If a parent wishes to make a complaint regarding confidentiality

], Part 2), which restrict the circumstances under which programs can make disclosures about clients, as well as the information they can disclose. In addition, any parent may choose not to participate in the complaint by informing this The Limits of Confidentiality: Informed Consent and Psychotherapy. The duty of confidentiality shall continue even after the termination of the lawyer-client engagement. Adolescents should be encouraged to involve their parents and other trusted adults in decisions regarding pregnancy termination, and most do so voluntarily. If the complainant is not the parent of the student or an adult student filing on his/her own behalf Mar 1, 2021 · Protecting Pupil Rights. The care home manager can discuss any concerns and may be able to resolve the issue. This automated, statewide number routes a complainant to the appropriate licensing agency. You want to require all students to complete a survey about any mental health problems, suicidal ideation, counseling needs, psychological problems Confidentiality in this sense can be understood as the counselors’ duty or obligation to support clients’ right to privacy by not repeating to or sharing with others information shared privately with them by their clients. Which of the following is NOT a reason a counselor can break confidentiality? If a client is in danger of harming self or another person. (Parent includes parent, guardian, or other person legally responsible for the minor. May 6, 2024 · Patient rights are a subset of human rights. their own health care decisions. Sep 21, 2023 · Confidentiality in mental health care ensures the privacy of information relating to the diagnosis and treatment of the individual, as well as specific details, such as conversations within therapy sessions. This exception is based on the idea of informed consent and defers to the parent’s discretion. This entry was posted in Behavior / Discipline, Bullying Aug 1, 2017 · Confidentiality-related issues in the survey included 1) whether all respondents aged 15–17 years and those respondents aged 18–25 years who were on a parent’s private health insurance plan would “ever not go for sexual or reproductive health care because their parents might find out”; 2) whether respondents aged 15–17 years had An individual wishing to file a complaint must provide a copy of the complaint to the school district or public agency serving the child at the same time the complaint is filed with the State Educational Agency (SEA). Your duty of confidentiality continues after a patient has died. §290dd-2; 42 Code of Federal Regulations [C. Family Code §6929(b)). You will receive a confirmation number and your complaint report will be immediately available for CRCL staff to review. Making the Speak up resources readily available in your organisation (on notice boards, bathroom doors, in registration packs, and online) is one step towards meeting National Principle 6. However, social workers’ responsibility to the larger society or specific legal obligations may, on limited occasions, supersede the loyalty owed clients, and clients should be so advised. Section III. Aug 1, 2020 · Rule 5101:2-33-21. 5. au. Address: 16-22 Green Street , Dublin 7 , D07 CR20. The department’s Parent Complaint Policy is intended for all people who might need to access the Limitations of anonymous and confidential complaints. Information contained in the statewide automated child welfare information Jan 15, 2021 · Answer 1: In the Preamble to the Title IX regulations at 30535, the Department explains: “On September 22, 2017, the Department expressly stated that its 2017 Q&A along with the 2001 Guidance ‘provide information about how OCR will assess a school’s compliance with Title IX. The Office's address is: Family Policy Compliance Office, U. These set out who can make a complaint at section 5: ‘(1) A complaint may be made by — These set out who can make a complaint at section 5: ‘(1) A complaint may be made by—. A person or entity may file a written complaint with TEA by filling out the complaint form online or by mailing a hard copy to the address on the form. If you prefer, you may submit a written complaint in your own format by either: Mail or fax to the appropriate OCR regional office. The role of the school counselor regarding confidentiality is: To support the students’ right to privacy and protect confidential information received from students, the family, guardians and staff members. In this age of fast-evolving information technology, this is truer than ever before. sets forth the Jun 21, 2017 · During an internal investigation into complaints by or about employees, confidentiality issues are often unavoidable. The May 2, 2024 · If you have a complaint about a care home, the first thing to do is contact the care home manager. C. Be sure to include: Your name. However, it may be difficult (and sometimes impossible) for us to progress a complaint without certain information such as the name of the relevant health practitioner or notifier. The fundamental intent is to protect a client's right to privacy by ensuring that matters disclosed to a professional not be relayed to others without the informed consent of the client. All complaints filed with the TEA must be in writing. (Cal. 2. For example: a. (b) A lawyer may reveal information relating to the Jun 26, 2014 · Any decisions regarding confidentiality and privacy of a client must first be examined in terms of potential harm or risk to the young person involved. Sound ethical decision making is essential to astute and compassionate clinical care. Phone number: + 353 (0) 1 8589601. Clients may, of course, give District employees are charged with maintaining the strict confidentiality of student records and may release such information only with written consent of the parent, guardian or (in some cases) the student. 1993). The law considers you capable if you understand the following: The need for a medical treatment. Ensure your complaints system is child friendly. You can use the online portal to submit your complaint directly to CRCL. S. outlines the general rules regarding confidentiality. 27 Institutions can consult their EMR vendor to be certain patient portals are properly configured to meet state standards regarding confidentiality for adolescents whose parents and guardians have proxy access Jan 30, 2024 · 134. Free-phone: 1800 20 20 40. Phone: 01 865 6800. In the past, healthcare workers often collected patient data for research and usually only omitted the patients A patient may sue for negligence, breach of confidentiality or privacy, or defamation. Wise practitioners readily identify and reflect on the ethical aspects of their work. What clients consider to be private must stay private, and it is the duty of therapists to assure that this is the case Parental concerns and complaints are a reality of the day-to-day life and work of schools, and cannot be entirely separated from other whole school issues. 7: Marriage and family therapists, when working with a group, educate the group regarding the importance of maintaining confidentiality, and are encouraged to obtain written agreement from group participants to respect the confidentiality of other members of the group. 112, § 172A Mental health client confidentiality. Nov 2, 2023 · File a Complaint Without Using Our Patient Safety Confidentiality Complaint Package. To whom is confidentiality owed? 3. Oct 27, 2023 · The 2010 FAQs are available at Applying the Substance Abuse Confidentiality Regulations to Health Information Exchange (HIE) (PDF | 381 KB). But this longstanding ethical principle can come into conflict with a Oct 19, 2018 · The Limits of Confidentiality: Informed Consent and Psychotherapy. Minor Consent : Based on Status A minor can consent to health care services without a parent or guardian if Answer: In general, no. i, a basic right of clients is “to refuse any recommended services, techniques or approaches and to be advised of the consequences of this action. Ensuring the security, privacy, and protection of patients' healthcare data is critical for all healthcare personnel and institutions. 135. Complicating the picture are the Federal law and regulations governing confidentiality of information about clients in substance abuse treatment (42 U. This is because: If you’re not satisfied with your service provider’s response, you can make a complaint to the Aged Care Quality and Safety Commission online or by calling 1800 951 822. MGL c. ) In other words, if State law does not require the program Patients may file complaints about compliance with these privacy practices. to help a coroner, procurator fiscal or other similar officer with an inquest or fatal accident inquiry. 7 Thus, documentation of a negotiated written agreement identifying how the patients believe their information should be managed and the You can contact the department by: Phone: (03) 9057 4500. 00 pm) Dec 28, 2022 · When, and to the extent that, the parent agrees that the minor and the health care provider may have a confidential relationship. Anyone can make a complaint and the service is free. Apr 14, 2016 · Here is a professional six-step stance we can use that may prove helpful. Note, though, the parent or guardian has the power to revoke this limitation. The relationship between confidentiality of health Jun 30, 2009 · See also, CAMFT Ethical Standard 2. Aug 1, 2021 · The right to privacy includes privacy and dignity during discussions, examination, treatment and care, and the right to confidentiality includes the restricted use and sharing of personal and identifiable data and access to health records. In some states, the SEA provides for the filing of a complaint with a public agency and retains the right to have the SEA review Ethical standard 4. The aim of this review was to determine how children and young people, and the parents or carers of babies However, confidentiality is not absolute and psychologists are permitted to breach confidentiality under particular circumstances. 39. While providers generally follow their clients’ wishes, there are emergency situations when a provider may disclose relevant, protected health information to an outside party Jan 23, 2023 · Introduction. As such, rights and ethics are in some sense 'flip sides of the same coin,' with 1 or more Sep 1, 2021 · The parent or guardian consents to patient-provider confidentiality. Any foreseeable exceptions to this rule (including emergencies involving danger to self or others) need to be discussed with the patient at intake when describing the limits of confidentiality. . In some jurisdictions, the law permits unemancipated minors to request and receive confidential services relating to: contraception, pregnancy testing, prenatal care, delivery services and care to prevent, diagnose, or treat sexually transmitted disease right to make some or all of their own health care decisions. – A lawyer shall maintain the confidences of the client, and shall respect data privacy laws. ie. Any person who has knowledge of conduct by a licensed nurse that may violate a nursing law or rule or related state or federal law may report the alleged violation to the board of nursing where the Confidentiality is an ethical concern. 05 allows for a psychologist to disclose confidential information when he or she is legally mandated to warn or protect a third party. Clinical mental health counselors (CMHCs) must respect client rights, and as stated in the AMHCA Code of Ethics (Code), Principle I. Email: sexual. Jul 5, 2017 · Four Basic Principles of Medical Ethics 3. Full address. 30 am to 1. Jul 13, 2023 · Question B-7: If a parent wishes to challenge a public agency’s decision regarding the provision or denial of FAPE to a child with a disability, may a parent file a State complaint? . The legal duty is based upon a clinical assessment; a clinical assessment may also exempt a psychologist from the legal duty. Oct 2, 2020 · The Family Educational Rights and Privacy Act, or FERPA, provides certain rights for parents and eligible students around student education records, including the right to file a complaint if those rights are violated. response@education. oco. Keeping client information confidential is the cornerstone of the attorney-client relationship, but there are a few very limited circumstances in which a lawyer may disclose such information, even without the client's permission. ie or by contacting them at: Email: oco@oco. To explain the meaning and limits of confidentiality to students in developmentally appropriate terms. Complaints can be made directly to the health care practitioner, the Office for Civil Rights in the US Department of Health and Human Services, or the privacy compliance officer designated by the institution in compliance with HIPAA. Number. They engage, often intuitively and without much fuss, in May 31, 2005 · The following are other strategies to address confidentiality challenges facing nurses. 4. 8 Formal Complaints. a person who is affected, or likely to be affected, by the action, omission or decision of the responsible body which is the subject of the complaint. Submit the Complaint Reporting Form. 02 that psychologists recognize "confidentiality may be established by law," and 5. |. For example, ‘It sounds like you felt judged as a parent’. The complaint must be timely (submitted to the office within 180 days of the date that the complainant knew or reasonably knew of the violation) and state clearly and succinctly specific allegations Call 718-935-3320. A 21-year-old female patient requested examination by an FP after her boyfriend was treated for venereal warts. An employer may commence an investigation. The bullies faced consequences, including their parents being called. They feel surprised and let down because their therapist has broken confidentiality, even if the therapist acted ethically or within the law. If the client gives the counselor permission to break confidentiality. The School Counselor's Role. Nov 1, 2019 · More information about the Ombudsman for Children can be obtained on www. B. Oct 6, 2021 · from an email address owned or controlled by the parent. Confidentiality and dissemination of child welfare information. These Frequently Asked Questions (FAQs) are for information purposes only and are not intended as legal advice. 7. In general, clients’ interests are primary. Family Code § 6929(f)). They engage, often intuitively and without much fuss, in careful habits—in maintaining therapeutic The Five C's are: Consent— A clinician may release confidential information with the consent of the patient or a legally authorized surrogate decision maker, such as a parent, guardian, or other surrogate designated by an advance medical directive. What the treatment involves. Assurance that employees who make complaints or provide information relating to a complaint are protected against retaliation; A clearly described complaint process that provides reasonable avenues to complain about discrimination and harassment; Assurance that the employer will protect confidentiality of harassment complaints to the extent For the ODE discrimination complaint process, you must have first filed a complaint with your district before you can file with ODE. a person who receives or has received services from a responsible body; or. In discussing confidentiality, therapists also hope to encourage communication. If you are under 19 years old, you can agree to your own medical care. The majority of states require that minors have parental Client-Lawyer Relationship. If a parent asks for information about his or her young child. Contact your local council or call the police on 101 if you’re told a child is at risk Aug 9, 2023 · Non-disclosure agreements (NDAs) and confidentiality agreements are both legal contracts between two or more parties that specify the criteria for maintaining the confidentiality of certain information. A nurse's practice and behavior is expected to be safe, competent, ethical and in compliance with applicable laws and rules. Put yourself in their shoes. ’”. Submit Your Complaint Online. Such work underscores the importance of confidentiality protections to the use of health services and the effectiveness of clinical assessment and treatment planning. F. 6. You may be surprised by a complaint, but don’t even consider allowing yourself to be momentarily irritated, perplexed, or Confidentiality limits access to information and occurs either as a result of an agreement between two or more entities or through the operation of law. Sep 6, 2023 · Get help to make a complaint. gov. If the school decides not to amend the record, the parent or eligible student then has the right to a formal hearing. Department of Education, 400 Maryland Avenue, SW. There are different confidentiality rules under federal and state law. Ethics: Exceptions to the Client Confidentiality Rule. Only after these issues have been ruled out, can the health care provider continue to debate the risks and benefits of disclosing confidential health information to a parent or guardian. Justice — treating patients fairly. Districts must annually notify parents of FERPA provisions relating to release of Mar 8, 2024 · Let parents know you’re listening and interested by giving them your full attention. In specific areas of health care, adolescents often can make . Physicians have a responsibility to protect the confidentiality of minor patients, within certain limits. Address: Ombudsman for Children’s Office, Millennium House, 52-56 Great Strand Street, Dublin 1. Your rights Information line Telephone: 01 858 3000 (opening hours from Monday to Friday 9. What are the exceptions to confidentiality? 5. Confidentiality refers to protection of privileged and private information shared during a health care encounter and in medical records that document the encounter 1. William Connor Darby, M. Refer to: Report abuse if you’re a current or former student. vic. With only a few exceptions, anything you discuss with your doctor must, by law, be kept private between the two of you and the organisation they work for. Oregon’s laws require that the district has the first chance to respond to a complaint (ODE’s Complaint and Appeals resource page and OAR 581-002-0005 have more information about specific waiting periods). 2021 govern the confidentiality of all reports and records held by DCF, including reports made to the central abuse hotline, regarding a child’s abandonment, abuse, or neglect. The provincial or territorial privacy commissioner may investigate a complaint. A child with disabilities was the victim of bullies. Social workers’ primary responsibility is to promote the well-being of clients. Background. 2024. We always do our best to assist people who wish to make a complaint. Pam suggests a strategy to help the teacher understand the parent’s perceptions, concerns, and fears. (a) A lawyer shall not reveal information relating to the representation of a client unless the client gives informed consent, the disclosure is impliedly authorized in order to carry out the representation or the disclosure is permitted by paragraph (b). The concept of ethics refers to customary standards for the ways persons should treat others. 202(2). Who has to comply with the confidentiality requirements under IDEA Parts B and C understand how the process works, including who can make a complaint and what will happen next. This may translate into adequately informing long-distance family members so they are able to properly respond and support elderly or demented parent’s needs. The concept of human rights refers to minimum standards for the ways persons can expect to be treated by others. Formal complaints from community members against an individual teacher shall be referred to the Principal. A confidentiality pledge with patients can produce a clear and efficient mutual understanding between the physician and patient for how private and confidential information is handled and delivered. 111, §70 Copies of medical records; fees. Ethical challenges surrounding confidentiality are complex with adolescent clients, as assessments often consider the risk that adolescents pose to themselves in addition to the risk posed to others. Instantly thank the parent for bringing his or her concern to your attention. When does the duty of confidentiality begin and how long does it last? 4. This is also known as doctor–patient confidentiality. A professional nursing regulator may institute disciplinary proceedings. 7 The complainant and witnesses’ identities are usually treated confidentially in the complaint management process. There may be reasons why you are unable, or reluctant, to make a complaint yourself. Be in writing and submitted via postal mail, delivery service, facsimile, by hand, or email. 2 The relevant Regulations that apply are: The Local Authority Social Services and National Health Service Complaints (England) Regulations 2009. However, even in these exceptional situations, the parent may have access to the medical records of the minor related to this treatment when State or other applicable law requires or permits such parental access. FERPA establishes a penalty for violations of the law. A parent or eligible student may file a written complaint with the Family Policy Compliance Office regarding an alleged violation under of FERPA. You have the right to make a complaint, have the complaint investigated and receive a reply. Anyone who wishes to file a complaint against a healthcare professional in this state may call the Health Professions Council toll-free complaint referral system: 1-800-821-3205. Autonomy — recognizing the patient’s values and choices. Dec 12, 2023 · A complaint may be filed with the Virginia Department of Education by any individual, organization, or an individual from another state and shall: 1. 19 Question B-8: How should an SEA resolve a State complaint challenging a public agency’s decision Nov 12, 2008 · In Bullying, Confidentiality, & the Parents’ Need to Know, Pete and Pam answer questions about confidentiality and the parents’ need to have information about their child. Finally, if any parent wishes to share information regarding this investigation regarding parent’s own child with the other parents, such parent may certainly do so on his or her own initiative. Breaching confidentiality agreements can result in legal repercussions, which can be instigated by the state or affected individuals [2] [3]. Volume. Jan 28, 2019 · For instance, “consent to treat” forms can be modified to include a parental waiver of parts of the record marked as confidential. March 1, 2021. Author (s): Carolyn Stone, Ed. Conjoint and Family Therapy: Massachusetts laws. Communication with family members – always keep the patient’s best interest in mind. May 17, 2024 · There are three ways to submit your complaint: Open all. Try to understand parents’ perspectives, even if you disagree with what they’re saying. (d) A list of personal characteristics or other information Sep 1, 2014 · The concept of state interest in the welfare of a fetus also applies to parents who wish to make decisions regarding end-of-life care for their newborn child. Jan 1, 2013 · “Many of the potential problems regarding confidentiality and privilege can be avoided through the appropriate use of written informed consent. Schools routinely handle informal complaints with much success, drawing upon effective parent-school relationships and an 'open door' approach to complaining. , Robert Weinstock, M. THE WORD COMPLAINT. Other important steps are outlined below. harm. 14). They may face disciplinary action by their professional organization and may lose the trust of their clients and colleagues. Providers must respect your decisions regarding your privacy, and many states require individuals to complete paperwork stating who may or may not see their information. Anyone can make a complaint to us, including the representatives of someone who is dissatisfied with our service. The National Office Complaint Handling Guide provides practical The program must obtain the parent's signature to make a disclosure to anyone else only if it was required by State law to obtain parental permission before providing treatment to the minor (§2. "The parent of the bullied child wanted to know who the bullies are, what the consequences were, and what happened at a meeting with their parents. “A minor who is 12 years of age or older may consent to medical care and counseling relating to the diagnosis and treatment of a drug or alcohol related problem. You can complain anonymously, confidentially or openly. December 01, 2010. Nonmaleficence — doing no harm. 01 Commitment to Clients. Toll-free Complaint Referral System. Sep 28, 2011 · that when programs have a question regarding privacy and confidentiality of a child or student with a disability, the privacy and confidentiality provisions of IDEA are considered first, and then the FERPA rules and regulations are reviewed, as applicable. The Department further states at 30535 of the Preamble Dec 8, 2023 · Section 27, Canon III. My client is threatening to harm themselves or another person. Mail a complaint to or Visit the OEO office at 65 Court Street, Brooklyn, NY 11201. While parents generally are the primary surrogates for their children (even prior to birth), sometimes a physician or state official believes that the parents’ wishes or desires are not 15. , Washington, DC 20202. Beneficence — acting for the patient’s good. We can take complaints from a friend, relative, or an advocate, if you have given them your consent to complain for you. Mar 12, 2024 · The department‘s Parent Complaint Policy – Victorian Government Schools (DOCX) sets out the whole-of-department parent complaint-handling framework, across all 3 tiers of the complaints process (school, regional office and central office). You may have a complaint about care but not know exactly what is Having worked in clinical practice in a range of settings for 20 years, I am aware of the challenges facing service users, families and practitioners regarding consent, confidentiality and May 11, 2023 · What is the ethical duty of confidentiality? 2. If the complaint is not resolved by the Principal and the complaint could affect the performance review of the teacher, the complaint shall be reduced to writing by the complainant and copies provided the District May 18, 2018 · Preamble notes (a) For the purposes of this article, ‘children/child’ refers to all minors, and is used interchangeably with ‘patient’; (b) ‘parent(s)’ refers to the person(s) who formally bears parental authority for the child and (c) due to space constraints, confidentiality considerations regarding interprofessional communication, withholding of information by parents from Nov 1, 2019 · Irish Human Rights and Equality Commission. Scenario: An increasing number of your students appear to have more mental health concerns since the start of the pandemic. Email to OCRComplaint@hhs. Finally, in the risk management bin, when the psychologist takes Code of Ethics Opinions pages. Confidentiality provides ‘semi-anonymity’ in that only the individual "I am a special education teacher. 111, § 70F HIV testing. 1. Aug 29, 2016 · Confidentiality is a bedrock ethical principle of psychiatry: the nature of mental illness and the suffering that brings patients to a psychiatrist render what transpires between therapist and patient especially sacrosanct—and in some people’s opinion, inviolable. CONCERN RATHER THAN. 112, § 12CC Inspection of records by patient or representative. § 39. Loss of clients: When a therapist breaches confidentiality, clients A parent or legal guardian must provide consent on behalf of a minor (under age 18) before health care services are provided, with several important exceptions. Section IV. 111, § 70E Patients' rights law. We do not accept complaints by phone. ”. Court Order— A clinician may release confidential information upon the receipt of an order by Standard 5. Confidentiality of privileged communication. Ch. Consent and Confidentiality. (a) The name of the child, the child’s parent, or other family member; (b) The address of the child; (c) A personal identifier, such as the child’s social security number or student number; or. Feb 22, 2024 · Per Sec. (2023 Code of Professional Responsibility and Accountability or Feb 1, 2017 · In this statement, the American Academy of Pediatrics reaffirms its position that the rights of adolescents to confidential care when considering abortion should be protected. Report student-to-student sexual harassment (Chancellor’s Regulation A-831) Contact: the principal, the Sexual Harassment Prevention Liaison or any staff member at your school. 32 of IDEA, personally identifiable means: information that contains—. The sanction will typically be proportionate to the infraction. (A) Each referral, assessment/investigation and provision of services related to reports of child abuse, neglect, dependency, or family in need of services (FINS) is confidential. b. 300. Specific questions regarding compliance with federal law should be referred to your legal Confidentiality protections encourage adolescents and young adults to seek the health care they need and safeguard their privacy when they receive services. There are circumstances in which you must disclose relevant information about a patient who has died. This has resulted in a loss of trust and an irretrievable breakdown in the therapeutic relationship. The investigator (whether in-house counsel, a human resources professional or Filing a Complaint. By outlining the rules of treatment at the outset of the establishment of the professional relationship, psychotherapists can essentially form contracts with their clients about how the treatment Jan 15, 2021 · There’s separate guidance on setting up a complaints procedure for academies and independent schools. Include the signature and contact information of the complainant. This is called giving consent. For purposes of supervision. in medical care, and those situations where confidentiality may be compromised. Email: info@ihrec. Aug 25, 2021 · Parents or eligible students have the right to request that a school correct records which they believe to be inaccurate or misleading. A parent can authorize a confidential relationship between the minor patient and the healthcare provider. . These exceptions are based on a minor’s statusor the type of service requested. D. Jul 6, 2000 · A parent or eligible student may file a written complaint with the Office regarding an alleged violation under the Act and this part. when disclosure is required by law. SECTION 27. The statute contains a list, however, of those persons authorized to access these records. Confidentiality for adolescents accessing health care is complex, and concerns about lack of confidentiality can be a barrier to receiving appropriate care 2 3 Medical confidentiality is a set of rules that limits access to information discussed between a person and their healthcare practitioners. Jan 1, 2013 · Absent that consent, the confidentiality rule would apply, and, if contacted by others, therapists are free only to listen, not to disclose. If Feb 13, 2023 · Ethical violations: A therapist who breaches confidentiality will likely be found in violation of the ethical codes and standards of their profession. Let parents finish what they’re saying before you speak. 05 that psychologists disclose confidential information without consent "(1) to provide needed professional services(3) to protect the patient Complaints primarily arise because clients have assumed confidentiality to be absolute. You can consent to your own medical care as long as you are “capable”. R. Information on access to counselling assistance and other supports, and how to make a claim for compensation is available. Such reports and records are not open to public inspection. 123, § 36 Mental health records. 97. Whereas NDAs are often used in business and legal settings to protect trade secrets, client lists, and financial data, confidentiality Oct 1, 2003 · An anonymous survey of 1,295 high school students revealed that 25% would forgo necessary treatment if their parents “might find out” (Cheng et al. 01 states that psychologists discuss with their patients "the relevant limitations on confidentiality," 5. Go to CRCL's Complaint Portal. IMMEDIATELY USE THE WORD. 1890 245 545. nm bn sr fk lh jq ge bz od se