0000024154 00000 n Registrants document appropriately, including time of death, after deathcare, the return of any personal belongings, and the completion of appropriate forms. http://www.healthcareproxy.org/, Massachusetts MOLST Massachusetts Medical Orders for Life Sustaining Treatment. )nYBaa3c, I had a patient once whose wife refused to believe he was dead because she "didn't hear any alarm go off like on ER" I had to explain the difference between an 02 concentrator and a telemetry monitor and she still wouldn't believe her husband was dead. PerinatalHospice.org is a clearinghouse of information about perinatal hospice and palliative care. New York, NY: Sterling. search parameters, plus information about the data such as format, Chapter 3, Article 1 3.1.18, Registered Nurse Pronouncement of Death . who are (or will be) involved in providing EOL instruction to health <> endobj Please let us know how we can improve this page. V\V6 W$mV5 72[H,Cj5Nb`kC Determination of prognosis by physician Online Resources and Recommended Readings. hbbd``b`z$ HX bHv`U= YDA 8Qd#io + I had to call the doc to come pronounce. New York: Springer Pub. Specializes in Med-Surg, Trauma, Ortho, Neuro, Cardiac. Select the Get form key to open the document and begin editing. <> %PDF-1.6 % info@hospicefed.org. <> Any person found dead (For complete list, see Pronouncement of Death Fact Book, 1999, page 13 . $,et&; The law requires that in order for a nurse to pronounce, the facility must have a written policy, which is jointly developed and approved by the medical staff or medical consultant and the nursing staff, specifying under what circumstances a RN can make a pronouncement of death. Specializes in NICU, PICU, Transport, L&D, Hospice. Massachusetts Compassionate Care Coalition 5 0 obj Telephone: 617-618-2185. Keep in mind . Sudbury, Mass: Jones and Bartlett. %PDF-1.6 % A coalition of individuals and organization who seek to improve end-of-life care in Massachusetts. <> Complete Pronouncement Of Death Form in just several minutes by using the instructions below: Find the document template you require from our library of legal forms. Edition, 2001 Call placed to DR Jones. for physicians, nurses and other health care professionals. Resources, hospice locator guide, education opportunities, and general hospice information. Overview "Legal forms" are forms that are not filed in court, such as forms for taxes, contracts, wills, and the like. experience of end of life. Share sensitive information only on official, secure websites. Called to room by CNA at 4pm and noted resident without pulse, respirations or BP. By using the site you agree to our Privacy, Cookies, and Terms of Service Policies. San Francisco, CA: Institute on Dying (Zen Hospice Project). Bolen, J. S. (1996).Close to the bone: Life-threatening illness and the search for meaning. <> 0000060779 00000 n Sign In Forever Sunshine, ASN, RN 1,261 Posts Specializes in LTC. Yakima, WA: Intellicard. 3 0 obj xXn8}GHiQuZYt6>}%Vw. }=y\Ev_]&c9\-,l)QhR|t_a frequency of update, source, etc. It provides a forum for members to engage in cross-continuum collaboration to address regulatory and clinical barriers that impede caregivers vital work. h. Registered Nurse, Advance Practice Nurse, or Physician Assistant. Arlington, VA 22209 Maine, Texas, and New York are three states that allow the licensed RN the ability to pronounce death. course/clerkship directors, residency and continuing education program D8*$[UH Only Sections 1431 and items 46 are- to be completed by the R egistered Nurse according to the instructions on the back of the form. website provides links to public data on decedents, cause of death and (1992). %PDF-1.3 % MHA and its Continuum of Care Council would like to acknowledge the many clinicians, partners, and organizations that contributed to the creation of this guide. Telephone: 617-618-2185 0 A nursing organization of over 9,200 members dedicated to promoting excellence in End-of-Life nursing, Innovations in End-of-Life Care Specializes in Med nurse in med-surg., float, HH, and PDN. $y`A0yL~F@e?#c*J0e#ZHj &"Bd9^@nH dSY``LzA$WP{ ,&! Legal forms may also be found through Gale LegalForms. The laws and rules do not specifically address whether the LPN can determine and . Resident found unresponsive; Absence of P/R/BP. Hb```V7 ce`a`8]p spoke with dtr on phone. 0000000880 00000 n endobj CBC& *U2M>}{x,`C2?YG9}0)+ -a} 5IO>`}W+*]fHv*/L5dz*^e+;D[Jdhr;s:e rjV7}hhe-;Zvwb{i-l1Jip"y_Ue`!O^wR= .ERFc9Osqztf&{A=Kx7a(}oL>wNe[$D^r:Y0daGddz8_, When a [" online, searchable catalogue of data about care at the end of life. At 10am resident's respirations noted absent, RN supervisor notified. An Specializes in LTC. If you need assistance, please contact the Trial Court Law Libraries. <> WAC . endstream endobj 39 0 obj <>/Metadata 5 0 R/PieceInfo<>>>/Pages 4 0 R/PageLayout/OneColumn/OCProperties<>/OCGs[40 0 R]>>/StructTreeRoot 7 0 R/Type/Catalog/Lang( E N - U S)/LastModified(D:20070918092624)/PageLabels 2 0 R>> endobj 40 0 obj <. endstream endobj 408 0 obj <. >x.4Q9c=@6{&q0 St. Pierre, P. J. 11 0 obj MD notified, new orders - RN Pronouncement and order to release body to funeral home confirmed by Jane Doe NP covering for Dr John Doe. 0 A resource for professionals, patients and their families regarding end-of-life decisions Top-requested sites to log in to services provided by the state. Co. Wrede-Seaman, L. (1999).Symptom management algorithms: A handbook for palliative care. 6 0 obj You have the right to register a complaint with any hospice provider. New York, N.Y: Bantam Books. Immediately after pronouncement of death, a physician licensed in the commonwealth who attended the decedent during the decedent's last illness, or his covering physician, or the licensed physician who has declared such person dead, or, if the death occurred in a hospital, a hospital medical officer duly authorized by the administrator, shall, in <>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Users can search by topic, state, or a set of pre-written questions. If you would like to continue helping us improve Mass.gov, join our user panel to test new features for the site. Callanan, M., & Kelley, P. (1997).Final gifts: Understanding the special awareness, needs, and communications of the dying. L\ddEwexo_{Twu~_~M~>~~a`O?o76z8m-}|'iHN6Kdg*WiBShNc&U2^o?qOu{Uz/~YSofw{fmo?[{~[fhSm*MYizlg/;:#/$mK)mqmIG^Tz9F*j-1OL\2WL&:Mt4i2&ci24^~^5o O#%[r6# 16 0 obj "`.LL@1l?q#QrP4w >stream %PDF-1.7 % Kalina, K. (2007).Midwife for souls: Spiritual care for the dying. Since 1997, allnurses is trusted by nurses around the globe. If there are also court forms on a topic, we link to that section of official court forms for your convenience. 0000002389 00000 n 12 0 obj This page is located more than 3 levels deep within a topic. Garden City, N.Y: Anchor Press/Doubleday. This We will use this information to improve this page. 436 0 obj <>stream Resident pronounced at 10.30AM. 3. Order received to release body to the funeral parlor.". When a patient dies in a licensed hospice or a nursing home in the absence of a physician and under specific circumstances, that person may be pronounced dead as provided by law in GA Code Ann, 31-7-16 and . 0000003670 00000 n Uo`0 t-yHC#[yJ/a0>LCkkwQ.p6\FuAIu8M[EE. 7 0 obj The Continuum of Care Council (CCC) is an advisory council of the Massachusetts Health & Hospital Association (MHA), established with the goals to optimize patient care, experiences, and clinical and economic outcomes through population health strategies. Wogrin, C. (2001).Matters of life and death: Finding the words to say goodbye. Massachusetts Commission on End of Life Care Has 5 years experience. Clearly, the pronouncement of an individual's death is a significant obligation and it must be carried out with grace, respect and a concern for the family of the deceased. A guide to enable patients or their advocates to make informed decisions about health care choices that reflect each person's goals, values, wishes and needs; outlining the types of choices that patients have when they are going through treatment for a serious life-limiting illness. 0000058024 00000 n (1997).Waterbugs And Dragonflies: Explaining Death To Young Children. : Continuum. Notifies the MRP / RN(EC) of the patient's death, noting date and time of death, receiving funeral home Death associated with diagnostic/therapeutic procedure 5. In the rare event that your complaint remains unresolved, you may contact the Hospice & Palliative Care Federation of Massachusetts or the Department of Public Health's Patient Protection Line. Our mission is to Empower, Unite, and Advance every nurse, student, and educator. Honoring Choices Massachusetts is a consumer focused non-profit organization supporting the right of every adult to direct their health care choices. More Massachusetts Legal Forms by Subject The Trial Court Law Libraries have compiled this list of Massachusetts legal forms available online for no charge. Resident DNR. Yes No. { MD notified, new orders - RN Pronouncement and order to release body to funeral home confirmed by Jane Doe NP covering for Dr John Doe. specifically, the site has been designed for use by medical school hZ7!>Y/;oFd:0f!tkTaUCUR kRI Please complete the information pertaining to the decedent as well as the cause of death information as this document will be used to . George Washington Institute for Spirituality and Health endstream endobj 273 0 obj <>/Metadata 23 0 R/PageLabels 266 0 R/PageMode/UseOutlines/Pages 270 0 R/StructTreeRoot 44 0 R/Type/Catalog/ViewerPreferences 292 0 R>> endobj 274 0 obj <>/MediaBox[0 0 612 792]/Parent 270 0 R/Resources<>/Font<>/ProcSet[/PDF/Text]>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 275 0 obj <>stream Minneapolis: Augsburg. Washington, D.C: American Nurses Pub. trailer << /Size 39 /Info 15 0 R /Root 18 0 R /Prev 119813 /ID[] >> startxref 0 %%EOF 18 0 obj << /Type /Catalog /Pages 14 0 R /Metadata 16 0 R /PageLabels 13 0 R >> endobj 37 0 obj << /S 108 /L 181 /Filter /FlateDecode /Length 38 0 R >> stream endobj (2009).The art of death midwifery: An introduction and beginner's guide. (R.0i['|6xu@q XT;30B@,Qg`(fha0^@'. md notified. Death is a very serious thing to announce legally and there are a lot of consequences for doing it. A professional membership organization providing a web site on health care proxy, advance directives, discussion guides, and links to other resources. % 315 0 obj <>/Filter/FlateDecode/ID[<630456F5BA98A44A83E4D585DBE64A93>]/Index[230 158]/Info 229 0 R/Length 185/Prev 113462/Root 231 0 R/Size 388/Type/XRef/W[1 3 1]>>stream Connor, S. R., & Connor, S. R. (2009).Hospice and palliative care: The essential guide. This study guide will help you focus your time on what's most important. Specializes in Gerontology, Med surg, Home Health. xzg)WC1!D(T}&20El1303i031^g``}qNF10 iFSo(eX6IH330UI20%b` we"f For your convenience, we have provided a number of links to valuable services and helpful information. order for rn pronouncement. Massachusetts Department of Public Health's Patient Protection Line800-462-5540You have the right to register a complaint with any hospice provider. 0000003631 00000 n http://smhs.gwu.edu/gwish/about/contact. is Hospice, we notify Hospice, also. %%EOF %PDF-1.6 % 8 0 obj 1 %Q!5zp$sLgNXB8lM>ODpu~ *\q*YOxrG,dJU}!p`0IzzCFq > G and The National Hospice and Palliative Care Organization (NHPCO.) (1996).Hospice and palliative care: Concepts and practice. directors, medical faculty, community preceptors, or other professionals The Hospice Education Network (HEN) Guidelines for Burial or Cremation without a Funeral Director Caring for your own dead can be immensely rewarding and help ease the pain of grief. 8. MD notified. (Effective October 20, 1988.) Please limit your input to 500 characters. directly to tabular, graphic or narrative data. Please remove any contact information or personal data from your feedback. Bell, K. W. (2010).Living at the end of life: A hospice nurse addresses the most common questions. 705 0 obj <>stream Purchasing directions for "Five Wishes," a simple document to put your "wishes" in writing should you become seriously ill and unable to speak for yourself. allows the RN to determine and pronounce death. stream Fort Wayne, IN: Willowgreen Pub. Expected death without family members present: Request that the nurse accompany you to the first few death pronouncements. Massachusetts laws MGL c.30A, 14 Judicial review endstream endobj startxref pupils fixed. Karst, P., & Stevenson, G. (2000).The invisible string. 1901 N. Moore Street #901 A nurse practitioner, after the death of a person who was a patient under the care of such nurse practitioner, may declare the person dead. Mesothelioma Survival Information provides detailed information on Mesothelioma and the ways various treatments can improve the lives of patients. I always put that the absence of vitals was confirmed by another nurse and the time that was done. If pt. Create well-written care plans that meets your patient's health goals. Massachusetts Funeral Directors Association 536 Broad Street, Weymouth, MA 02189 T: 781-335-2031 | F: 781-335-3245 | info@massfda.org Privacy | Terms | Support Learning to say goodbye. mx4JG=w' "($CrVH '!~~0c|HuYdb:g4Fg)S'~~;Z+bc'P6>ek,X Massachusetts Department of Public Health's Patient Protection Line. QksaG+ofZ69O=rIH(T8Gq^Q[/NR7/{# iKq0XU*yUFkoqC0S-r=J%Z7AnfUYdkY-{EZH6DhW`z m^@G[+!xPCm}@ ALGY yT+}8/$`4T(Wt!b@%n@6@rG>m2w04;~5{ 48j]f)[3IBC:A5nDe`'X2 /(v[QY:J1 f0vdBdUmCZ\qz}7D51H e cFUVco6J5oRWG@iiJIf53(lNKCf H;$M?j Tg8 For lists of }C 8Cm1ioLsn[1~,AJWk;qoo8gn .q~DcAo7.'?no>=x Guidelines 6 c. removing any medical equipment or drains (except for autopsy cases); d. assisting with any postmortem tissue or sample procurement; and e. assisting with processes for organ or tissue transplantation. problems." By this statute an RN has the authority to make an assessment and therefore, a determination of death. National Hospice and Palliative Nurses Association., & American Nurses Association. National Hospice and Palliative Care Organization, Office of the Inspector General IG Compliance Program, Guidance for Hospices. If your complaint is not resolved by your hospice team, or if you feel uncomfortable discussing it with them, you should contact the administrator of your hospice. ongoing education that they can access twenty four hours a day, at home endobj IF YES, DATE (Month DD, YYYY) Employers should access assistance form legal services to consider . Death by poison or acute/chronic use of drugs or alcohol 4. It is completed according to the instructions on the reverse side of the . endstream endobj 59 0 obj <>/Size 38/Type/XRef>>stream deceased and the date and time of death, and shall sign the death certificate. endobj The feedback will only be used for improving the website. endobj Johnson, S. (1984).The precious present. A comprehensive resource guide and directory of end-of-life care resources and services available throughout Massachusetts. endobj (2009).Lessons for the living: Stories of forgiveness, gratitude, and courage at the end of life. hb``f``81!1ikm05@Niy7UX> `uje^B3br:h5@d&9120n`|y)k>"U %XXN00M03=h>ed`i-y?n8m^-|6QcR[zZ|:xLP@;dvK!&3 MQ RN/ PA/ NP PRONOUNCEMENT? 3/6/2023Pedi Pal Spiritual Care Group Meeting, 3/6/2023Pedi Pal Social Work Group Meeting, 3/6/2023Charting for the Jury: Fine - Tune Documentation for Hospice & Home Care, 3/7/2023HCI Scoring & Developing PIPs Part 1, 3/9/2023Spiritual Care Coordinators Meeting, HPCFM 20 Commercial Drive, Suite One Wrentham, MA 02093, 781-255-7077 %%EOF Epidemiology of Dying & End-of-Life Experience 0000001159 00000 n endstream endobj 231 0 obj <. When death occurs, the family follows the plan by: Contacting the nursing provider OR Contacting the Physician or RN(EC) to pronounce death B. Pronouncement of Death Nurse: Visits to pronounce death and support the family. Family at bedside. After the Hospital: A Guide to Post Acute CareThe Continuum of Care Council (CCC) is an advisory council of the Massachusetts Health & Hospital Association (MHA), established with the goals to optimize patient care, experiences, and clinical and economic outcomes through population health strategies. time-consuming Internet research has been done by EDELE researchers. See the. ongoing education that they can access twenty four hours a day, at home Massachusetts Medical Society <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 17 0 R/Group<>/Tabs/S/StructParents 1>> endobj 407 0 obj <> endobj Users must be located in Massachusetts to access this resource. an e-learning course that is appropriate for your hospice staff's Aging With Dignity Watson, M. S. (2005).Oxford handbook of palliative care. for Nursing Services, or Chief Nurse Executive is responsible for ensuring that designated RNs, APRNs, and PA's covered by this policy are trained and competent in the procedures necessary to assess and pronounce a CLC resident's death in circumstances allowed herein. New York: Riverhead Books. FAeHx2!x)6N)wx$y MXx W$6S!`H{c&Xx Wyfl}) F:(XwwS? A .mass.gov website belongs to an official government organization in Massachusetts. <> [05q&7{b" The Some page levels are currently hidden. The pronouncement of death form should be completed by every person pronouncing the decedent at the facility and a copy should be given . Resident pronounced at 10.30AM. Mass.gov is a registered service mark of the Commonwealth of Massachusetts. Stickney, D., & Hernandez, G. O. Life-Threatening Illness, by Hank Dunn, A & A Publishers, Inc. 4th allnurses is a Nursing Career & Support site for Nurses and Students. endstream endobj startxref Byock, I. New Hampshire patients the form completed for the pronouncement of death is the Certificate of Death. Ostaseski, F., & Zen Hospice Project. <> State Operations Manual Appendix M - Guidance to Surveyors: Hospice (Rev.) From the search results list, users go hbbd```b``Y "W`r5dXM Registered Nurse (RN). Institutional policy may also guide the nurse's role in the assessment of death. &pH&!QVeI)0E6rFQ0}a ^ jVe%X z3QFyPgS#gJ*D,>. Mm(SojN9UJRG5 ' eWMDaDo9p8QV*[fA c^ OsNx m Section 45. The value-added of EDELE is that the 3.1.18 Registered Nurse Pronouncement of Death (a) Policy California Correctional Health Care Services (CCHCS) shall permit Registered Nurses (RNs ) to make the determination and pronouncement of patient death under specified circumstances. Each search returns a list of websites that display data matching the Pt is DNR. Our members represent more than 60 professional nursing specialties. Resident assessed, BP/P/R absent, Pupils fixed. 14 0 obj An official website of the Commonwealth of Massachusetts, This page, Massachusetts Legal Forms by Subject, is, If you cannot find a form you need, you can. 0000058102 00000 n An award-winning gateway to resources for life-threatening illness and end-of-life issues. : Video Difference, Inc. Kubler-Ross, E. (1969).On death and dying. Has 7 years experience. By Ida Koivisto, BSN, RN, PHN. endobj Post mortem care is provided (refer to agency . 7-62-2. Buscaglia, L. F. (2002).The fall of Freddie the leaf: A story of life for all ages. 290 0 obj <>/Filter/FlateDecode/ID[<62DBEB941E88F1428ACE081799A7268D>]/Index[272 45]/Info 271 0 R/Length 86/Prev 157303/Root 273 0 R/Size 317/Type/XRef/W[1 2 1]>>stream NYNewGrad said: <> New York: Jeremy P. Tarcher/Penguin. MD is unable to come to facility at this time. Albom, M. (1997).Tuesdays with Morrie: An old man, a young man, and life's greatest lesson. Have forms and black pens with you. Pediatric Palliative Care Network (PPCN) (2000).Being a compassionate companion: A series. hb```f``:b@aeW@>dGi"s8Xf bpM@P6A,x &M2oCx(K7$10a.a[xCD42pwJ30:l# /'- Specializes in LTC, rehab. \FOs{uhyfL /]B$,:~Qn/Q`eO|R|Yj8rzF#3=|/NUwjXy$U eAtM-"YnX:/ endobj Oxford: Oxford University Press. Callanan, M. (2008).Final journeys: A practical guide for bringing care and comfort at the end of life. !4320hpS2 Z a xbbbd`b``` V ` @a2!lL}N,* bGF7p)ko,_)&$3SS(@Y^}%{vw9sh O!62H4|C&p. ) or https:// means youve safely connected to the official website. 0000002623 00000 n Boston, MA: Pauline Books & Media. Charleston, S.C.? Except as provided in sections forty-four and forty-six, no undertaker or other person shall bury or otherwise dispose of a human body in a town, or remove therefrom a human body which has not been buried, until he has received a . Simply placing pronouncement of death by RN or something similar in the search bar of your search engine can identify other states. Has 30 years experience. For Massachusetts pronouncements you must have your RN license number with you. was developed by The Carolinas Center for Hospice and End of Life Care Heb=@ E- endstream endobj 38 0 obj 166 endobj 19 0 obj << /Type /Page /Parent 14 0 R /Resources 20 0 R /Contents 28 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 >> endobj 20 0 obj << /ProcSet [ /PDF /Text ] /Font << /TT2 25 0 R /TT4 21 0 R /TT6 22 0 R /TT8 29 0 R >> /ExtGState << /GS1 33 0 R >> /ColorSpace << /Cs6 27 0 R >> >> endobj 21 0 obj << /Type /Font /Subtype /TrueType /FirstChar 32 /LastChar 121 /Widths [ 250 0 0 0 0 0 0 0 0 0 0 0 250 0 250 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 667 667 667 722 0 667 0 0 389 0 0 0 889 0 0 611 0 0 0 611 0 0 0 0 0 0 0 0 0 0 0 0 500 500 444 500 444 333 500 556 278 0 500 278 778 556 500 500 0 389 389 278 556 444 667 0 444 ] /Encoding /WinAnsiEncoding /BaseFont /MALBDH+TimesNewRoman,BoldItalic /FontDescriptor 23 0 R >> endobj 22 0 obj << /Type /Font /Subtype /TrueType /FirstChar 32 /LastChar 121 /Widths [ 250 0 0 0 0 0 0 0 0 0 0 0 250 0 250 0 0 0 0 0 0 0 0 0 0 0 333 0 0 0 0 0 0 722 667 722 722 667 611 0 0 389 0 0 0 0 722 0 611 0 722 556 667 0 722 0 0 0 0 0 0 0 0 500 0 500 556 444 556 444 333 500 556 278 0 556 278 833 556 500 556 556 444 389 333 556 500 722 500 500 ] /Encoding /WinAnsiEncoding /BaseFont /MALBKI+TimesNewRoman,Bold /FontDescriptor 26 0 R >> endobj 23 0 obj << /Type /FontDescriptor /Ascent 891 /CapHeight 656 /Descent -216 /Flags 98 /FontBBox [ -547 -307 1206 1032 ] /FontName /MALBDH+TimesNewRoman,BoldItalic /ItalicAngle -15 /StemV 142.397 /FontFile2 31 0 R >> endobj 24 0 obj << /Type /FontDescriptor /Ascent 891 /CapHeight 656 /Descent -216 /Flags 34 /FontBBox [ -568 -307 2000 1007 ] /FontName /MALBAN+TimesNewRoman /ItalicAngle 0 /StemV 94 /XHeight 0 /FontFile2 32 0 R >> endobj 25 0 obj << /Type /Font /Subtype /TrueType /FirstChar 32 /LastChar 146 /Widths [ 250 0 0 0 0 0 0 0 333 333 0 0 250 333 250 278 500 500 500 500 500 500 500 500 500 500 278 278 0 0 0 0 0 722 0 667 722 611 556 722 722 333 0 0 611 889 722 722 556 0 667 556 611 0 722 0 0 0 0 0 0 0 0 500 0 444 500 444 500 444 333 500 500 278 278 500 278 778 500 500 500 500 333 389 278 500 500 722 500 500 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 333 ] /Encoding /WinAnsiEncoding /BaseFont /MALBAN+TimesNewRoman /FontDescriptor 24 0 R >> endobj 26 0 obj << /Type /FontDescriptor /Ascent 891 /CapHeight 656 /Descent -216 /Flags 34 /FontBBox [ -558 -307 2000 1026 ] /FontName /MALBKI+TimesNewRoman,Bold /ItalicAngle 0 /StemV 160 /XHeight 0 /FontFile2 36 0 R >> endobj 27 0 obj [ /ICCBased 34 0 R ] endobj 28 0 obj << /Length 1982 /Filter /FlateDecode >> stream
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