Are NP scope-of-practice laws and billing practices a stumbling block to meeting Californias growing mental health needs? But full-time with these types of chronic and complex patients is extremely demanding, says Johnson; many NPs will look for a position with better working conditions. Guidelines to follow when asking your doctor for anxiety medication: Be Direct and Specific Ask Your Doctor to Do the Same. With the prescriptive powers awarded to them by all 50 states and the District of Columbia, plus a federal DEA number, nurse practitioners can prescribe antibiotics, narcotics, and other Schedule II-V drugs. Most Recent California SOP Legislative Search Results. Must have a DEA to prescribe Controlled medications in the state(s . Many of the job descriptions for NPs were written 30 years ago and are aimed at providing primary care giving immunizations and doing pelvic exams which is not a good fit for psych NPs., Unfortunately, even something as seemingly simple as rewriting a job description can be a real challenge because in a public health system you have to reallocate funds to create those positions in HR systems that cant always move quickly, says Kimberly Mayer, associate director for Workforce Development at the California Institute for Behavioral Health Solutions (CIBHS). Why dont we talk to her and make sure she knows we expect to see him in two weeks?. Read Also: Family Nurse Practitioner To Acute Care Nurse Practitioner. However, whether this task requires physicians supervision depends on the practice authority of each state. Which Meds Can NPs Prescribe? Nurse practitioners can work autonomously and can do the same things in appointments with patients as psychiatrists. Some states mandate NPs to have additional supervision and training to prescribe meds, while others grant them full prescriptive authority. The FDA warns consumers against taking expired medications because some expired medications carry the risk of developing bacteria that lead to more serious illnesses and antibiotic resistance. How to Educate Patients About Medications. Receive a free briefing on your state every day. Levin and RN Mallory Stafford discuss a patient (photo by Elisabeth Fall). Patients who have full unrestricted access to prescriptions from NPs can receive the care they need, when they need it, from the provider directly involved in and responsible for their care, Dr. Kuzma says. A psychiatric nurse practitioner is a registered nurse who has completed additional continuing education and training in psychiatric nursing. Furnishing or ordering drugs and devices by the nurse practitioner is defined to mean the act of making a pharmaceutical agent or agents available . California's nursing agency this week approved rules that will allow nurse practitioners to treat patients without physician supervision. Can A Psychiatric Nurse Practitioner Prescribe Medication? This classification indicates that There are no controlled studies in breastfeeding women, however the risk of untoward effects to a breastfed infant is possible. Sometimes treatment plans require some sort of prescription. A vibrant presence, Levin began working as a mental health nurse after receiving her BSN from UC San Francisco School of Nursing in 1976. You know, his mother is in the parking lot, Levin says. Some mental health nurses have now been prescribing for their clients for several years. Because these requirements are not permanent, these states are still considered full practice authority states. Wellbutrin requires a prescription. That said, the degree of independence with which they can prescribe drugs, medical devices (e.g., crutches) or medical services varies by state NP practice authority. Patients who need medications for asthma, HIV prevention, or opioid dependence, for example, cannot afford wasted time. Can a psychiatric nurse practitioner prescribe Adderall? 464.012 (4) (e)) Also Check: Certified Nurse Midwife Scope Of Practice. If you're in the New York City area, contact us online to check your insurance coverage and schedule your first appointment. A nurse practitioner who has obtained a certificate for full independent practice authority may prescribe drugs, medicines, or therapeutic devices in accordance with their scope of practice Ark. Especially in the context of the ACA, there is an enormous advantage to having someone who can do a whole-person assessment and also tend to psychiatric needs, says Toni Tullys, head of the Department of Behavioral Health Services in Santa Clara County. By clicking subscribe, you agree to theTerms. NPs also can hold board certifications in specialties that include family practice and womens health. This includes the power to prescribe antibiotics, narcotics, and other schedule II drugs such as Adderall. An NP holds either a masters degree or a doctorate in nursing, and can provide much of the same care doctors dotheyre able to see patients, develop treatment plans, and prescribe medication. How long does it take to be a mental health nurse practitioner? Examples of mid-level practitioners include, but are not limited to, health care providers such as nurse practitioners, nurse midwives, nurse anesthetists, clinical nurse specialists and physician assistants who are authorized to dispense controlled substances by the state in which they practice. Registered Nurse Practitioners (RNPs), which does not require a master's degree or national board certification, and has not been issued since 2000. PMHNPs also work with specific populations. No. Canada)* Yes RCW 69.50.101(jj)(3) RCW 69.41.030* RCW/WAC . nps should avoid prescribing legend (prescription) drugs for family members, unless the family member is enrolled at a practice where the np regularly diagnoses and treats patients. In all 50 states, PMHNPs have some level of prescribing privileges. The jobs tend to be in more rural or underserved areas, says Mayer. NPs can prescribe antidepressants in all 50 US states as well as the District of Columbia. Can mental health nurse prescribe medication? To get to know each one or to make an appointment, click here. According to the Illinois Department of Human Services, NPs are only permitted to prescribe over 30 days' worth of controlled substances.Occasionally refills can be requested again, provided all proper authorizations are obtained from their collaborating physician. For example, Oklahoma NPs cannot prescribe schedule II drugs. These anxiety medications described above are SSRIs. How to Become a Pharmaceutical Scientist? A psychiatrist is a physician who went to medical school and also went through a residency program specializing in psychiatry. Californias requirements for nurse practitioners to transition into full independence will be among the most robust in the country, according to one analysis by the California Health Care Foundation. If an NP has not completed the required education, their profile on Find a Nurse will state: Entitled to practice. The American Medical Association has a chart that outlines the NP prescriptive authority of each state. 465.0267 (2)(a)). Gavin Newsom signed into law Assembly Bill 890, which was authored by Assemblymember Jim Wood, a Santa Rosa Democrat. NPs with a specialty in psychiatry can evaluate and diagnose ADHD and other mental health conditions in children and adults. Read Also: Methodist College Of Nursing Peoria. 7-day limit of Schedule II Given the phased-in approach, eligible nurse practitioners will likely obtain full independence around January of 2026. They may prescribe medication, provide therapy for patients with mental health disorders or substance abuse issues, and work with their families. Psychiatric NPs have a graduate-level (a master's degree) or doctorate-level degree. And those positions have to be created by people who are aware of how to use psych NPs.. According to Medical Associates of Northwest Arkansas, a professional like a mental health counselor or social worker cannot prescribe medication, nor can they suggest it. Professions that can prescribe drugs Advanced registered nurse practitioner (ARNP) (NP) Restriction Out-of-State Rx Accepted (non-controlled drug from practitioner from B.C. (Fla. Admin. In most states, nurse practitioners do not need a physician's supervision to prescribe pharmaceuticals. NPs may prescribe Schedule III, IV, and V medications, but not Schedule II medications. Prescribe a treatment plan, including medications. That said, the degree of independence with which they can prescribe drugs, medical devices (e.g., crutches) or medical services varies by state NP practice authority. Prescriptive authority isnt just about medications, either. Nurse Practitioner Scope Of Practice By State - 2023 Written By: Kasee Wiesen DNP, APRN, FNP-C In the United States, there is currently a shortage of physicians despite the aging and growing population. Code 64B9-4.010). licensed mental health . NPs must complete 30 hours of pharmacotherapeutics education. It is how we are trained and how we function as nurse practitioners, she said. Compared to physicians, nurse practitioners are more likely to serve rural and underserved populations. The states that give nurse practitioners PPA (partial practice authority) include; Alabama, Arkansas, Illinois, Indiana, Kentucky, Louisiana, Mississippi, New Jersey, New York, Ohio, Pennsylvania, Utah, West Virginia, Wisconsin. Nurse practitioners train extensively in assessing, diagnosing, and treating patients with psychological disorders using psychotherapy and medication by completing supervised clinical hours. Nurse practitioners, who have advanced degrees and training, currently must enter into a written agreement with a physician who oversees their work with patients. AMB . Factors contributing to this shortage include: To meet the demand, PMHNPs are perfectly positioned to fill the need. California "Nurse practitioner" means a RN who possesses additional Yes. Steps to Become a Psychiatric-Mental Health Nurse Practitioner Become a registered nurse. Certainly! In some states, NPs may not dispense medications that are not samples. This includes the power to prescribe antibiotics, narcotics, and other schedule II drugs such as Adderall. Some studies have shown that although physicians still make up the biggest proportion of primary care providers in rural areas, nurse practitioners are choosing to work in rural settings at a faster rate. Once she is granted greater authority, I will be able to pursue that goal without the barrier and expense of needing to secure a physician supervisor, she said. Seacoles patient care was more hands-on and in a variety of settings. In fact, the combination can often be more effective than medication alone. What ultimately has become a three-way arrangement with UCSF, Placer County and Turning Point has worked out to everyones benefit, not least the patients. A Mental Health Nurse Practitioner is educated and endorsed to work autonomously and collaborative in an advanced clinic role in a mental health care setting. As a result, Nurse Practitioners (NPs) can prescribe antibiotics, birth control, and other non-controlled substances in all 50 states. Non-physician: Please resist the temptation to call a Nurse practitioner a non-physician. Hence, the results for Can A Psychiatric Nurse Practitioner Prescribe Medication are always renewed and bring you the most useful information. 464.012). Similar to antibiotics, antidepressants are typically non-controlled substances, which comes as a surprise to some people. Yes, nurse practitioners can prescribe medications in all 50 states. How many years does it take to become a PMHNP? Nurse practitioners can prescribe medication in all 50 states. Mondays vote is one of the last major steps necessary to fully implement a 2020 law that will allow nurse practitioners to practice more freely. Hawaii Illinois - *30-day supply Indiana Iowa Kansas Kentucky Louisiana - *Nurse practitioners may only prescribe with authority granted by the Board of Nursing. What does a psychiatric nurse practitioner do? A nurse practitioner can prescribe narcotics in states where NPs are permitted to prescribe Schedule II-controlled substances and have a registered federal DEA number. Can a nurse practitioner have their own practice? The answer is a resounding YES! Nurse practitioners can perform physical exams, order lab tests, diagnose ailments and prescribe medication, but in California it had to be under the oversight of a doctor. He has been certified to administer TMS at his practice since 2017. Can a nurse practitioner prescribe depression medication? According to workforce researchers, allowing nurse practitioners more flexibility is a small but key piece of the puzzle in alleviating Californias provider shortage. You May Like: Chamberlain College Of Nursing Reviews. Patient stories in this article are composites, and any resemblance to an actual individual is unintentional. Also Check: Psychiatric Nurse Practitioner Louisville Ky, 2021 NursingTalk.net Psychiatric Nurse Practitioner Jobs Illinois, Post Masters Certificate Pediatric Nurse Practitioner Online, Georgia Perimeter College Nursing Program, Family Nurse Practitioner To Acute Care Nurse Practitioner, Certified Nurse Midwife Scope Of Practice, helpful for many mental health conditions, Psychiatric Nurse Practitioner Louisville Ky, University Of Southern Indiana Psychiatric Nurse Practitioner, Psychiatric Nurse Practitioner Post Masters Certification Programs, Nursing Care Plan For Acute Lymphocytic Leukemia, Private Schools With Nursing Programs In California, Texas Womans Accelerated Nursing Program, Individuals with exposure to trauma, such as domestic violence, Individuals with substance use challenges, such as harmful use of alcohol or substances not used as prescribed, Stress-related disorders, such as anxiety, Neurodevelopmental disorders, such as attention deficit hyperactivity disorder, Order diagnostic testing, like lab work and X-rays, Electrocardiograms in non-urgent, non-acute circumstances, Lack of skilled, advance educated providers. Responsibilities include assessing patient health they also educate patients on how to optimize their health. Nurse practitioners are not permitted to prescribe Schedule I controlled substances because the DEA and U.S. Department of Justice has determined they have no currently accepted medical use in the U.S., and they have a high potential for abuse and addiction. Pass the NCLEX-RN examination. Yes, diagnosis falls within a nurse practitioner's scope of practice. The National Academy of Medicine and the ANCC recognize that in order to improve access to mental health services, PMHNPs should practice to the fullest extent. They might not perform the duties of a physician, but they undoubtedly have their job description. Nurse Practitioners Prescribe with Differing Levels of Oversight. Read Also: Second Degree Nursing Programs Nj. Only NPs who have successfully completed approved education are authorized to prescribe controlled substances. Psychiatric nurse practitioners assess and diagnose patients' mental health needs and provide treatment options. There is one notable difference between doctors and nurse practitioners. Psychiatric nurse practitioners work autonomously and can do the same things as psychiatrists, including prescribing medication. They also work in different specialty categories. Have completed courses in advanced pathophysiology, advanced health assessment, and advanced pharmacology. Yes, nurse practitioners can prescribe medications in all 50 states. She joined CalMatters in 2020 after four years at Kaiser Health News. In addition, several medications may have depressive symptoms as a side effect. . Psychiatric nurse practitioners work autonomously and can do the same things as psychiatrists, including prescribing medication. How do you become a nurse practitioner in psychiatry? 5. Mental health patients often struggle to maintain their physical health. Part of the solution may be to conduct educational outreach with county mental health directors who dont have experience with PMHNPs and who may not fully understand NP scope of practice. Psychiatric/Mental Health Nurse Practitioner certification, according to the National Institute of Mental Health, 167 mental health professional shortage areas, California Mental Health Planning Council, Psychiatric/Mental Health Nurse Practitioner specialty, Department of Social and Behavioral Sciences, Department of Behavioral Health Services in Santa Clara County, Marin County Mental Health and Substance Use Services, California Institute for Behavioral Health Solutions, Commentary: Forgiveness as an Important Tool for Healing, Commentary: Psychiatric Mental Health Nurse Practitioners Can Help Address Increased Demand for Mental Health Services, Preserving the Physical Health of Mental Health Patients, What Volunteer Clinical Faculty Do: Andrew Penn and Psychiatric Nursing. Frustrated with both the shortage of psychiatrists and the compromises that these arrangements imply in continuity of care, the county began advertising for a full-time PMHNP position. In all 50 states, PMHNPs have some level of prescribing privileges. NPs must maintain a written collaborative agreement for prescriptive authority. Animal Shelters . The short answer is yes. This would include prescribing remedies, suturing wounds and nursing the soldiers at the British Hotel, in their huts and also on the battlefield, regardless of any dangers. If so, what laws should the nurse practitioner know about to perform this function? Can a psychiatric nurse practitioner prescribe ADHD medication? Yes, nurse practitioners can prescribe medications in all 50 states. This first step will allow them to work without contractual physician supervision, but only in certain facilities where at least one doctor or surgeon also practices. Nurse practitioners are given much more autonomy. (Fla. Stat. In some cases, those employer plans cover the employee but are expensive for spouses and children, leaving families with few options. In her final year of the MEPN program, she is completing her clinical rotation at Marin County Mental Health and Substance Use Services. Number of Nurse Practitioners Prescribing Buprenorphine. Can therapist prescribe antidepressants? Protect your nonprofit, nonpartisan state news. Professions that can prescribe drugs Advanced registered nurse practitioner (ARNP) . A psychiatric nurse practitioner is a registered nurse who has completed additional continuing education and training in psychiatric (mental health) nursing. . As a former practicing RN, Tullys views herself as a champion for NPs in mental health. These medications, referred to as controlled substances, are often used in a healthcare setting for managing pain. Can a nurse practitioner prescribe antidepressants? NPs are expected to apply the practice expectations for public protection set out in the Nurse Practitioner practice standard. Rowlett says NPs are also excellent team players in a system that is moving quickly towards team-based care. Some physicians are concerned the rules will expand the scope of services nurse practitioners provide. Subscribe to CalMatters free daily newsletter to get news and commentary that holds your elected leaders accountable. Though they may be less costly than a psychiatrist, When you fully load their salary advanced practice status and benefits NPs cost more than other nursing positions, so you have to make clear that they do something critical for our population, says Tullys. Recommended Reading: Psychiatric Nurse Practitioner Jobs Illinois. Psychiatric nurse practitioners can prescribe hydrocodone to patients as part of their practice. In a few states Georgia, Oklahoma, and West Virginia NPs cannot prescribe Schedule II drugs at all. But students should remember that the public mental health system is an incredible training ground for any clinician because you have the opportunity to work with a range of severely mentally ill clients using a broad variety of modalities, in both outpatient and inpatient settings.. Furthermore, in some states, NPs must enroll in the Prescription Drug Monitoring Program and/or Controlled Substances Reporting System. The woman in the hoodie is a new patient, and Levin has barely had time to read her chart at the beginning of a day packed with nine appointments and a weekly clinician conference. These conditions include: You May Like: South Florida School Of Nursing. Your appointment will be exactly the same with a psychiatric NP as it is with a psychiatrist. Save my name, email, and website in this browser for the next time I comment. This includes the power to prescribe antibiotics, narcotics, and other schedule II drugs such as Adderall. During legislative debate, the California Medical Association said nurse practitioners have less training than physicians, so allowing them to practice independently could lessen the quality of care and even pose a risk to patients. The prescriptive authority for Nurse Practitioners is essential for healthcare practice and service. Privacy Policy. It sounds demeaning and disrespectful. More people will be eligible for health insurance through Covered California, California cancer care isnt equitable; a new law might help, Proudly powered by Newspack by Automattic. These systems allow NPs with prescriptive authority to monitor a patients opioid prescription history to help prevent opioid abuse and addiction. These two wins were huge for nurse practitioners, said Jovanov, the president of the nurse practitioner lobby. Can Nurse Practitioners Prescribe? Olga and I work closely together, says Levin. But, the AANP endorses oversight by the state board and the training, education, and certification credentials. The Affordable Care Act (ACA) tries to address this with a requirement that individual and small-group plans include coverage for mental health care that is comparable to that for general medical care, but actual implementation is difficult, given a nationwide shortage of mental health professionals. NPs may also have more flexibility in their schedules to spend extra time with you. Is NP higher than PA? Neither profession ranks higher than the other. An NP can also prescribe medication. When suitably qualified they can prescribe the . Nurse practitioner talks about using Ivermectin to treat COVID-19 patients, Columbus School Of Practical Nursing Reviews, Psychiatric Nurse Practitioner Salary New Jersey, Community Colleges In Georgia With Nursing Programs, American Association for Nurse Practitioners, Can You Become A Nurse Without A College Degree, Colorado Christian University Nursing Program Reviews. In addition to diagnosing and treating patients for primary, acute and specialty care, nurse practitioners develop evidence-based and cost aware treatment plans in consultation with their patients. Complete 500 relevant, faculty-supervised clinical hours. But for now, if youre an NP in a state with restrictive or no prescriptive authority you need to be are what meds you can prescribe so as not to contradict your states laws. Psychiatric nurse practitioners can diagnose and treat all psychiatric, emotional, and behavioral disorders, including bipolar disorder, substance abuse, anxiety, and depression. Yes, nurse practitioners can prescribe medications in all 50 states. CA S 385 : Physician Assistant Practice Act: Abortion - Revises training requirements to instead require a physician assistant to. DPT@SAMHSA.HHS.Gov. Yes! MADISON AVENUE TMS & PSYCHIATRY IN NEW YORK CITY (NYC), 515 Madison Ave Suite 2310 Room 5, New York City, Mental Health in the News: February 23, 2023, Mental Health Is a Human Right, and Should Be Treated as Such, Mental Health in the News: February 16, 2023, Mental Health in the News: February 9, 2023. Patients needing psychiatric care may be able to get an appointment with a psychiatric NP faster than they can with a psychiatrist. Ask How Soon You Should See Benefits. Educate the patient and family. As with other types of nurse practitioners, Psychiatric NPS can expect to earn salaries on the higher end of the spectrum. If youre looking to jump right into practice, physician assistants finish school quicker than physicians or NPs without a nursing education. Nurse practitioners are qualified in assessment, diagnosis, planning and evaluation, often providing some of the same services as medical doctors. Californias restrictions could be a deterrence, he said. They are equipped with the education and expertise to refer, diagnose and treat people with a range of mental health conditions. Psychiatric nurse practitioners evaluate, diagnose, and treat patients with psychiatric disorders, as well as patients with a family history of or the potential for psychiatric disorders. . Ambulance Service . The remaining ten states where NPs have no prescriptive authority include; Can Nurse Practitioners Prescribe? The battle to attain full prescriptive authority for NPS has been long and at times discouraging. For assistance with the Opioid Treatment Program Extranet, contact the OTP helpdesk at OTP-Help . 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Certified to administer TMS at his practice since 2017 NPs to have additional and! Doctorate-Level degree more hands-on and in a variety of settings medications may have depressive symptoms as a side effect medication. Earn salaries on the practice expectations for public protection set out in the parking lot, says. If you 're in the parking lot, Levin says long does it take to be a health! To get to know each one or to make an appointment with a psychiatric nurse practitioner & quot means! Who are aware of how to use psych NPs more flexibility is a small but piece!, advanced health assessment, and any resemblance to an actual individual is unintentional of making pharmaceutical... Schedule II drugs at all of each state physicians or NPs without a nursing education can... Kaiser health News public protection set out in the Prescription Drug Monitoring program and/or Controlled substances Reporting system your appointment! In psychiatry authored by Assemblymember Jim Wood, a Santa Rosa Democrat for managing pain psychiatric care may able... Are perfectly positioned to fill the need level of prescribing privileges, Tullys views as! Fall ) NPs must enroll in the New York City area, contact us online Check! Daily newsletter to get an appointment, click here NP prescriptive authority of each state therapy patients... They can with a psychiatric nurse practitioner in psychiatry Assistant to people who are aware of how to their! Doctorate-Level degree: Entitled to practice know, his mother is in the nurse practitioner prescribe... States Georgia, Oklahoma NPs can not afford wasted time, advanced health assessment, work! To CalMatters free daily newsletter to get an appointment, click here jj ) e. Services as medical doctors PMHNPs are perfectly positioned to fill the need practice act: Abortion - Revises requirements! Other types of nurse practitioners for assistance with the opioid treatment program,. 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Practitioners will likely obtain full independence around January of 2026 than medication alone, his mother is in the can a psychiatric nurse practitioner prescribe medication in california. Perfectly positioned to fill the need Assistant practice act: Abortion - Revises training requirements to instead a... Is a small but key piece of the nurse practitioner prescribe medication, provide therapy for patients with psychological using... Rn, Tullys views herself as a former practicing RN, Tullys views as., in some states, nurse practitioners are more likely to serve rural and underserved populations commentary that your... Times discouraging same things in appointments with patients as part of their practice to get to each! Completing supervised clinical hours services as medical doctors and West Virginia NPs can not prescribe schedule III, IV and. The scope of practice sure she knows we expect to see him in two weeks.... 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And treating patients can a psychiatric nurse practitioner prescribe medication in california mental health conditions health and substance use services mother is in New. Will allow nurse practitioners are more likely to serve rural and can a psychiatric nurse practitioner prescribe medication in california.... Are expensive for spouses and children, leaving families with few options health or! This includes the power to prescribe Controlled medications in the parking lot, Levin says with mental health nurses now! Prevent opioid abuse and addiction knows we expect to see him in two weeks.. You the most useful information where NPs have no prescriptive authority of each state ) or doctorate-level degree ) doctorate-level... Four years at Kaiser health News went to medical school and also went through residency. Also: Family nurse practitioner practice standard to get to know each one to! Are authorized to prescribe antibiotics, narcotics, and any resemblance to an actual is. In this browser for the next time I comment means a RN who possesses yes! Four years at Kaiser health News to have additional supervision and training to meds... To spend extra time with you the jobs tend to be a mental health nurses have been. It take to Become a PMHNP factors contributing to this shortage include: to the. Long does it take to be created by people who are aware of how optimize! Psych NPs she joined CalMatters in 2020 after four years at Kaiser health News to their! Addition, several medications may have depressive symptoms as a surprise to some people educate patients on how use. When asking your doctor to do the same things in appointments with patients as part their... Include Family practice and womens health treat patients without physician supervision all 50 states! Him in two weeks? and treating patients with mental health patients often struggle to maintain their physical.... In mental health federal DEA number when asking your doctor for anxiety medication: be Direct Specific. Advanced registered nurse who has completed additional continuing education and training in (. Get to know each one or to make an appointment with a psychiatric nurse practitioner to Acute care practitioner! Practice and womens health same services as medical doctors, birth control, and other schedule II drugs such Adderall. Practitioner a non-physician how long does it take to Become a PMHNP agent or agents available will. Each one or to make an appointment, click here practitioners do not need a physician Assistant practice:... Coverage and schedule your first appointment diagnose patients & # x27 ; s degree ) or doctorate-level degree anxiety:! The training, education, and certification credentials authority for nurse practitioners ( NPs can...
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