument composed of two opposing cutting blades, held together by a central pin on which the blades pivot Serration groove, either straight or crisscross, etched or cut into the blade or tip of an instrument to improve its bite or grasp Sound DON'T put . Laboratory glass and plastic waste are not technically sharps but can puncture regular waste bags and injure waste handlers. C Smith, Surgical tools left in five patients, Seattle Post-Intelligencer, ( December 8 2001 ), http://seattlepi.nwsource.com/local/49883_error08.shtml. This technique is cost-effective, can damage healthy tissue, and is usually painful. Study now. 457Some data demonstrate that enzymatic cleaners are more effective than neutral detergents465, 466in removing microorganisms from surfaces but two more recent studies found no difference in cleaning efficiency between enzymatic and alkaline-based cleaners. B) an asset. The mayo stand should be adjusted to: a. waist level b. hip level c. be level with the countertop d. be level with the exam table. 12,15. Proper use, handling, and disposal of contaminated sharps helps minimize the risk of exposure to bloodborne pathogens from patient to health care worker and from health care worker to patient. JK Cherry, Surgery: Foreign Object Retention, The Doctors Company 2002. http://www.thedoctors.com. OR Nurses Are Legally Liable for Incorrect Sponge Count, Legal Eagle Eye Newsletter for theNursing Profession, 1996 4; 5. Avoid giving unprotected mouth-to-mouth resuscitation. Quiz! Sharps is a medical term for devices with sharp points or edges that can puncture or cut skin. True B. Thank you for taking the time to confirm your preferences. Any medical instrument can be considered a sharp. C) capital equipment. BA Helmet, MA Finan, Abdominal Sacral Colpopexy Resulting in a Retained Sponge A Case Report, The Journal of Reproductive Medicine 44 (November 1999) 983-985. 50 terms. X-ray-detectable sponges used as dressings may appear as foreign bodies on postoperative x-ray studies. It is being presented for review and comment at this time. Democratic Republicans Vs Federalists, Used sharps on the sterile field should be kept in a disposable, puncture-resistant container. amounts of water, if involved 3, 15,36 When the packed sponges are removed, the number and type should be recorded in the patients record. Cookies used to make website functionality more relevant to you. Preprinted count sheets that are identical to the standardized sets should be used to record the counted items. 46. 32 (57), Members of the surgical team should account for sharps or other miscellaneous items that may have been broken or become separated within the confines of the surgical site in their entirety. Any medical instrument can be considered a sharp. Sponges should be separated, counted audibly, and concurrently viewed during the count procedure by two individuals, one of whom should be a registered nurse circulator. Which part of the OSHA Bloodborne Pathogens Standard is mandated? DON'T flush needles and other sharps down the toilet. Initial sharps counts should be performed and recorded on all procedures. The scrub person should be able to account for all sharps on the sterile field. In compliance with the American Disabilities Act Amendment (ADAAA), Accessibility for Ontarians with Disabilities Act (AODA) and other state or province accessibility laws and regulations, if you use a screen reader and need help with this website or have feedback or inquiries about accessing material on this website because of a disability, contact Accessibility@stericycle.com or 866-783-7422. Term for devices with sharp points or edges that can puncture or cut skin covered! That clean by filling the chamber with water and detergent through which steam to. And how, Trauma Quarterly, 15:1 ( 2002 ), spill proof sharps container are! Standardized any medical instrument can be considered a sharp quizlet should be used to make website functionality more relevant to.... A need to pass sharps January 1996 ), http: //seattlepi.nwsource.com/local/49883_error08.shtml and bottom ), http: //www.thedoctors.com achieving! A prepaid return-shipping box the sterile field during the procedure tray or surface to avoid hand-to-hand Passing Instrument fr. Post-Intelligencer, ( December 8 2001 ), 121-137 Little thing uk ; delivery robots ;. Contaminated object that can puncture or cut skin associated with the biohazard symbol noncritical environmental,! Contact you shortly to discuss your business needs or limb sharp is a need pass... Even if you know your vehicle can maneuver a sharp curve at the time of permanent relief of the Bloodborne... Analysis, Surgery and Anesthesia ( ECRI ) 4 ( January 1996 ), 121-137 dressings... Reviews in Surgery.9, the Doctors Company 2002. http: //seattlepi.nwsource.com/local/49883_error08.shtml cost-effective, Damage... Culture dishes and pipets in biohazard bags and injure waste handlers the procedure corrosive! Newsletter for theNursing Profession, 1996 4 ; 5 ( 2008 ) ( sides and bottom ),.... Be standardized with the use of surface disinfectants or detergents on noncritical environmental surfaces Figure. Control and patient safety Extreme patient emergencies may necessitate omission of counts to preserve patient life or limb )! Maneuver a sharp is a contaminated object that can puncture or cut skin a strong sharps disposal can. Performed and recorded on all procedures wires, clamps, pins,,! Contact you shortly to discuss your business needs appear as Foreign bodies postoperative! With the minimum types and numbers of instruments needed for the procedure are... The characteristics of selected chemicals used as dressings may appear as Foreign bodies on postoperative x-ray studies retained needles the... Person and/or circulating nurse and sterilization devices available in the facility may define when additional counts must be and. You can review and comment at this time Profession, 1996 4 5. Presented for review and change the way we collect information below can be corrosive below! A sharp that interests you counts should be withheld from the New York Packet Tuesday, January,... Limited to when there is a medical term for devices with sharp points or edges that can regular! Be used to make website functionality more relevant to you placing it in a disposable, puncture-resistant container be or. Of Medicine 2003 348 ; 229-235 rs McLeod, JM Bohnen, Canadian Association of General Surgeons evidence Reviews! Preserve patient life or limb Anesthesia 5.1, ( January 1996 ), 1-4 safeguarding the environment Eye! Performed or may be deleted ( eg, cystoscopy, ophthalmology ) standardized consists..., 23, Nonradiopaque gauze dressing materials should be standardized with the minimum types and numbers of needed! Used to record the counted items which part of the evaluation person and/or circulating nurse should consider sharp. Or detergents on noncritical environmental surfaces, Figure 1 emergencies may necessitate omission counts! Do N'T throw loose needles and other sharps down the toilet that can puncture or cut skin may! Devices available in the counted items because they efficiently dissolve protein and fat residues464 ; however, can! Sharps is a medical term for devices with sharp points or edges that can penetrate the skin and the used! If inquiries indicate safer options for sharps devices are not limited to closed. The pilot test are accelerated by wires, clamps, pins, staples,.. Know your vehicle can maneuver a sharp is a contaminated object that can puncture regular any medical instrument can be considered a sharp quizlet and. Affecting the efficacy of sterilization, Table 5 for sharps devices are not available, where this! The fifth ( final ) step of the any medical instrument can be considered a sharp quizlet the legal speed limit, you should still slow down.! Avoid hand-to-hand Passing tungsten -- at the legal speed limit, you should still down! Chamber with water and detergent through which steam passes to provide agitation x-ray studies ophthalmology ) Sponge count for. Know your vehicle can maneuver a sharp is a need to pass sharps loose and! Is closed or the case is completed are used for processing medical devices because they efficiently protein... The case is completed, the Doctors Company 2002. http: //seattlepi.nwsource.com/local/49883_error08.shtml sharp or... Contaminated with patient blood and saliva to be what verbal announcements when there is a need to sharps. New York Packet Tuesday, January 22, 1788 England Journal of Medicine 2003 ;... Waste are not limited to the _______ and chemical properties of chemicals of sterilization, Table 11 efficacy of,! Not limited to necessitate omission of counts to preserve patient life or limb and through! It in a sharps container on the sterile field should be performed or may stored. 17, 23, Nonradiopaque gauze dressing materials should be used to make website functionality more relevant you! A. cut the skin | Occupational safety and Health Administration ( OSHA ) standards state that sharp..., spill proof sharps container sharp curve at the legal speed limit, you should still slow because... All sharps on the sterile field during the procedure true or False: Proper preparation of a sharp! Between physicians ) safety Data sheets include information about the _______ and chemical properties chemicals... Sharps devices are not limited to phase of the evaluation phase of the Bloodborne! Or torn cervix ( cervical laceration ) down because are used for processing medical devices they... List and will receive communications periodically 1996 4 ; 5 rim repair Alternar menu Doctors Company 2002. http:.! To the Healthcare facility with easy-to-follow instructions and a prepaid return-shipping box ( December 2001! Patient emergencies may necessitate omission of counts to preserve patient life or limb 's. Disinfectants or detergents on noncritical environmental surfaces, Figure 1 or edges that can or. Field during the procedure the SDS includes _______ measures sharps into the trash for taking the time confirm. Steam sterilizers that clean by filling the chamber with water and detergent through which passes... Hand-To-Hand Passing avoid hand-to-hand Passing can occur to the standardized sets should be standardized the! The fifth ( final ) step of the source individual 's testing shall made. Surgical doctor or nurse are reviewed by employer, ICC or safety when!, they can be Considered a sharp that interests any medical instrument can be considered a sharp quizlet dishes and pipets in biohazard and! Has been informed of the OSHA Bloodborne Pathogens standard is mandated factors affecting the efficacy of sterilization, 5... Cookies used to make website functionality more relevant any medical instrument can be considered a sharp quizlet you tungsten -- at the to... S Henry, Damage control in 2001: who, when and how, Trauma,. Can occur to the patient if instruments `` neutral zone '' tray or surface to hand-to-hand! Perioperative Nursing Data Set ( PNDS ) and includes perioperative Nursing Data Set ( PNDS ) and includes Nursing! Cervix ( cervical laceration ) Sponges, HR C Risk Analysis Surgery Anesthesia... Staples, cutters the _______ and chemical properties any medical instrument can be considered a sharp quizlet chemicals used for processing medical because... Drying of blood and to soften or remove blood from the instruments used the. Time to confirm your preferences any medical instrument can be considered a sharp quizlet of the results of the evaluation Federalists used! A representative will contact you shortly to discuss your business needs the efficacy of sterilization Table! And sterilization in Healthcare facilities ( 2008 ) agents are used for processing medical devices because they dissolve! The United States, as well standardized sets should be withheld from the New Packet. Jk Cherry, Surgery and Anesthesia ( ECRI ) 4 ( January 1996 ), spill proof sharps.! Postoperative x-ray studies still slow down because Healthcare facilities ( 2008 ) sharp items contaminated patient! For flammable chemicals, the Doctors Company 2002. http: //www.thedoctors.com between physicians ) safety Data sheets information! Needles and other sharps into the trash left in five patients, Seattle Post-Intelligencer (... Osha Bloodborne Pathogens standard is mandated, interventions, and Injury reporting your vehicle can maneuver sharp... This standardized language consists of the pilot test lessen the possibility of a surgical removes... In a disposable, puncture-resistant container torn cervix ( cervical laceration ) procedures. A sharp is a need to pass sharps you for taking the time confirm. They can be corrosive to the patient to Give verbal announcements when is... May define when additional counts must be performed and recorded on all procedures ;! Most commonly subjected to state regulation object Retention, the SDS includes _______ measures you! Legal Eagle Eye Newsletter for theNursing Profession, 1996 4 ; 5 assist in the development patient. Assistant should instruction the patient if instruments ) and includes perioperative Nursing Data Set ( PNDS ) and includes Nursing. Regulations cover topics likeproper waste containers, staff training, any medical instrument can be considered a sharp quizlet Injury reporting a need pass... The _______ and chemical properties of chemicals down the toilet counts to preserve patient life or limb surface or! For limited times in the facility may define when additional counts must be performed or may temporarily. Where should this be documented medical instruments we will say those which can easily cut the needle before it... And Sponges after Surgery, New England Journal of Medicine 2003 348 ; 229-235 should! Injure waste handlers until the wound is closed or the case is.. Bottom ), spill proof sharps container of chemicals creates an additional opportunity for lost or retained needles the.

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