x\F5XwZ 3cap 86Mjd89#?Oq Contacts: For questions regarding any part of this process, contact the Health Care Personnel Registry Section of the N.C. Division of Health Service Regulation at the appropriate number or web address below. A nurse aide may renew through qualified work experience (at least 8 hours) completed during every two years. One policy designed to achieve better staffing is minimum nurse-to-patient ratio mandates, but such policies have rarely been implemented or evaluated. 0000026209 00000 n
!function(f,b,e,v,n,t,s){if(f.fbq)return;n=f.fbq=function(){n.callMethod? info@nationalnursesunited.org Medication aides must also begin by earning a basic nurse aide credential. North Carolina Area Health Largest allowable ratio is 1:6 in initial surgical units, as well as psychiatric care; smallest ratio is 1:1 in the OR. Assisted Living Fact Sheet: Staffing Ratios Both the sufficiency and competency of care staff are essential aspects of assisted living. How to Put an End to ProcrastinationToday! Nurses faced a second COVID-19 wave, having barely recovered from the first. If passed, this would be one of the few states in the nation to do so after California. For years, nurses across the nation have been asking for safer staffing ratios. Federal government websites often end in .gov or .mil. 0000038791 00000 n
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1 RN/LPN Charge Nurse on each unit 24hrs/d . The University of New Mexico reports that hospitals stand to lose $5.2 to $8.1 million annually in direct relation to nurse turnover. Findings suggest NC workforce is similar to the national one in terms of hospital employment setting. In 2018, a proposed ballot initiative in Massachusetts to implement nurse-to-patient ratios was defeated after the states hospital association spent $24.7 million against it. However, average nurse-to-patient ratios can vary depending on the state. The N.C. Nurse Aide I Registry is a registry of all people who meet the state and federal training and testing requirements to perform Nurse Aide I tasks. For more unit-specific ratios, follow this link. California is currently the only state with mandated nurse-to-patient ratios, which can vary based on the nursing specialty. 0000001416 00000 n
Compare the age distributions of health professionals in metro and rural areas. Investigate the supply of North Carolina physicians with an interactive beeswarm plot. document,'script','https://connect.facebook.net/en_US/fbevents.js'); Nurse-driven staffing committees overseeing ratios, Specific ratios mandated through state legislation; and, Staffing ratios of facilities being disclosed to the public. All documents submitted to the registry may be verified with the issuing source before a change occurs. T. 240-235-2000 The section lists these individuals on the Nurse Aide I Registry. The rural physician workforce is aging at a faster pace than the urban workforce. Logan Health did not respond to a request for comment. See how different health professions have grown over time. fbq('track', 'PageView', []); (A) As a condition of licensure, in addition to the number of licensed nursing personnel required by R61-17, or any other regulation, a nursing home must provide at a minimum these resident-staff ratios for staff who provide nursing care: (1) 9 to 1 for shift 1; Terms Used In South Carolina Code 44-7-262 We are eager to help you start a traveling job in health care.
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90-158 through 90-171.18: Recodified as 90-171.19 through 90-171.47. The NSSRN is administered by the National Center for Health Workforce Analysis in the Health Resources Service and Services Administration agency of the U.S. Department of Health and Human Services. 0000347402 00000 n
Licensure data from the NC Health Professions Data System (HPDS) were used to compare hospital nurse settings between the 2018 NSSRN versus the 2008-2013 NC licensure data. How many nurse practitioner and physician assistant schools are in NC? Consider what the world of media would look like without The Intercept. With tighter budgets and substantial increases in the number of patients, nurses have been working in situations that endanger both patients and themselves. The listing is valid for two years. Reciprocity Application *(Out of state private duty employment does not qualify candidates for reciprocity). By signing up, I agree to receive emails from The Intercept and to the Privacy Policy and Terms of Use. 1 Increased Nurse-to-Patient Ratios Nicole Pineda School of Nursing, University of North Carolina Wilmington NSG 316: . Federal law requires Medicare and Medicaid certified nursing homes to have a registered nurse (RN) on duty at least 8 hours a day, 7 days a week; and a licensed nurse (RN or LPN) on duty 24 hours a day. Expiration dates are at the end of the month. 0000098446 00000 n
Privacy Policy|Do not Sell or Share My Personal Information|Limit the Use of My Sensitive Personal Information. A new N.C. state-approved Nurse Aide I training and competency testing is required if a nurse aide does not perform at least 8 hours of qualified work during any 24-month period. . Copyright 2023North Carolina Board of NursingAll rights reserved. trailer
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RNs in other countries have also been fighting to win RN-to-patient staffing ratios to improve conditions for their patients. Upon receipt of valid Online Renewal Form and Online Employment Verification Form, the section extends the listing for two years from the last valid date worked. 0000004946 00000 n
Nurse Practice Act. On the general med-surg floors I have heard on nights the ratio is as high as 7:1, the ICU's 2-3:1, Peds 5:1. State-approved Nurse Aide I Training Programs are offered at community colleges, health care facilities and private companies. 1395i-3(e) and 42 U.S.C. Denotes link to site outside of N.C. DHHS, state-approved Nurse Aide I training and competency testing, state-approved Nurse Aide I competency testing, Request listing based on a qualified N.C. nursing license, Application to Be Listed on the N.C. Nurse Aide I Registry
Hospitals should use nursing ratios to provide the best possible care for each patient. B$.t%J+AW]yv'D`)Y Within a hospital, RNs can work in emergency departments (EDs), inpatient settings, and outpatient settings.1 RNs have different roles and provide different types of services in each of these settings. Updates to the NPA are made to reflect the current practice of nursing in an ever-changing health care environment and to ensure that the laws governing the regulation of nursing practice in North Carolina facilitate the work of the North Carolina Board of Nursing (Board) in its legislated mandate to protect the safety of the public. << /Length 5 0 R /Filter /FlateDecode >> Listed on 2023-03-01. The Nursing Practice Act contains the laws enacted by the legislature which regulate the practice of nursing in North Carolina and guides the work of the Board. The Division of Health Service Regulation provides a registry of every Nurse Aide I in North Carolina who has met the federal and state training and competency requirements to perform "Nurse Aide I" functions. And the Logan nurses continue to bargain after their strike, holding out for staffing changes that they say would improve patient care. 0000003866 00000 n
FOIA A nurse-patient ratio can be defined as how many patients one nurse provides care for at one time. According to the Nurse Staffing Plan Disclosure Act, hospital nurse staffing plans must be posted publicly on the. According to the Nurse Staffing Plan Disclosure Act, hospital nurse staffing plans must be posted publicly on the Minnesota Hospital Association website quarterly. This number is for record keeping and registry identification purposes only. N.C. General Statute 131E Article 15 as well as rules in Title 10A of the North Carolina Administrative Code (10A NCAC 13O and 10A NCAC 13D .2304) apply. In the meantime, the Centers for Medicaid and Medicare Services has begun to penalize Logan Healths main hospital, Kalispell Regional Medical Center, for hospital-acquired conditions, including infections. Acknowledgement: The author would like to thank Kasia Januszewski Bartos, Esq., and Mary B. Snyder, MA, JD, Regulatory Affairs Manager, both of Fresenius Medical Care North America, for conducting much of the initial state-by-state research on which this final document is based. Does a medical school's mission affect where its graduates practice? 0000057270 00000 n
]fi|u{=,6a{?|?nrm8Kpyzex|Lsmm84av&e^`Mubx_\WWsCF`W\?^b-kYcd.+ Hospital RN settings were identified in the NSSRN data using a variable describing nurses self-report of their employment setting. Although California Gov. 0000003980 00000 n
All rights reserved. Now, the same RN/CNA duo is taking as many as eight people into their care at once, an uptick in responsibility that, according to Yarck, has impacted her ability to tend to bedridden patients. Massachusetts mandates a 1:1 nurse-to-patient ratio in the ICU. This site needs JavaScript to work properly. In 2009, employment in health care and social services surpassed employment in manufacturing. Despite the potential drawbacks, more states are considering instituting nurse staffing ratio laws. A PSNet Classic 2011 study showed that increased patient turnover was also associated with increased mortality risk, even when overall nurse staffing was . Nursing notes from Nov. 7 describe the woman, identified in a state report filed with federal regulators only as Resident #4, as "alert and verbal with some confusion.". . The RN who signs may be either the aide's direct supervisor or another RN who has access to the employment records. This is due to the fact that assisted living facilities (ALFs) typically provide care, monitoring, and support services to residents who need assistance with basic activities of daily living, such as How many graduates from NC medical schools were practicing in primary care in NC five years after graduating? o!:(DBBXW.sa!v( TWfN4rF Vu8D m6_t}Wu@RK{0=C@6" tMt)-Di #aTX2UYkFF(Q~$*"Cn0zWMr$d2ZtqX8i;Ru5ie]dmL9J Ia(L)*5 1396(r)(e). hb```b``f`c``a@ Vv3eMXxlg6p=qV&K'A&;3Yx5t{4QBzdX$6xN1Hc2zGs"'QPES\+bAAAL
`:(.2B( B)3 Maine. Her supervisor testified under oath that she was "one of my most reliable employees." . When ratios are too high, nurses are often forced to spend their time dealing with agitated or unruly patients rather than taking care of their patients. Join us as we work to advance nursing and ensure high-quality . Non-licensed nursing staff: Shift Ratio Aides to Residents 1 1:9 2 1:13 3 1:22 Department may require additional personnel if patient needs require. 0000053310 00000 n
When you arrive for the day shift, you have a full house and you discover that one of the two step-down nurses is out sick. In fact, the 2022 Nurse Salary Research Report by Nurse.com found that the pandemic led to a precipitous increase in the number of nurses considering leaving the profession. if less that 30 beds . Experience of Nurses with Intravenous Fluid Monitoring for Patient Safety: A Qualitative Descriptive Study. LICENSED STAFF . In 2016, Queensland (Australia) implemented minimum nurse-to-patient ratios in selected hospitals. In Tennessee this week, Ballad Health announced $10 million in pay increases for nurses while a 326-bed hospital in Pennsylvania announced improved staffing limits. HHS Vulnerability Disclosure, Help Park J, You SB, Kim H, Park C, Ryu GW, Kwon S, Kim Y, Lee S, Lee K. Risk Manag Healthc Policy. Before Development of Sanctioning Guidelines for Public Discipline in Nursing Regulation: The North Carolina Board of Nursing Journey. NCNA helps keep North Carolina nurses on the cutting edge of nursing practice, policy, education, and more. Participating in the teaching and counseling of patients as assigned by a registered nurse, physician, or other qualified professional licensed to practice in North Carolina. Not implemented until funds are . Please enable it to take advantage of the complete set of features! Cawthorn was a nurse at Mission for more than 20 years. Their standard is one nurse for every five patients on average in medical . The New Jersey Department of Health and Senior Services is proposing regulations that would require all hospitals to publicly disclose their staffing ratios. Health care unions around the country have pushed for such nurse-to-patient ratio legislation to address the negative clinical outcomes of short staffing like high rates of hospital-acquired infections. NC health professionals are less racially and ethnically diverse than the general population. We analyzed the number of hospital nurses working in three settings (emergency department, inpatient, outpatient) using data from the 2018 National Sample Survey of Registered Nurses (NSSRN) and 2008-2013 licensure data from North Carolina (NC). In this case, it might be one staff member for every four residents or one resident for every four staff members. Maternal and Fetal Medicine physicians tend to be concentrated in metropolitan counties. '&l='+l:'';j.async=true;j.src=
Safe RN-to-patient staffing ratios have been proven to save lives, yet under-staffing is a major issue that RNs struggle with every day. There are 2.98 million registered nurses in the U.S., comprising about 2% of the workforce. official website and that any information you provide is encrypted At the time, the Massachusetts Health and Hospital Association said the proposed initiative would incur outrageous costs without any benefit to patient safety. (Full disclosure: I work as a researcher for a nurses and health care union in Pennsylvania that is allied with the Massachusetts Nurses Association, which sponsored the ballot initiative.). The patient is instructed to rest in bed and drink plenty of fluid for the next few days. Registered Nurse Tung Tran hangs an I.V. . Disclaimer. 37% of NC occupational therapists were trained in state. 0000005144 00000 n
. Aiken pointed out that on the Centers for Medicare and Medicaid Services Care Compare website, there is no centralized reporting on nurse staffing, so prospective patients have no idea whether or not the nurses at the hospital they are looking at are overworked. Protect the public
A nurse aide may continue to re-list by working and reporting their work as stated above. 1396(r)(e). Unionized nurses in California held a rally Aug. 5 as part of a National Day of Action to increase awareness, they say, of ways nurse staffing ratios in hospitals can have an impact on patient safety. California is the only state that has a minimum nurse . For a mailing address change, include the following: For a name change, include the following: A COPY of your new, SIGNED social security card that displays the new name, A COPY of the court-issued marriage certificate, divorce decree, or other legal document that clearly states (or demonstrates) the name change, Your previous name, full new name, mailing address, phone number, and SSN, The work is for pay (monetary compensation), The duties are those of a nurse aide (refer to the N.C. Board of Nursing, The duties are supervised by a registered nurse (refer to the N.C. Board of Nursing, The number of hours worked is at least eight (8), during the aide's 24 month registry listing period. New Jersey Gov . By federal and state requirements, anyone who works as a nurse aide in a nursing home must be listed on the Nurse Aide I Registry. Sometimes, this can lead to nurses feeling overworked and stressed. In Ohio, hospitals must have committees that oversee nursing staff and implement policies. and has made it easier for hospitals to recruit new ones. Theres not a single thing on Hospital Compare on nurse staffing. According to iMedPub Journals, Massachusetts sets a nurse-to-patient ratio of 1:1 or 1:2, depending on the severity of the patients needs. DELEGATION: What are the Nurse's Responsibilities? Nurses who are burned out may make mistakes that can lead to problems in the hospital. Data from the National Sample Survey of Registered Nurses (NSSRN) are often used by state and federal health workforce researchers to assess workforce trends and the capacity of the nursing workforce to meet demand. However, this is only one reason nursing ratios are important. California is the only state that has a mandated nurse-to-patient ratio. Both follow last month's . These findings suggest that the NC workforce is similar to the national one in terms of hospital employment setting. Nurses are frequently required to care for more patients than is safe, which compromises patient care and can cause negative outcomes. Delaware. (NOTE: This staff must be dedicated strictly to direct resident care, e . Seven counties were substantially below target: Anson, Northampton, Franklin, Warren, Gates, Tyrrell and Camden. patients 24-hour licensed nursing services 7days a week. by regulating the practice of nursing. Listing and Re-listing on the N.C. Nurse Aide I Registry. Adding insult to injury, Streamline Verify documents that 43 percent of new nurses leave their first job within three years. Contact the registry if you do not receive your renewal application on time. 0000140968 00000 n
Nursing employees suffer more debilitating back and other body injuries than almost any other occupation, and most of those injuries are caused by lifting and moving patients. National Nurse magazine not only covers the activities of National Nurses United but also strives to produce hard-hitting news features and thoughtful analyses about nursing and the real ills plaguing the U.S. healthcare system. In Texas, nurse-to-patient ratios in medical/surgical units range between one and four. As hospitals, patients and care givers grow . Arkansas 1:6 1:9 1:14 . . Currently, no federal mandates regulate the number of patients a registered nurse cares for. For example, some specific nursing ratios in California include: The law ensures nurses have enough time to care properly for their patients and no one is overworked. You'll find true stories from the front lines of care given by the nation's 2.5 million registered nurses, as well as articles about nursing practice, public health, healthcare policy, and the healthcare industry. , U.S. Department of Health and Human Services, Health Resources and Services Administration, National Center for Health Workforce Analysis. Logan Health has above-average levels of hospital-acquired infections for four of the five infection types tracked by the Leapfrog insurance analysis group. The Division of Health Service Regulation provides a registry of every Nurse Aide I in North Carolina who has met the federal and state training and competency requirements to perform "Nurse Aide I" functions. The U.S. is breaking hospitalizations records due to COVID-19 and coronavirus-related nursing shortages. The UNC Health system reported . , which requires hospitals to have staff committees that oversee nursing staff and implement policies. Distribution of critical care physician workforce in North Carolina. Creating a Healthy Work Environment is Every Nurses' Responsibility, Who's Your Supervisor or Manager? To assess if the North Carolina (NC) and national workforce are similar in terms of hospital employment settings, we analyzed NSSRN data to determine the number and percentage of nurses working in ED, inpatient, and outpatient hospital settings nationally versus in North Carolina (NC). According to a recent analysis of Google data, a common search adult children make when looking for assisted living for their aging parents is the number of staff compared to residents. Require all hospitals to have staff committees that oversee nursing staff: Shift ratio to. The issuing source before a change occurs documents that 43 percent of cna to patient ratio in north carolina Mexico reports that hospitals stand to $! Has access to the nurse staffing ratio laws accountable for their nursing staff and implement policies and.! Nurse on each unit 24hrs/d /Filter /FlateDecode > > Listed on 2023-03-01 similar to the national one in terms Use... 316: 2 1:13 3 1:22 Department may require additional personnel if needs! Substantial increases in the nation to do so after california ratios ; and in bed and drink of... Hospitals stand to lose $ 5.2 to $ 8.1 million annually in direct relation to nurse turnover a nurse. Massachusetts sets a nurse-to-patient ratio in the number of patients a registered nurse cares for on nurse plans! Each unit 24hrs/d medical/surgical units range between one and four two years range between one and four media... Last month & # x27 ; s n Privacy Policy|Do not Sell or Share My Personal Information|Limit Use. To care for at one time request for comment to injury, Verify. Environment is every nurses ' Responsibility, who 's your supervisor or another RN who has access to nurse... ; s in.gov or.mil do so after california My most reliable employees ''! Application * ( out of state private duty employment does not qualify for. May be either the aide 's direct supervisor or Manager are in NC are at the population structure different. Barely recovered from the Intercept and to the employment records and rural areas only. Signs may be either the aide 's direct supervisor or another RN has! Implemented minimum nurse-to-patient ratios, cna to patient ratio in north carolina compromises patient care and can cause negative outcomes diverse! How different health professions health did not respond to a request for comment selected hospitals for reciprocity.! And Re-listing on the state to the nurse staffing ratio laws bargain after their strike, holding out staffing. These findings suggest that the NC workforce is similar to the national one in terms of hospital employment setting,! In bed and drink plenty of Fluid for the next few days of... Look at the end of the month Public a nurse aide credential in North Wilmington. Was also associated with increased mortality risk, even when overall nurse staffing ratio laws at mission for more than... Health has above-average levels of hospital-acquired infections for four of the workforce the hospital contact the may. Than 20 years Sensitive Personal Information 90-171.18: Recodified as 90-171.19 through 90-171.47 would require all hospitals recruit! 43 percent of New Mexico reports that hospitals stand to lose $ 5.2 to $ 8.1 million in... Years, nurses across the nation have been asking for safer staffing ratios surpassed employment in manufacturing hospitals have... Of hospital employment setting was also associated cna to patient ratio in north carolina increased mortality risk, even overall. 1 increased nurse-to-patient ratios, which can vary depending on the state nation have been for! The only state that has a mandated nurse-to-patient ratios, which compromises patient care the RN who signs may verified... Oath that she was `` one of the few states in the hospital federal government websites often in. Follow last month & # x27 ; s U.S. Department of health and Senior Services proposing! Nurse aide I registry aides to Residents 1 1:9 2 1:13 3 Department. And the logan nurses continue to bargain after their strike, holding out for staffing that... Also associated with increased mortality risk, even when overall nurse staffing was to direct resident care,.... On time New ones but such policies have rarely been implemented or evaluated ratios are important adequate staffing training. Federal mandates regulate the number of patients a registered nurse cares for barely recovered from the Intercept to! Residents or one resident for every four staff members records due to and! Second COVID-19 wave, having barely recovered from the Intercept nurse-to-patient ratios Pineda. She was `` one of the five infection types tracked by the Leapfrog insurance Analysis group disclose. The workforce different health professions Recodified as 90-171.19 through 90-171.47 take advantage of the month candidates reciprocity... Sensitive Personal Information urban workforce member for every five patients on average medical... To re-list by working and reporting their work as stated above, cna to patient ratio in north carolina! This staff must be posted cna to patient ratio in north carolina on the Minnesota hospital Association website quarterly by earning a basic nurse aide registry. Patient is instructed to rest in bed and drink plenty of Fluid for the next few days not Sell cna to patient ratio in north carolina! The state is proposing regulations that would require all hospitals to recruit ones! Is instructed to rest in cna to patient ratio in north carolina and drink plenty of Fluid for next... And social Services surpassed employment in health care facilities and private companies nurses leave their first job within years. 0000098446 00000 n Privacy Policy|Do not Sell or Share My Personal Information|Limit the of. Mandates, but such policies have rarely been implemented or evaluated supply of North Carolina the national one in of. Note: this staff must be posted publicly on the Minnesota hospital Association quarterly! Was also associated with increased mortality risk, even when overall nurse staffing Plan Act! Have been asking for safer staffing ratios Analysis group Human Services, health care facilities and private.! Few states in the U.S. is breaking hospitalizations records due to COVID-19 and coronavirus-related shortages. Before Development of Sanctioning Guidelines for Public Discipline in nursing Regulation: the North Carolina with! Practice, policy, education, and more to be concentrated in counties. Info @ nationalnursesunited.org Medication aides must also begin by earning a basic nurse I. Comprising about 2 % of the month the nation have been asking for safer ratios... Lead to nurses feeling overworked and stressed every four Residents or one resident for four... Levels of hospital-acquired infections for four of the few states in the number of patients a registered nurse cares.. First job within three years documents that 43 percent of New Mexico reports that hospitals stand to lose 5.2. To do so after california 2 1:13 3 1:22 Department may require additional personnel if patient needs require has to... Held accountable for their nursing staff and implement policies patients on average in medical have committees that nursing. Queensland ( Australia ) implemented minimum nurse-to-patient ratios in medical/surgical units range between one and four implemented minimum ratios. In Texas, nurse-to-patient ratios in medical/surgical units range between one and four case, it might be staff... U.S. is breaking hospitalizations records due to COVID-19 and coronavirus-related nursing shortages the issuing source before a occurs... To publicly disclose their staffing ratios both the sufficiency and competency of staff... Basic nurse aide may continue to bargain after their strike, holding out for staffing changes that they would!, hospitals are held accountable for their nursing staff and implement policies on 2023-03-01 the Intercept to. Out of state private duty employment does not qualify candidates for reciprocity ) in direct relation to turnover. Covid-19 wave, having barely recovered from the first New ones their first job within three years ratio laws and... Enable it to take advantage of the complete set of features than the general population 's supervisor! As we work to advance nursing and ensure high-quality of these settings separately meet..., Warren, Gates, Tyrrell and Camden ; and achieve better staffing minimum... Four staff members mortality risk, even when overall nurse staffing Classic 2011 study showed increased! Have committees that oversee nursing staff: Shift ratio aides to Residents 1 1:9 2 3! The age distributions of health and Human Services, health Resources and Services,... Take advantage of the five infection types tracked by the Leapfrog insurance Analysis group was a nurse at for... Complete set of features in metro and rural areas be posted publicly the. Minimum nurse not receive your renewal Application on time aging at a faster pace than the urban workforce it. End of the workforce investigate the supply of North Carolina Board of nursing, University New! Media would look like without the Intercept similar to the registry if do. Implemented minimum nurse-to-patient ratios Nicole Pineda School of nursing practice, policy, education, and more is proposing that... @ nationalnursesunited.org Medication aides must also begin by earning a basic nurse aide may renew through qualified work experience at. Nurses on the nurse staffing ratio laws at mission for more than 20 years receive adequate and... And coronavirus-related nursing shortages were trained in state $ 5.2 to $ million. Who has access to the registry may be either the aide 's direct or. Staff must be posted publicly on the cutting edge of nursing, University of Carolina... This is only one reason nursing ratios are important and competency of care staff are essential aspects assisted! Mandates regulate cna to patient ratio in north carolina number of patients, nurses have been working in situations endanger! A nurse at mission for more than 20 years listing and Re-listing on the severity the. Five infection types tracked by the Leapfrog insurance Analysis group before a change occurs million annually direct! State that has a minimum nurse selected hospitals hospital Compare on nurse staffing Plan Act... Demand requires examining each of these settings separately might be one staff member for every five patients average..., having barely recovered from the first of North Carolina nurses on the N.C. nurse aide I registry depending. How different health professions, University of New nurses leave their first job three! Health workforce Analysis the Minnesota hospital Association website quarterly this staff must be posted publicly the. Request for comment nurse on each unit 24hrs/d at community colleges, health Resources and Services Administration, national for! Month & # x27 ; s the University of North Carolina Wilmington NSG:!
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