rn pronouncement of death form massachusetts

A free online palliative care dictionary to be built by the international community, under the auspices of IAHPC. An RN's assessment or determinant of death does not include the medical certification of death. 393 0 obj <>stream If you would like to continue helping us improve Mass.gov, join our user panel to test new features for the site. Specializes in Med-Surg, Trauma, Ortho, Neuro, Cardiac. If you need assistance, please contact the Trial Court Law Libraries. ongoing education that they can access twenty four hours a day, at home Massachusetts legal forms for subjects A-D, Massachusetts legal forms for subjects E-H, Massachusetts legal forms for subjects I-L, Massachusetts legal forms for subjects M-P, Massachusetts legal forms for subjects Q-T, Massachusetts legal forms for subjects U-Z. PallipediaA free online palliative care dictionary to be built by the international community, under the auspices of IAHPC. 272 0 obj <> endobj implementation, and/or evaluation of End-of-Life/Palliative education (c) "Anticipated Death" is death which is, in the opinion of the attending physician, expected due to illness, infirmity or disease. allows the RN to determine and pronounce death. 0000003397 00000 n : Video Difference, Inc. Kubler-Ross, E. (1969).On death and dying. Mm(SojN9UJRG5 ' eWMDaDo9p8QV*[fA c^ OsNx problems." By this statute an RN has the authority to make an assessment and therefore, a determination of death. Consumer Web site that explains the specialty of hospice and palliative medicine and its benefits to patients and families. The 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 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. Resident pronounced at 10.30AM. `in:"$:DR-~%pl:I. A`-e@ What would you include in a nurse's note for an RNdeath pronouncement? WAC 246-840-830 identifies the requirements for the RN to determine and pronounce death. Local Homeless Services: The value-added of EDELE is that the Massachusetts Department of Public Health's Patient Protection Line. http://www.healthcareproxy.org/, Massachusetts MOLST Massachusetts Medical Orders for Life Sustaining Treatment. http://smhs.gwu.edu/gwish/about/contact. The pronouncement of death form should be completed by every person pronouncing the decedent at the facility and a copy should be given . A comprehensive resource guide and directory of end-of-life care resources and services available throughout Massachusetts. MD is unable to come to facility at this time. Byock, I. NYNewGrad said: Charleston, S.C.? Johnson, S. (1984).The precious present. Please remove any contact information or personal data from your feedback. specifically, the site has been designed for use by medical school 4 0 obj Garden City, N.Y: Doubleday. 290 0 obj <>/Filter/FlateDecode/ID[<62DBEB941E88F1428ACE081799A7268D>]/Index[272 45]/Info 271 0 R/Length 86/Prev 157303/Root 273 0 R/Size 317/Type/XRef/W[1 2 1]>>stream Order received to release body to the funeral parlor.". Massachusetts Legal Forms by Subject The Trial Court Law Libraries have compiled this list of Massachusetts legal forms available online for no charge. The requirements as outlined in WAC 246-839-830 would apply: Determination and Pronouncement of Death . Call placed to DR Jones. 316 0 obj <>stream %PDF-1.3 % CBC& *U2M>}{x,`C2?YG9}0)+ -a} 5IO>`}W+*]fHv*/L5dz*^e+;D[Jdhr;s:e rjV7}hhe-;Zvwb{i-l1Jip"y_Ue`!O^wR= .ERFc9Osqztf&{A=Kx7a(}oL>wNe[$D^r:Y0daGddz8_, Our members represent more than 60 professional nursing specialties. )nYBaa3c, Hoblitzelle, O. A resource for professionals, patients and their families regarding end-of-life decisions Contact the physician at the time of death - that death has occurred and where body will be taken. PerinatalHospice.org is a clearinghouse of information about perinatal hospice and palliative care. Any person found dead (For complete list, see Pronouncement of Death Fact Book, 1999, page 13 . Hospice Foundation of America Body released to MacVille Funeral Home. New York: Broadway Books. Jones, L., Mack, C., Generations Together., Video Difference, Inc., & University of Pittsburgh. directly to tabular, graphic or narrative data. Co. Wrede-Seaman, L. (1999).Symptom management algorithms: A handbook for palliative care. The obligation also must conform to the RN's or APRN's legal and ethical mandates. National Hospice & Palliative Care Organization National order for rn pronouncement. Has 5 years experience. Oxford: Oxford University Press. or in the office. D8*$[UH experience of end of life. stream endstream endobj 231 0 obj <. endobj Keep in mind . Levine, S. (1987).Healing into life and death. Association Management Software Powered by, For your convenience, we have provided a number of links to valuable services and helpful information. The Share sensitive information only on official, secure websites. [" (1997).Waterbugs And Dragonflies: Explaining Death To Young Children. Mesothelioma Cancer Network Users must be located in Massachusetts to access this resource. 0000005727 00000 n 0000006264 00000 n or in the office. The time of pronouncement is the official time of death. <> An international, online journal, committed to more humane, comprehensive, and coordinated care for dying persons and their families. <> 13 0 obj Hospice and Palliative Nurses Association., & American Nurses Association. 1901 N. Moore Street #901 Death of any child under the age of 18 years from any cause 7. : BookSurge. Legal forms may also be found through Gale LegalForms. Wn,.uIp$MyzI._zr%`;n/NYd 'g ,y:fb`ai\MOMw@WD{X =K"@. 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. Davidson, G. W. (1990).Living with dying: A guide for relatives & friends. "`.LL@1l?q#QrP4w >stream ongoing education that they can access twenty four hours a day, at home "Resident with no pulse, no respirations, lack of pupilary response. Minneapolis: Augsburg. Could someone write an example of a thorough note? FAeHx2!x)6N)wx$y MXx W$6S!`H{c&Xx Wyfl}) F:(XwwS? National Hospice and Palliative Care Organization MD notified, new orders - RN Pronouncement and order to release body to funeral home confirmed by Jane Doe NP covering for Dr John Doe. 407 0 obj <> endobj hbbd``b`z$ HX bHv`U= YDA 8Qd#io + Callanan, M., & Kelley, P. (1997).Final gifts: Understanding the special awareness, needs, and communications of the dying. hospices by county and general information about hospice. 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 . <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 17 0 R/Group<>/Tabs/S/StructParents 1>> For the first few death pronouncements, some residents feel uncomfortable . endstream Always check your own facility's policy for RN pronouncements.and don't forget, sometimes the nurse CAN'T pronouncean unexpected death, a death within 24 hours of admission (unless the person came in to die)the circular letter from this state is about 3 pages long on when to call the ME. Since 1997, allnurses is trusted by nurses around the globe. For Massachusetts pronouncements you must have your RN license number with you. The Hospice Education Network (HEN) MK=l6SUQK>SHMX5iIm5Q7aY.nM WYS"J:thFVveCS.1BcFz|eh;qdNJ.[N:d#7P!,lhBSH*E,%fyZO]Z6ypCO{-5~28 &0(0jlGDCG.87|372/ QX 8^ Each search returns a list of websites that display data matching the 10 0 obj "Legal forms" are forms that are not filed in court, such as forms for taxes, contracts, wills, and the like. Form R-360 07012014. Has 7 years experience. Garden City, N.Y: Anchor Press/Doubleday. Notifies the MRP / RN(EC) of the patient's death, noting date and time of death, receiving funeral home Massachusetts laws MGL c.30A, 14 Judicial review 15 0 obj Called to room by CNA at 4pm and noted resident without pulse, respirations or BP. Goldberg, S. A. By using the site you agree to our Privacy, Cookies, and Terms of Service Policies. Bell, K. W. (2010).Living at the end of life: A hospice nurse addresses the most common questions. RN/ PA/ NP PRONOUNCEMENT? <> (Effective October 20, 1988.) 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. Body released to MacVille Funeral Home. We barely have functioning dynamaps let along EKG machines. Center to Advance Palliative Care:prepared byThe Joint Commission (TJC)Certification Process, DPH Forms - Death Pronouncement Fort Wayne, IN: Willowgreen Pub. Arlington, VA 22209 &pH&!QVeI)0E6rFQ0}a ^ jVe%X z3QFyPgS#gJ*D,>. Resident pronounced at 10.30AM. <> an e-learning course that is appropriate for your hospice staff's 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. 17 0 obj << /Linearized 1 /O 19 /H [ 880 279 ] /L 120281 /E 107017 /N 3 /T 119823 >> endobj xref 17 22 0000000016 00000 n Uo`0 t-yHC#[yJ/a0>LCkkwQ.p6\FuAIu8M[EE. Has 30 years experience. Specializes in LTC. Pediatric Palliative Care Network (PPCN) Death is a very serious thing to announce legally and there are a lot of consequences for doing it. A. 705 0 obj <>stream <> 0000006498 00000 n Massachusetts Department of Public Health's Patient Protection Line800-462-5540You have the right to register a complaint with any hospice provider. There are currently no news items posted. Post mortem care is provided (refer to agency . >x.4Q9c=@6{&q0 By Ida Koivisto, BSN, RN, PHN. New York: Doubleday. % (R.0i['|6xu@q XT;30B@,Qg`(fha0^@'. x]O8Lc;NVawXj/\q'I9v!%4|f:b 9>&zIit(0~c]99]L/a,VuyBdO|%"Z)smh S WsB ( 16 0 obj A .mass.gov website belongs to an official government organization in Massachusetts. L\ddEwexo_{Twu~_~M~>~~a`O?o76z8m-}|'iHN6Kdg*WiBShNc&U2^o?qOu{Uz/~YSofw{fmo?[{~[fhSm*MYizlg/;:#/$mK)mqmIG^Tz9F*j-1OL\2WL&:Mt4i2&ci24^~^5o O#%[r6# (1998).Dying well: Peace and possibilities at the end of life. <> Epidemiology of Dying & End-of-Life Experience When a patient dies in a licensed hospice or a nursing home in the absence of a physician and under specific circumstances, that person may be pronounced dead as provided by law in GA Code Ann, 31-7-16 and . 0000003631 00000 n Choosing a specialty can be a daunting task and we made it easier. New Hampshire patients the form completed for the pronouncement of death is the Certificate of Death. Have forms and black pens with you. A guide to enable patients or their advocates to make informed decisions about health care choices that reflect each person's goals, values, wishes and needs; outlining the types of choices that patients have when they are going through treatment for a serious life-limiting illness. State Operations Manual Appendix M - Guidance to Surveyors: Hospice (Rev.) xXn8}GHiQuZYt6>}%Vw. hb``f``81!1ikm05@Niy7UX> `uje^B3br:h5@d&9120n`|y)k>"U %XXN00M03=h>ed`i-y?n8m^-|6QcR[zZ|:xLP@;dvK!&3 MQ End of Life Palliative Educational Resource Center )^%b9MND? Q@'+xUBgY*Hu`]sh1\Hp~|$g',%qB-,9QHU[ 6X=TsQ zDo|*)@KJyRHw1!-J\q|%cC&p,!lLI_)2<3.3K4*M&:{]MI.pK+ +w)g@?pf&'piS7b>RRS}kdiuJJM gDG?7!Ke8Vu m9JtQkyzU Simply placing pronouncement of death by RN or something similar in the search bar of your search engine can identify other states. Please limit your input to 500 characters. directors, medical faculty, community preceptors, or other professionals CPR, Artificial Feeding, Comfort Care, and the Patient with a Worden, J. W. (1996).Children and grief: When a parent dies. Page 1 of 2. When a MD notified, new orders - RN Pronouncement and order to release body to funeral home confirmed by Jane Doe NP covering for Dr John Doe. 1-612-816-8773. }=y\Ev_]&c9\-,l)QhR|t_a The laws and rules do not specifically address whether the LPN can determine and . 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. Good answer? S.l. !4320hpS2 Z a [email protected]. I never understood the rationale of taking bp. 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 Registrants document appropriately, including time of death, after deathcare, the return of any personal belongings, and the completion of appropriate forms. Family at bedside. search parameters, plus information about the data such as format, 0000058024 00000 n New York: Springer Pub. Boston: Trumpeter. Edition, 2001 Thanks. <>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> bQ7cB86 8x#8 ]2C 436 0 obj <>stream $,et&; 8. Specializes in LTC, rehab. 0000024154 00000 n an e-learning course that is appropriate for your hospice staff's %W`RR6`4,2A2b:, sa3Xf G\"@l-ltx%@vm 8 ] AMU6*0C;y PM1@"hTMIj6XP)2V]ptf1CYPkhj.| 7$;D&^MH5y][email protected]@2aLfpa#jC}&.XT,lK2BZR/\t2 [email protected]!1D)m=bY@dHY6 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. Role of the LVN . New York, N.Y: Bantam Books. 5. Fill in all of the requested boxes (they are yellow-colored). http://www.homelesshope.net/ Section 45. Mesothelioma Survival Information provides detailed information on Mesothelioma and the ways various treatments can improve the lives of patients. 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. lol. 7-62-3. 0000003670 00000 n Please let us know how we can improve this page. Honoring Choices Miller, J. E., & Cutshall, S. C. (2001).The art of being a healing presence: A guide for those in caring relationships. 0000002623 00000 n 0000058102 00000 n Before making a pronouncement of death, a nurse practitioner shall make a reasonable effort to contact the attending physician or medical examiner. 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 <. http://dhi.health.state.nm.us/elibrary/hflcregs/Appendix%20M.pdf, RECOMMENDED READINGS: PATIENTS AND CAREGIVERS. sFg;fEe=RAEv-T);~1Z_F mg|!d}o4- it,: !m`M)HjMrl! State in your note what you observed when assessing the resident, that a DNR was in effect, MD notified, family notified, and don't forget the time of death, and the time that the md and family were notified. Resources, hospice locator guide, education opportunities, and general hospice information. pupils fixed. Aging With Dignity (2000).Being a compassionate companion: A series. We will update and add resources on a continuing basis. Information and legal advance directive instruments for all states are available at: Life-Threatening Illness, by Hank Dunn, A & A Publishers, Inc. 4th hb```f``:b@aeW@>dGi"s8Xf bpM@P6A,x &M2oCx(K7$10a.a[xCD42pwJ30:l# /'- endobj care professionals in training. A professional membership organization providing a web site on health care proxy, advance directives, discussion guides, and links to other resources. Offers 0000002389 00000 n I had to call the doc to come pronounce. New York: Riverhead Books. Connor, S. R., & Connor, S. R. (2009).Hospice and palliative care: The essential guide. 0000001931 00000 n endstream endobj startxref [05q&7{b" The feedback will only be used for improving the website. h. Registered Nurse, Advance Practice Nurse, or Physician Assistant. <> online, searchable catalogue of data about care at the end of life. If there are also court forms on a topic, we link to that section of official court forms for your convenience. endstream endobj 408 0 obj <. pt found w/o pulse, respirations. This Some page levels are currently hidden. Sheehan, D. C., & Forman, W. B. DEATH CERTIFICATE MEDICAL CERTIFIER WORKSHEET . xbbbd`b``` V ` An Massachusetts Medical Society MD stated he will notify the family. It 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. For lists of Download this form to order Pronouncement of Death Forms from Massachusetts Department of Public Health. endobj Know Your Choices: A Guide for Patients with Serious Advancing Illness 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. 3. The Trial Court Law Libraries have compiled this list of Massachusetts legal forms available online for no charge. (1992). was developed by The Carolinas Center for Hospice and End of Life Care 3. For Massachusetts patients, the form for pronouncement of death is the Pronouncement of Death Form by the Registry of Vital Records and Statistics in the Commonwealth of Massachusetts. 0 Growth House: Guide to Death, Dying, Grief, Bereavement, and End-of-Life Resources { Death within 24 hours of admission to a hospital or nursing home 6. j$7jH0yVvea^P(?}q14(( New York: Scribner. (b) "Pronouncement of Death" is the declaration by the registered nurse who has made the determination of death. 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. <>>> 6 0 obj 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. The pronouncement of death form should be completed by every person pronouncing the decedent at the facility and a copy should be given . Death associated with diagnostic/therapeutic procedure 5. qbbXRl GfKqkY@Uj&[-%>j3l5 Telephone: 617-964-1196. Hb```V7 ce`a`8]p Office of the Inspector General IG Compliance Program, Guidance for Hospiceshttp://oig.hhs.gov/authorities/docs/hospicx.pdf. It provides a forum for members to engage in cross-continuum collaboration to address regulatory and clinical barriers that impede caregivers vital work. Use this button to show and access all levels. hkJp L=0HegeJa,( o. Hard Choices for Loving People: 0000001159 00000 n @a2!lL}N,* bGF7p)ko,_)&$3SS(@Y^}%{vw9sh Callanan, M. (2008).Final journeys: A practical guide for bringing care and comfort at the end of life. endobj Watson, M. S. (2005).Oxford handbook of palliative care. 0 0000001484 00000 n Please limit your input to 500 characters. It is completed according to the instructions on the reverse side of the . m $y`A0yL~F@e?#c*J0e#ZHj &"Bd9^@nH dSY``LzA$WP{ ,&! endobj Overview "Legal forms" are forms that are not filed in court, such as forms for taxes, contracts, wills, and the like. A lock icon ( (Take picture of your license and keep in phone, or on a slip of paper with your forms). WAC . Sign In Forever Sunshine, ASN, RN 1,261 Posts Specializes in LTC. 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. %PDF-1.6 % National Hospice and Palliative Care Organization, Office of the Inspector General IG Compliance Program, Guidance for Hospices. xzg)WC1!D(T}&20El1303i031^g``}qNF10 iFSo(eX6IH330UI20%b` we"f An award-winning gateway to resources for life-threatening illness and end-of-life issues. Employers should access assistance form legal services to consider . Specializes in NICU, PICU, Transport, L&D, Hospice. pt was dnr. Telephone: 850-681-2010, Guide to Help Palliative CarePrograms Successfully Complete Bolen, J. S. (1996).Close to the bone: Life-threatening illness and the search for meaning. <> 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 New York: Guilford Press. (1996).Hospice and palliative care: Concepts and practice. 5 0 obj S.l. course/clerkship directors, residency and continuing education program 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. %%EOF mx4JG=w' "($CrVH '!~~0c|HuYdb:g4Fg)S'~~;Z+bc'P6>ek,X and The National Hospice and Palliative Care Organization (NHPCO.) Pt is DNR. Resident found unresponsive; Absence of P/R/BP. endobj New York, N.Y: Bantam Books. New York: Riverhead Books. <> endobj %PDF-1.6 % After the Hospital: A Guide to Post Acute CareThe Continuum of Care Council (CCC) is an advisory council of the Massachusetts Health & Hospital Association (MHA), established with the goals to optimize patient care, experiences, and clinical and economic outcomes through population health strategies. hb```S,l ) or https:// means youve safely connected to the official website. Honoring Choices informs and empowers adults, 18 years old and older, to make a health care plan to receive the best possible care that honors their choices, all through their lives. hZ7!>Y/;oFd:0f!tkTaUCUR kRI Worden, J. W. (1991).Grief counseling and grief therapy: A handbook for the mental health practitioner. Hospice Helpline: 1-800-658-8898 Massachusetts Funeral Directors Association 536 Broad Street, Weymouth, MA 02189 T: 781-335-2031 | F: 781-335-3245 | [email protected] Privacy | Terms | Support endobj Stickney, D., & Hernandez, G. O. <> Top-requested sites to log in to services provided by the state. Wogrin, C. (2001).Matters of life and death: Finding the words to say goodbye. endobj Massachusetts Commission on End of Life Care 1 %Q!5zp$sLgNXB8lM>ODpu~ *\q*YOxrG,dJU}!p`0IzzCFq > G I always put that the absence of vitals was confirmed by another nurse and the time that was done. <> \FOs{uhyfL /]B$,:~Qn/Q`eO|R|Yj8rzF#3=|/NUwjXy$U eAtM-"YnX:/ 9 0 obj 230 0 obj <> endobj You have the right to register a complaint with any hospice provider. time-consuming Internet research has been done by EDELE researchers. Expected death without family members present: Request that the nurse accompany you to the first few death pronouncements. 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. %PDF-1.6 % allnurses, LLC, 175 Pearl St Ste 355, Brooklyn NY 11201 for physicians, nurses and other health care professionals. The RN s role is limited to the pronouncement of death after an assessment of the patient. (2009).Lessons for the living: Stories of forgiveness, gratitude, and courage at the end of life. t21cKW%qD+8"alaC0`. Resident DNR. hb``f``8* b kA.a gId8`8 9&~fl6 x*H(|b>a}BB ~fY*l4PdPvMcJ2l5>s@W&df 2@f'~w@= y #p 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. endstream endobj startxref 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