Career Opportunities

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Med-Surg/ICU – Director

Job Posting
Med-Surg/ICU
Director
Full-Time Status
Day Shift

The Director assesses, plans, implements and evaluates delivery of patient care on the Med Surg and ICU Nursing Units. The Director provides administrative direction to development and evaluation of all nursing personnel; and maintains operational aspects of the patient care unit in collaboration with administrative support services. Director acts as a liaison between the nursing units and other departments, physicians, administration, hospital patients, guest and the community. Director is responsible for capital budgets, supplies, general policies and compliance with accrediting agencies. Further, contributes to nursing and objectives, education efforts and research efforts.

Education: Graduate of an accredited School of Nursing. Bachelor of Science degree preferred, not required.

Experience: Minimum of 5 years Nursing experience (Med/Surg experience preferred) and a minimum of 2 years nursing management . Knowledge and ability to interpret basic arrhythmias, ACLS, PALS certified. Demonstrates leadership skills of critical thinking, conflict management negotiation, and personnel development.

Licensure, Registration, Certification: Current Missouri State RN licensure in good standing.

Mental/Physical Requirements: (may be met with or without reasonable accommodations): Considerable mental concentration on variable projects. Standing, walking, sitting, lifting, turning carrying, pushing, pulling, stooping, crouching, twisting, and reaching are required. Must be able to lift 20 lbs. from floor and from overhead, 40 lbs. from waist height and be able to handle, move or transfer articles of 100 lbs. regularly and over 100 lbs. periodically; in concert with other employees/person(s) and/or lifting device; exercise good body mechanics in execution of essential duties, including appropriate back and neck posture. Utilize standard office, clinical or environmental tools such as computers, calculators, copies, telemetry equipment, etc. Must be available to take call for the Med/Surg Department and must be available for any problems or issues that may arise. Will take call every fourth weekend of the month for all departments and will resolve any issues that may arise.

Working Conditions: Excellent verbal and written communication skill required. General clinical knowledge in all areas of department. General knowledge of computers for spreadsheets computations and word processing. Strong financial management and public relations skills necessary. Ability to work in a muldisciplinary setting.

Age-Specific Competencies: Persons generally grow and develop in stages that are related to their age. Age specific competence means that the employee is aware of physical, psychosocial and/or learning needs of patients of different ages. Employees consider these needs when planning and providing care for the patient or when interacting with the patient or family.
Human development can be divided into eight stages. In each stage the individual has a primary task to accomplish or master. Each task is important throughout the life span but is most critical at a particular stage.
• Infant (0-1 year): The infant must learn to trust that his/her needs will be met.
• Toddler (1-3 years): The toddler must learn to develop a sense of himself as an independent person and gain self-confidence and self-control.
• Pre-school child (3-6 years): The pre-school child must develop a sense if initiating (being able to explore the world and start projects).
• School age child (6-12 years): The school age child must develop a sense to his/her own self-worth through accomplishments and interaction with others.
• Adolescent (13-20 years): the adolescent must develop his/her own identity.
• Young adult (21-43 years): The young adult must develop close relationships.
• Middle adult (44-65 years): The middle adult must develop a sense of community and assume responsibility for others.
• Older adult (65 years and older): The older adult must come to understand the meaning of his/her life in terms of what has been accomplished.

Texas County Memorial Hospital is a tobacco-free smoke-free facility.

Information Systems – Network Administrator

Job Posting
Information Systems

Network Administrator
Full-Time Status

Job Purpose

Responsible for designing, maintaining, modifying, installing, and supporting the TCMH network.

Duties

  • Manages hospital’s network resources including designing, implementing, and maintaining existing network-based technologies. These technologies include switches, routers, firewalls, VOIP telephone systems/other telephony, and various other pieces of equipment.
  • Support and manage various software and applications throughout the environment.
  • Maintains the hospital’s wireless networks.
  • Responsible for maintaining comprehensive documentation describing the LAN’s layout and operational considerations.
  • Maintains system performance by performing system monitoring and analysis, performance tuning, troubleshooting system hardware, software, networks and operating systems.
  • Ensures the security and integrity of the network using industry standard practices. Disaster recovery and business continuity planning.
  • Provide technical support to end users.
  • Updates job knowledge by participating in educational opportunities; reading professional publications; maintaining personal networks; participating in professional organizations.
  • Protects organization’s value by keeping information confidential.
  • Other duties as needed to help the overall performance of Information Systems.
  • Participate in after hours on-call rotation


Education

  • Bachelors Degree in an information technology related field or equivalent technical/vocational degree.
  • CCNA preferred


Experience

  • Minimum 3 years experience as a network administrator of a medium sized network using current technologies.


Skills/Qualifications

  • Ability to multi-task and deliver multiple projects by deadlines
  • Strong knowledge of various Windows and Linux operating systems. Windows Server 2003, 2008,2012
  • Experience configuring Cisco network devices (switches, routers, firewalls)
  • Knowledge of Windows Active Directory, DHCP, and DNS


Physical and Mental Demands

  • Work involves standing, sitting, walking, lifting, turning, pushing, pulling, stooping, crouching, twisting, reaching and carrying. Lifting may include computers, servers and switches, manuals, and small equipment. Must be able to lift 20lbs. from the floor and from overhead, and 40lbs from waist height; exercise good body mechanics in execution of essential duties, including appropriate back and neck posture. Job frequently involves speaking, listening and understanding of complex concepts.


Texas County Memorial Hospital is a tobacco-free smoke-free facility.

Home Health – Licensed Practical Nurse (LPN) or RN – PRN

Job Posting
Licensed Practical Nurse (LPN) or RN

Home Health / In Home Services
PRN

The Licensed Practical Nurse is responsible to the Registered Nurse and to the Department Director for the delivery of patient care through the nursing process of assessment, planning, implementation, and evaluation, and other duties as assigned.  The Licensed Practical Nurse functions within the limits of the Missouri Nurse Practice Act and performs in a comparable manner to peers with similar training, experience, and circumstances.

Education:  Graduate of an accredited Licensed Practical Nurse program.

Experience:  Minimum one (1) year professional nursing experience.  Minimum one (1) year experience in a medical/surgical unit.  Six (6) months home care experience preferred.  Computer skills preferred.

Licensure, Registration, Certification:  Current LPN license in the state of Missouri.  CPR certification.  Current driver’s license and declaration of automobile liability insurance.

Mental/Physical Requirements: (may be met with or without reasonable accommodations):  Ability to stand and walk for long periods of time and to walk up and down flights of stairs.  Ability to receive and express detailed information through oral communications, visual acuity, and the ability to read and understand written directions.  Excellent interpersonal and organizational skills. Ability to safely operate an automobile.  Standing, walking, sitting, lifting, turning carrying, pushing, pulling, stooping, crouching, twisting, and reaching are required.  Must be able to lift 20 lbs. from floor and from overhead, 40 lbs. from waist height and be able to handle, move or transfer articles of 100 lbs. regularly and over 100 lbs. periodically; in concert with other employee(s)/person(s) and/or lifting device; exercise good body mechanics in execution of essential duties, including appropriate back and neck posture.

Working Conditions:  Frequent exposure to communicable disease via blood and body fluids.  Frequent exposure to infectious diseases and hostile persons at times.  Works with sharps and other potentially biohazardous materials.  Variation in environmental temperatures.  Exposure to various community environments.

Age-Specific Competencies: Persons generally grow and develop in stages that are related to their age. Age specific competence means that the employee is aware of physical, psychosocial and/or learning needs of patients of different ages. Employees consider these needs when planning and providing care for the patient or when interacting with the patient or family.

Human development can be divided into eight stages. In each stage the individual has a primary task to accomplish or master. Each task is important throughout the life span but is most critical at a particular stage.

  • Infant (0-1 year): The infant must learn to trust that his/her needs will be met.
  • Toddler (1-3 years): The toddler must learn to develop a sense of himself as an independent person and gain self-confidence and self-control.
  • Pre-school child (3-6 years): The pre-school child must develop a sense if initiating (being able to explore the world and start projects).
  • School age child (6-12 years): The school age child must develop a sense to his/her own self-worth through accomplishments and interaction with others.
  • Adolescent (13-20 years): the adolescent must develop his/her own identity.
  • Young adult (21-43 years): The young adult must develop close relationships.
  • Middle adult (44-65 years): The middle adult must develop a sense of community and assume responsibility for others.
  • Older adult (65 years and older): The older adult must come to understand the meaning of his/her life in terms of what has been accomplished.

 

Texas County Memorial Hospital is a tobacco-free smoke-free facility.

Registered Nurse – Intensive Care Unit – Night Shift

Job Posting
Registered Nurse
Intensive Care Unit
Full-Time Status
Night Shift

Under the general supervision of the Director, the Registered Staff Nurse provides direct patient care to a group of patients using nursing knowledge and skills through the use of the nursing process. Practices under the Missouri Nurse Practice Act and hospital policies and procedures. Provides direct patient care to an assigned number of patients with an understanding of the age-specific developmental needs. Demonstrates behaviors which exemplify professional conduct and teamwork.

Under the general supervision of the Director, the Registered Staff Nurse provides direct patient care to a group of patients using nursing knowledge and skills through the use of the nursing process. Practices under the Missouri Nurse Practice Act and hospital policies and procedures. Provides direct patient care to an assigned number of patients with an understanding of the age-specific developmental needs. Demonstrates behaviors which exemplify professional conduct and teamwork.

Education:           Graduate of an accredited School of Nursing. ADN, BSN

Experience:         Two years ICU experience preferred.  Experience with geriatric patients is also desired. Must possess and demonstrate good IV skills.  Basic telemetry monitoring skills.  Prefer one year of cardiac monitoring, but not required.  Ability to recognize cardiac arrhythmias and respond appropriately.

Licensure, Registration, Certification:  Current Missouri licensure.  ACLS, BLS, PALS certified.

Mental/Physical Requirements: (may be met with or without reasonable accommodations):  Considerable mental concentration required.  Standing, walking, sitting, lifting, turning carrying, pushing, pulling, stooping, crouching, twisting, and reaching are required.  Must be able to lift 20 lbs. from floor and from overhead, 40 lbs. from waist height and be able to handle, move or transfer articles of 100 lbs. regularly and over 100 lbs. periodically; in concert with other employees/person(s) and/or lifting device; exercise good body mechanics in execution of essential duties, including appropriate back and neck posture.

Working Conditions:  Minimal physical discomfort. Moderate level of auditory distractions. Frequent exposure to communicable disease via blood and body fluids. Frequent exposure to infectious diseases, radiation, anti-neoplastic agents, and hostile persons at times. Works with sharps and other potentially biohazardous material. Ability to function under stress required.

Age-Specific Competencies: Persons generally grow and develop in stages that are related to their age. Age specific competence means that the employee is aware of physical, psychosocial and/or learning needs of patients of different ages. Employees consider these needs when planning and providing care for the patient or when interacting with the patient or family.

Human development can be divided into eight stages. In each stage the individual has a primary task to accomplish or master. Each task is important throughout the life span but is most critical at a particular stage.

  • Infant (0-1 year): The infant must learn to trust that his/her needs will be met.
  • Toddler (1-3 years): The toddler must learn to develop a sense of himself as an independent person and gain self-confidence and self-control.
  • Pre-school child (3-6 years): The pre-school child must develop a sense if initiating (being able to explore the world and start projects).
  • School age child (6-12 years): The school age child must develop a sense to his/her own self-worth through accomplishments and interaction with others.
  • Adolescent (13-20 years): the adolescent must develop his/her own identity.
  • Young adult (21-43 years): The young adult must develop close relationships.
  • Middle adult (44-65 years): The middle adult must develop a sense of community and assume responsibility for others.
  • Older adult (65 years and older): The older adult must come to understand the meaning of his/her life in terms of what has been accomplished.

 

Texas County Memorial Hospital is a tobacco-free smoke-free facility.

Certified Surgical Tech – Per-Operative Services – PRN

Job Posting
Certified Surgical Tech
Per-Operative Services
PRN

Under the general supervision of the Perioperative Services Supervisor, the OR Scrub Tech/Surgical Assistant is a professional caregiver who works with Anesthesia, surgeons and other surgical personnel in patient care before, during and after surgery.  The OR Scrub Tech/Surgical Assistant uses sterile technique and technical equipment to perform surgical procedures.  Assures operating suite is adequately prepared for procedures.  Monitor PAR levels of all surgical instruments and supplies.  Cleans and sterilizes all surgical instruments.  Participates in departmental staff meetings and performance improvement activities.

Education:  Graduate of an accredited School of Nursing, Practical Nurse, or Surgical Technologist program preferred.  Current BCLS certification.

Experience:  Minimum one (1) year work experience in the OR/PACU setting is preferred, but not required.  Surgical Assistant should have a total of two (2) years scrub experience.

Licensure, Registration, Certification:  Current Missouri licensure.  RN, RNFA, LPN-IV, or CST/CFA.

Mental/Physical Requirements:  (may be met with or without reasonable accommodations): Considerable mental concentration required.  Nearly constant Standing, walking, sitting, lifting, turning carrying, pushing, pulling, stooping, crouching, twisting, and reaching are required.  Must be able to lift 20 lbs. from floor and from overhead, 40 lbs. from waist height and be able to handle, move or transfer articles of 100 lbs. regularly and over 100 lbs. periodically; in concert with other employees/person(s) and/or lifting device; exercise good body mechanics in execution of essential duties, including appropriate back and neck posture.  Must have ability to pull retractors and hold patient extremities during surgery.  While on call, must be able to be present in hospital within thirty (30) minutes for STAT callback.

Working Conditions:  Frequent exposure to communicable disease via blood and body fluids.  Frequent exposure to infectious diseases, radiation, anti-neoplastic agents, and hostile persons at times.  Works with sharps and other potentially biohazardous material.

Age-Specific Competencies: Persons generally grow and develop in stages that are related to their age. Age specific competence means that the employee is aware of physical, psychosocial and/or learning needs of patients of different ages. Employees consider these needs when planning and providing care for the patient or when interacting with the patient or family.

Human development can be divided into eight stages. In each stage the individual has a primary task to accomplish or master. Each task is important throughout the life span but is most critical at a particular stage.

  • Infant (0-1 year): The infant must learn to trust that his/her needs will be met.
  • Toddler (1-3 years): The toddler must learn to develop a sense of himself as an independent person and gain self-confidence and self-control.
  • Pre-school child (3-6 years): The pre-school child must develop a sense if initiating (being able to explore the world and start projects).
  • School age child (6-12 years): The school age child must develop a sense to his/her own self-worth through accomplishments and interaction with others.
  • Adolescent (13-20 years): the adolescent must develop his/her own identity.
  • Young adult (21-43 years): The young adult must develop close relationships.
  • Middle adult (44-65 years): The middle adult must develop a sense of community and assume responsibility for others.
  • Older adult (65 years and older): The older adult must come to understand the meaning of his/her life in terms of what has been accomplished.

 

Texas County Memorial Hospital is a tobacco-free smoke-free facility.

RN/PACU Nurse – Operating Room – PRN

Job Posting
RN/PACU Nurse

Operating Room
PRN

Under the general supervision of the Perioperative Services Supervisor, the Circulating/PACU Nurse is a professional caregiver who provides direct patient care to pediatric through geriatric populations.  Addresses the psychosocial, physical and general aspects of care related to the surgical/PACU environments.  Communicates with surgeon and anesthetist continuously and as needed about patient condition.  Assists with the maintenance of surgical/PACU equipment and inventory.  Participates in performance improvement activities.  Assesses the Operating Room and PACU for equipment functioning and readiness, obtains supplies for individual cases, and ensures all appropriate needs of surgical/PACU teams are met.  Monitors, positions and assists patient throughout surgical experience and intercedes to maintain optimum homeostatis (pre, intra and postoperatively).

Education:  Graduate of an accredited School of Nursing:  Associate Degree, Diploma, or BSN required.  Current ACLS certification is required.  Current BLS is required.

Experience:  Minimum of one (1) year work experience in the OR/PACU setting is preferred, but not required.

Licensure, Registration, Certification:  Current Missouri registered nurse licensure.

Mental/Physical Requirements:  (may be met with or without reasonable accommodations):  Considerable mental concentration required. While on call, must be able to be present in hospital within thirty (30) minutes for STAT callback.  Standing, walking, sitting, lifting, turning carrying, pushing, pulling, stooping, crouching, twisting, and reaching are required.  Must be able to lift 20 lbs. from floor and from overhead, 40 lbs. from waist height and be able to handle, move or transfer articles of 100 lbs. regularly and over 100 lbs. periodically; in concert with other employees/person(s) and/or lifting device; exercise good body mechanics in execution of essential duties, including appropriate back and neck posture.

Requirement: Must live within 30 miles of hospital to take call.

Working Conditions:  Frequent exposure to communicable disease via blood and body fluids.  Frequent exposure to infectious diseases, radiation, anti-neoplastic agents, and hostile persons at times.  Works with sharps and other potentially biohazardous material.

Age-Specific Competencies: Persons generally grow and develop in stages that are related to their age. Age specific competence means that the employee is aware of physical, psychosocial and/or learning needs of patients of different ages. Employees consider these needs when planning and providing care for the patient or when interacting with the patient or family.

Human development can be divided into eight stages. In each stage the individual has a primary task to accomplish or master. Each task is important throughout the life span but is most critical at a particular stage.

  • Infant (0-1 year): The infant must learn to trust that his/her needs will be met.
  • Toddler (1-3 years): The toddler must learn to develop a sense of himself as an independent person and gain self-confidence and self-control.
  • Pre-school child (3-6 years): The pre-school child must develop a sense if initiating (being able to explore the world and start projects).
  • School age child (6-12 years): The school age child must develop a sense to his/her own self-worth through accomplishments and interaction with others.
  • Adolescent (13-20 years): the adolescent must develop his/her own identity.
  • Young adult (21-43 years): The young adult must develop close relationships.
  • Middle adult (44-65 years): The middle adult must develop a sense of community and assume responsibility for others.
  • Older adult (65 years and older): The older adult must come to understand the meaning of his/her life in terms of what has been accomplished.

 

Texas County Memorial Hospital is a tobacco-free smoke-free facility.

Respiratory Therapist – Cardiopulmonary – PRN

Job Posting
Respiratory Therapist
Cardiopulmonary
PRN Status

Under the general supervision of the Cardiopulmonary Director, the RRT renders respiratory care and diagnostic procedures to patients as directed by the medical staff. Practice under the Missouri Respiratory Care Practice Act, hospital policies and procedures. Provides direct patient care to patients assigned to him \ her while on duty with an understanding of age-specific development needs of those patients.  Demonstrates behavior, which exemplifies professional conduct and teamwork.

The practice of Respiratory Care may include but not limited to;

  1. The administration of pharmacological, diagnostic and therapeutic agents related to respiratory care and prescribed by a licensed physician.
  2. Observing, examining, monitoring, assessment and evaluation of signs, symptoms and general physical responses to respiratory care procedures.
  3. Initiation of emergency procedures as outlined in hospital policy and within the scope of practice of a respiratory therapist.
  4. Initiation, monitoring, modification of ventilatory controls, and discontinuance or withdrawal on continues mechanical ventilation.
  5. Point of care testing.
  6. Specific diagnostic and testing techniques related to pulmonary disease within the scope of practice of a respiratory therapist. Other clinical or clerical duties that are performed within the Cardiopulmonary Department for which the therapist has special training. Each therapist will be required to be cross-trained in at least one of these other skills.

Education:  Graduate of two-four year AMA- approved Respiratory Care Program.

Experience:  Prefer one-year experience.

Licensure, Registration, Certification:  Registered by the National Board of Respiratory Care and licensed in the State of Missouri as a Respiratory Care Practitioner.  Required to have and maintain NALS and ACLS/BCLS certification.  Must be credentialed through NBRC.

Mental/Physical Requirements:  (May be met with or without reasonable accommodations):  Considerable mental concentration required for long periods of time.  Standing, walking, sitting, lifting, turning carrying, pushing, pulling, stooping, crouching, twisting, and reaching are required.  Must be able to lift 20 lbs. from floor and from overhead, 40 lbs. from waist height and be able to handle, move or transfer articles of 100 lbs. regularly and over 100 lbs. periodically; in concert with other employees/person(s) and/or lifting device; exercise good body mechanics in execution of essential duties, including appropriate back and neck posture.

Working Conditions:  Constant exposure to infectious materials and other hazardous conditions.

Age-Specific Competencies: Persons generally grow and develop in stages that are related to their age. Age specific competence means that the employee is aware of physical, psychosocial and/or learning needs of patients of different ages. Employees consider these needs when planning and providing care for the patient or when interacting with the patient or family.

Human development can be divided into eight stages. In each stage the individual has a primary task to accomplish or master. Each task is important throughout the life span but is most critical at a particular stage.

  • Infant (0-1 year): The infant must learn to trust that his/her needs will be met.
  • Toddler (1-3 years): The toddler must learn to develop a sense of himself as an independent person and gain self-confidence and self-control.
  • Pre-school child (3-6 years): The pre-school child must develop a sense if initiating (being able to explore the world and start projects).
  • School age child (6-12 years): The school age child must develop a sense to his/her own self-worth through accomplishments and interaction with others.
  • Adolescent (13-20 years): the adolescent must develop his/her own identity.
  • Young adult (21-43 years): The young adult must develop close relationships.
  • Middle adult (44-65 years): The middle adult must develop a sense of community and assume responsibility for others.
  • Older adult (65 years and older): The older adult must come to understand the meaning of his/her life in terms of what has been accomplished.

 

Texas County Memorial Hospital is a tobacco-free smoke-free facility.

Registered Nurse – Med/Surg – Night Shift

Job Posting
Registered Nurse
Med / Surg
Full-Time Status
Night Shift

Summary:  Under the general supervision of the Med/Surg Director, the Registered Nurse provides direct and indirect patient care in the Medical/Surgical setting.  Communicates with physicians/nurse managers/co-workers about changes in in-patient’s clinical condition including results of diagnostic studies and symptomatology.  Is able to respond quickly and accurately to changes in condition or response to treatment.  Additionally, is able to perform general nursing duties with adequate supervision.

The Registered Nurse functions independently within the scope of the position.  Regular communication with Med/Surg Director and Director of Nursing.  The Charge Nurse provides direction of activities and guides priorities.  Must be highly motivated to complete assigned duties within prescribed time limits.  Uses extreme tact when dealing with patients, employees, other departments, physicians and the public.  Maintains a strong ethical code regarding patient’s rights as evidenced in documentation and professional attitude and behavior (i.e., privacy, confidentiality and empathy).  Must promote professional, positive and cooperative demeanor.

Education:  Graduate of an accredited School of Nursing.  Charge nurse, one year of experience preferred.

Licensure, Registration, Certification: Current Missouri Licensure.  Current PALS, CPR, BLS and certification in ACLS.

Mental/Physical Requirements: (may be met with or without reasonable accommodations): Considerable mental concentration required.  Standing, walking, sitting, lifting, turning carrying, pushing, pulling, stooping, crouching, twisting, and reaching are required.  Must be able to lift 20 lbs. from floor and from overhead, 40 lbs. from waist height and be able to handle, move or transfer articles of 100 lbs. regularly and over 100 lbs. periodically; in concert with other employees/person(s) and/or lifting device; exercise good body mechanics in execution of essential duties, including appropriate back and neck posture.

Working Conditions:  Minimal physical discomfort.  Moderate level of auditory distractions.  Frequent exposure to communicable disease via blood and body fluids.  Frequent exposure to infectious diseases and hostile persons at times.  Works with sharps and other potentially biohazardous material.  Ability to function under stress required.

Age-Specific Competencies: Persons generally grow and develop in stages that are related to their age. Age specific competence means that the employee is aware of physical, psychosocial and/or learning needs of patients of different ages. Employees consider these needs when planning and providing care for the patient or when interacting with the patient or family.

Human development can be divided into eight stages. In each stage the individual has a primary task to accomplish or master. Each task is important throughout the life span but is most critical at a particular stage.

  • Infant (0-1 year): The infant must learn to trust that his/her needs will be met.
  • Toddler (1-3 years): The toddler must learn to develop a sense of himself as an independent person and gain self-confidence and self-control.
  • Pre-school child (3-6 years): The pre-school child must develop a sense if initiating (being able to explore the world and start projects).
  • School age child (6-12 years): The school age child must develop a sense to his/her own self-worth through accomplishments and interaction with others.
  • Adolescent (13-20 years): the adolescent must develop his/her own identity.
  • Young adult (21-43 years): The young adult must develop close relationships.
  • Middle adult (44-65 years): The middle adult must develop a sense of community and assume responsibility for others.
  • Older adult (65 years and older): The older adult must come to understand the meaning of his/her life in terms of what has been accomplished.

 

Texas County Memorial Hospital is a tobacco-free smoke-free facility.

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