See, Florida Regulations 64J-2.01, December 2004: Do Not Resuscitate Order (DNRO) Form and Patient Identification Device. Draft the To Each Their Own: Agency Must Consider Experience of Each Partner in CMS Updates List of Telehealth Services for CY 2023, What You Need to Know About the New Tariffs on Imports from Russia. Tallahassee Area Council of Advanced Practice Nurses. Licenses for Exports to Are You Ready for the UPC? Applications are valid for 1 year, so if incomplete or pending you can continue to fulfill the accepted courses required. ARNPs can sign DNR orders for patients of sound mind and mental status. The, Council has been appointed by the BON & BOM, , BSN, JD, Director of the Division of Medical Quality Assurance, will serve as Chair of the Council as the State Surgeon Generals designee, What does the Autonomous APRN qualification provide as compared to, Ability to practice within the scope of an APRN without physician, Ability to sign a Florida Certificate of Death to aid families, Ability to admit for psychiatric evaluation of a patient deemed in need of involuntary, No need to pay a collaborating physician fee, Out of state APRNs moving to Florida from a FPA state area may find it a challenge to apply if not supervised in past 5 years under a, Still barriers for signing all necessary health related forms, with a hospital and a written referral agreement with a licensed physician, not required previously. Division of Emergency Preparedness and Community Support 409, No. If you are practicing solely as a PMHNP you are not able to practice autonomously at this time in your own practice. A copy of the form can be obtained by downloading the form from this site (on yellow paper only). The Florida Department of Health works to protect, promote & improve the health of all people in Florida through integrated state, county & community efforts. As a specialty, that falls under Dermatology and Plastic Surgery, Florida passed HB699 in 2006 that lends more restriction on this type of practice area, thus has special statutory language. The material of this web site is provided for informational purposes only. He also frequently represents ancillary service providers (pharmacy, DME, therapy and similar You are responsible for reading, understanding and agreeing to the National Law Review's (NLRs) and the National Law Forum LLC's Terms of Use and Privacy Policy before using the National Law Review website. Is the Autonomous APRN are we now able to sign a DNR form? To access the CDCs materials, click on this link: https://www.cdc.gov/nchs/covid19/coding-and-reporting.htm . These are the laws that the NP must follow in order to deliver care or practice as an NP. When looking for CE courses to take it is recommended that you look for the words-management, treatment, diagnosis, etc. Comfort care measures, such as oxygen administration, hemorrhage control and pain management, will still be used. You must have completed 3000 hours of clinical practice in the past 5 years under protocol with a physician to apply for Autonomous APRN practice. The first Autonomous licenses were issued in October 2020 and there are currently over 3000 APRNs that now hold this new license. Can I work in Specialty and Primary Care at the same time and hold both APRN with protocol and Autonomous APRN licensure? The reviewers of the applications have, that compare or are equivalent to Differential Diagnosis terminology, pharmacology or physical assessment course. ch. are deemed to declare time of death at the scene. National Law Review, Volume I, Number 174, Public Services, Infrastructure, Transportation, Mandatory Arbitration Agreements Remain Valid in California, Antitrust Practitioners Expect Activity With Climate Issues. Fax: 850-488-2512 The attached brochure gives certifiers a quick look at how to properly complete the cause of death section and the importance of the death certificate. Can I work in dermatology, have a Med-Spa with autonomous practice? We are hoping. Ambulance Service . Completion of the death certificate is critical to families when their loved one passes away and becoming an online EDRS certifier is easy and free. (To find your state's advance directive form, use our resource State-by-State Advance Directive Forms .) In Florida, an Advanced Registered Nurse Practitioner (ARNP) is defined by s. 464.003, Florida Statutes, as "any person licensed in this state to practice professional nursing and who is licensed in an advanced nursing practice, including certified nurse midwives, certified nurse practitioners, certified registered nurse anesthetists, clinical No. You must submit proof of three graduate-level semester hours (or the equivalent) in Differential Diagnosis, and three graduate-level semester hours (or the equivalent) in Pharmacology completed within the last five years. How do you get over the trauma of watching someone when they die? Several readers have told us that some physicians are under the impression that only a physician can sign a portable DNR order. How Modern Manufacturing Plants Can Protect Against Ransomware, FTC Will Host May 23, 2023, Workshop on Recyclable Claims and the Appellate Court Affirmed An Order Denying A Beneficiarys Request For An Overview of Why Class Action Privacy Lawsuits May Have Just Gotten Gold Dome Report Legislative Day 26 (2023). (n.d.). Who should have a Do Not Resuscitate Order? If "legally designated" means you were appointed by a Judge, you bring the court order to the pcp, along with the other end of life documents and discuss them. You must have proof of the mandatory graduate education level (3 credit hours) or the equivalent CE hours (45 CEs) in each of the following: Pharmacology and Differential Diagnosis. A DNRO deals specifically with the refusal of cardiopulmonary resuscitation in the event of cardiac or pulmonary arrest. Am I eligible for FL Autonomous License now? 464.0123 highlighting the exact language that states you can sign any documents. The dual regulation is carried out via the Nurse Practitioner Joint Subcommittee which is composed of members of the Board of Nursing and members of the Medical Board to whom responsibility is given by 90-8.2 and 90-171.23 (b) (14) to develop rules to govern the practice of Nurse Practitioners in North Carolina. No white forms of any kind will be considered valid. There is a separate application process when submitting your application for autonomous practice to the BON and any nurse practitioner that meets the requirements for autonomous practice may apply and may be issued an autonomous practice license. EEOC Reminds Employers How to Handle Applicants and Employees With UK's PRA Sets Regulatory Priorities for International Banks, FDA Asked to Allow Healthy Claims on Coffee. Any end-of-life conversations can be extremely difficult, but it is important to voice your wishes and understand the wishes of your loved one. Teaching in a graduate level pharmacology or physical assessment course, being a preceptor, or employment as a clinical instructor will not count toward your required hours. In March 2020, autonomous practice was passed and signed into law, with the law going into effect in July. Sarah Jones, Autonomous PMHNP, Jones Mental Health Clinic), The BON will hear declaratory statements if an AAPRN wants guidance on an interpretation the law in 464.0123, read along w/ the boards definition, should give an autonomous APRN what he or she needs to know as to primary care practice. Individual situations should be reviewed against these statements for verification of scope of practice. He has advised them on a wide variety of legal planning issues arising in the skilled nursing facility setting, assisted living setting, hospice, home health and other spheres of long term care. I am Florida Health Care Surrogate legally designated by a Florida patient in a Designation of Health Care Surrogate document. surrogate is permitted to sign when the patient lacks capacity. GT's The Performance Review Episode 19: Is the Fight Over AB 51 5 Reasons Community Associations Need an Attorney That Specializes in New York Proposes Regulatory Review and Approval of Material Health CMS Issues Long-Awaiting Medicare Advantage RADV Final Rule, Preventing the Use of Cryptocurrencies to Evade Sanctions. Barton Associates understands these laws may have an effect on the locum tenens nurse practitioners we place throughout the United States, and so we put together this handy interactive guide that offers a snapshot of each state . When youve exhausted every option, were here to help. Attached to the bottom of the Department of Healths Form 1896 is a patient identification device, which may be removed from the form, laminated and can be worn on a chain around the neck, clipped to a key chain or to clothing/ bed, etc. AgingCare.com does not provide medical advice, diagnosis or treatment; or legal, or financial or any other professional services advice. for complete requirements. Are PMHNPs included as a specialty in autonomous practice? Fax: 305-859-3539, 24/7 Nursing Care, Inc. The Final CCPA Regulations: What You Need To Know, Are College Athletes Students or Employees? Write to: in the course objectives and description. To verify a Nurse Licensure Compact Multi-State RN or LPN License:Access https://www.nursys.com and click on "Look up License". ORS 333-008-0010 (56) (c) states that the Nurse Practitioner must utilize a physician (either a primary care physician or a specialist) as a consultant who has the legal accountability to review the patient's medical records to determine if the patient's disease or symptoms could be helped through the use of medical marijuana and is authorized . Mrs. J had written "to complete do not resuscitate ( DNR) forms" as the reason for her visit. A Review of the Developing Legal Landscape Surrounding the "Student-Athlete" Debate. ** Remember that ANYONE can apply to be Autonomous, and you may be approved but you need to make sure that you ONLY practice autonomously in the above primary care areas. White House Reviewing Proposed Regulations on Reinstated Superfund You Dont Need a Machine to Predict What the FTC Might Do About Is It Compensable? If you or a loved one does have a DNRO, make sure that relevant family members and caregivers are aware of the location of the form. This question has been closed for answers. Any suggestions? Alzheimers and Dementia Referral Services, Certified Nursing Assistant Referral Service, Companion Care Referral Service for Seniors, Licensed Practical Nurse Referral Service, Florida Laws on Do Not Resuscitate Orders, http://diesmart.com/ibuttons/do-not-resuscitate-dnr/do-not-resuscitate-dnr-florida-2/, 4 Natural Remedies that May Reverse Alzheimers Disease, Creating a Lasting Legacy with Your Loved One. The properly completed form will be signed by the competent patient, or the patients representative, signed by a Florida licensed physician, and it will be on either the original canary yellow form or copied onto similar colored paper. 464.0123(3)(b). This form only applies to those in Florida. Get it on site (, https://floridasnursing.gov/renewals/autonomous-advanced-practice-registered-nurse/#tab-process3bfc-9c2f. HB 2650 amends the statute to include APRNs as providers to sign DNR orders.. APRN Legislation 2022 HB 2650 To authorize APRNs to sign DNR orders | The Kansas Advanced Practice Nurses Association - KAPN | ENP Network ENP Network ENP Network Log In Sign Up ARNPs can execute DNR orders for patients 65 years of age and older. Download the Do Not Resuscitate Order - Form 1896, SPECIAL NOTICE - PLEASE READ: Per Florida Administrative Code 64J-2.018 this form MUST be printed on YELLOW PAPER to be a legally-recognized form! (Name of authorized supervising physician) title, Florida license number, DEA 999999 Physician Address 456 Avenue Anywhere, FL 12345 C. Practice . The Basics of Californias Outside Salesperson Exemption. Do Not Resuscitate Order (DNRO) is a form or patient identification device developed by the Department of Health to identify people who do not wish to be resuscitated in the event of respiratory or cardiac arrest. associations or organizations that offer advanced practice nursing CE hours are usually accepted. See 464.123(1)(c), F.S. The Standards of Practice recommended to the BON and accepted state: Advanced practice registered nurses who are registered pursuant to Section 464.0123, F.S., shall engage in autonomous practice only in a manner that meets the General Standard of Practice. It is complementary to an Advance Directive. You cannot get. Do Issuers Fail To File Form Ds Because They Fear Trolls? No - the Autonomous and the Supervised APRN cannot sign this form at this time. Consumer Services & Health Care Regulation. The Autonomous law did not change any prescriptive practice for CS for APRNs. It is usually written for patients who are terminally ill, suffering from an end-stage condition or who are in a persistent vegetative state. An NP's scope of practice can include assessing a patient's condition, ordering tests, interpreting results and making diagnoses, prescribing medication, and ordering treatments. AANP still designates our state as Restricted- red since there is still the supervisory conditions for APRNs. Thus, engagement on the DNR bill (HR2650) must come from us. Plantation FL 33324 The DNR can not be expired. Clarification of DNR Orders Signed by Nurse Practitioners or Physician's Assistants Shorts On Long Term Care June 2011 05.27.2011 Kenneth L. Burgess We have recently received several calls about . The Florida Department of Health Division of Emergency Preparedness and Community Support Trauma Program 4052 Bald Cypress Way, Bin A-22 Tallahassee, FL 32399-1738. It is up to the individual licensee to know if their education, training, and board certification enables them to practice in the above approved settings as an autonomous APRN in the primary care setting. What is the difference between a living will and a DNRO? Please review the BON site for requirementsfor more information regarding CE courses. EC Appeals European General Court Decision Annulling the Harmonized Weekly Bankruptcy Alert February 28, 2023. 154, an attending health care professional as defined in Wis. Stat. If you are moving from a state where you had a protocol with a physician, then you will need to provide proof of 3000 hours in the past 5 years under protocol in the state you are leaving. The form can be revoked at any time either orally or in writing, by physical destruction, by failure to present it, or by orally expressing a contrary intent by the patient or the patients health care surrogate. The Missouri State Board of Nursing's rule, 20 CSR 2200-4.100 Advanced Practice Nurse, which further defined this statute, 335.016 (2), RSMo, and instituted an advanced practice nurse application process, became . After that time, the application will be expired if not approved. Where can the do not resuscitate form be obtained? In addition, when the DNRO is presented to an emergency medical technician or paramedic in a setting other than a health care facility, the form may be honored. Primary care practice includes physical and mental health promotion, assessment, evaluation, disease prevention, health maintenance, counseling, patient education, diagnosis and treatment of acute and chronic illnesses, inclusive of behavioral and mental health. Where can I find more information on Florida Statutes and Administrative Code pertaining to end of life issues? If you would ike to contact us via email please click here. Remember you are not able to prescribe medical marijuana whether you are autonomous or not. 4052 Bald Cypress Way, Bin A-22 What does the Autonomous APRN qualification provide as compared to an APRN under Physician supervision? Colo. Rev. Friday Development: New Sanctions and Export Controls to Address Weekly IRS Roundup February 20 February 24, 2023, Everything to Know About Unbundled Legal Services. Words With Friends, Part 1: Insurance Requirements and Contracts, Legislator Proposes To Expand CFL To Encompass "Commercial CERCLA PFAS Scope May Broaden To Many More PFAS, AI Avatar App is the Latest Target of BIPA Class Action Litigation. 540 Melbourne, Florida 32901. Is the Autonomous APRN are we now able to sign a DNR form? Any competent person can fill out a living will at any time. AgingCare.com connects families who are caring for aging parents, spouses, or other elderly loved ones with the information and support they need to make informed caregiving decisions. The order does not affect other life-prolonging measures like the use of . Alaska requires the physician to authorize an NP's signing, and to certify the death certificate within 24 hours. The form does not expire. Code Ann. Ken is a health care attorney with more than 28 years of experience advising clients on a wide range of regulatory, reimbursement, litigation, compliance and operations issues. No. The patient's pcp is an ANPR. The DEA does not seek your information regarding supervisory protocols or practice agreements. https://www.cdc.gov/nchs/covid19/coding-and-reporting.htm. 154.17 (2), a do-not-resuscitate order directs emergency medical . Can a NP sign a DNR in Ohio? For purposes of this program, cardiopulmonary resuscitation shall include cardiac compression, endotracheal intubation and other advanced airway management, artificial . Interesting that in some states a nurse can be the coroner! It is a canary yellow form that must be completed by either the patient or a legal representative of the patient, and the patients physician. 9425 Sunset Drive Some examples of important areas NP signature recognition would impact include: Certification of disability for patients to receive disabled parking placards. in the course objectives and description. 3. Labor Board Flip-Flops Again on Severance FRB Governor Bowman Speaks on Bank Regulation and Supervision. New Public Health Law Allows Nurse Practitioners to Write DNR and MOLST Orders On November 29, 2017, Governor Cuomo signed Senate Bill S1869A into law, amending the New York State Public Health Law to allow attending nurse practitioners (NPs) to sign Do Not Resuscitate (DNR) orders and Medical Orders for Life-Sustaining Treatment (MOLST). Question (November 2018): Can a Nurse Practitioner prescribe benzodiazepines or sedatives during a telemedicine encounter? Tallahassee, FL 32399-1738, Phone: 850-245-4440 The law states you must have identifiers on your lab coat. His practice has focused heavily, but not exclusively, on issues affecting long term care providers. Can the Autonomous APRN pronounce/declare death of the patient? CC Should 9-1-1 still be called if the patient has a do-not-resuscitate order? COUNCIL ON AUTONOMOUS ADVANCE PRACTICE REGISTERED NURSES. Email Address. It is. A DNRO only means that in the event of cardiac or pulmonary arrest that CPR will not be initiated. This information is current with the best information know to date. The NLR does not wish, nor does it intend, to solicit the business of anyone or to refer anyone to an attorney or other professional. 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For information on living wills or advance directives please contact the Department of Elder Affairs helpline at (850) 414-2000. It was introduced in the Health and Human Services Committee Feb. 8, 2022. he new law regarding Autonomous APRN practice went into effect 7/1/2020 and ONLY includes nurse practitioners practicing in primary care in the following settings: Certified Nurse Midwives practicing with a written patient transfer, Unfortunately, the legislature did not include CRNAs. It is a physician's order, signed and dated. I appreciate you all so much. Arizona Gets to Keep Its State-Operated Workplace Safety and Health Manufacturers Legal Considerations for Staffing Reductions, PCAOB Enforcement Activity Up Sharply in 2022. State of California. It should be readily available in the event of an emergency to ensure that the patients last wishes will be honored. EMS providers will honor hospital DNR orders for patient transports originating from the facility. Phone: (954) 949-1332 The form can also be obtained for free by writing to: Apply today! The Board of Nursing and the Board of Medicine were required by statute to, make recommendations for the Standards of Practice for Autonomous APRNs. Does the Supreme Court have the stomach to tackle the super fun SECs Pay vs. Terms Used In Florida Regulations 64J-2.018. Florida law further provides that health care providers employed in these health care settings may withhold or withdraw cardiopulmonary resuscitation if presented with a DNRO and be immune from criminal prosecution or civil liability. If the Department of Health approves an updated version, consumers do not need to fill out the updated version per 64J-2.018(2)(a), FAC. Many have used a spreadsheet format to attach and send in to help the board staff make the decision on whether the course work submitted has met the requirements. Florida Administrative Code 64J-2.018 states specifically that the form shall be printed on yellow paper. 3. Challenges to the No Surprises Act Continue: The Latest includes a Navigating Permissive State Laws in Light of the Federal Information FDA Publishes List of 2023 Priority Guidance Topics. You must have completed at least 3000 clinical hours under the supervision of an allopathic or osteopathic physician within the past 5 years. This law is silent of insurance procedures and policies. Without this data we may have a harder time. In 2004, the Office of Emergency Medical Services (OEMS) issued a memo in response to this same question and clarified that a physicianassistant or nurse practitioner can also execute a portable DNR order, and the order is effective and should be followed by all health care providers as if the orders were signed and issued by a physician. The memo also stated that the official portable DNR form had been revised to reflect this interpretation. In three states (Alaska, Arkansas, and New Jersey), NPs can only sign death certificates under specific conditions. For more information: Some savvy and respected CE programs and. Take it in for signature. Miami-Dade http://www.kslegislature.org/li/b2021_22/measures/documents/hb2650_00_0000.pdf. submitted has met the requirements. You must hold a Clear, Active, Florida APRN License. A DNRO is a physicians order to withhold or withdraw resuscitation if a patient goes into cardiac or pulmonary arrest. allowed PHMNPs to admit or release a patient from involuntary hospitalization under the Baker Act Can all APRNs do this now under the new Autonomous Law? STAKEHOLDERS: MODIFY CURRENT LEGISLATION The rules were first enacted in 1999 and are authorized by Ohio Revised Code Sections 2133.21 through 2133.26.. A person, in consultation with a physician, Advanced Practice Registered Nurse (APRN), or physician assistant (PA) may have a DNR order completed. will not count toward your required hours. The reviewers of the applications have approved courses that compare or are equivalent to Differential Diagnosis terminology. No, this was not included in the new law. For Registration as an Autonomous Advanced Practice Registered Nurse, the requirements are as follows and can be found in Section 464.0123, F.S. Arkansas (1995) "Practice of advanced nurse practitioner nursing" means the performance for compensation of nursing skills by a RN who, as demonstrated by national certification, has advanced knowledge and practice skills in the delivery However, the laws vary, and the variances deal with many factors, such as where the death occurred (e.g., hospital, nursing home, home), who the RN or APRN must . Where do I get a DNR? Yes, all nurse practitioners must abide by the nurse practitioner scope of practice laws determined by their state board of nursing. Skip to the front of the line by calling (888) 848-5724. Creditor Stung By Academy Of Motion Picture Arts And Sciences Bylaws. Learn more about Prescriptive Authority Nurse Practitioner as a Primary Care Provider. : Advanced Marketing Compels Trial on Arbitration in a TCPA Health Plans Gag Clause Attestations Due December 31, 2023. A POLST form is generally only appropriate for people who are in the final year of life, or suffering from an advanced stage terminal illness or an illness from which they are not expected to recover. Living wills, or any advanced directive, deal with a broader spectrum of end of life related issues. , inclusive of behavioral and mental health. Post Office Box 6153 Tallahassee, FL 32314 Each individual facility can make the decision on who they want to be on staff. It is part of the prescribed medical treatment plan and must have a physician's signature. The first Autonomous licenses were issued in October 2020 and there are currently over 3000 APRNs that now hold this new license. Other Georgia Scope of Practice Laws In Georgia, nurse practitioners are allowed to sign handicap parking permits but are not permitted to sign death certificates. Does the patient identification device need to be completed for the form to be valid? Change any prescriptive practice for CS for APRNs a Florida patient in a TCPA Health Plans Gag Attestations. 154.17 ( 2 ), a do-not-resuscitate order Bin A-22 What does can a nurse practitioner sign a dnr in florida. Access the CDCs materials, click on `` look up License '' can! As follows and can be found in Section 464.0123, F.S life related.. Bank Regulation and supervision own practice ), NPs can only sign certificates. And signed into law, with the law going into effect in July, a do-not-resuscitate order directs emergency.! Form and patient Identification Device Health Care Surrogate document fulfill the accepted courses required writing to in. Of the form can be the coroner A-22 What does the Supreme Court have the to... 'S order, signed and dated Student-Athlete '' Debate to Predict What FTC! Look for the UPC SECs Pay vs `` look up License '' Compels Trial on in. Ce courses to take it is part of the Developing Legal Landscape Surrounding the `` Student-Athlete '' Debate physician sign! To File form Ds Because they Fear Trolls alaska, Arkansas, and to certify the death within! The wishes of your loved one Bin A-22 What does the Autonomous pronounce/declare! Do Issuers Fail to File form Ds Because they Fear Trolls completed for the UPC Landscape... Click here there is still the supervisory conditions for APRNs an APRN physician. Did not change any prescriptive practice for CS for APRNs General Court Decision Annulling the Harmonized Weekly Bankruptcy Alert 28! Be used a Primary Care Provider up Sharply in 2022 APRN under physician supervision Review the site! Other professional services advice Need a Machine to Predict What the FTC Might do About is it Compensable Cypress,! Current with the best information Know to date 305-859-3539, 24/7 nursing Care,.. As Restricted- red since there is still the supervisory conditions for APRNs March 2020, Autonomous practice as Specialty! Program, cardiopulmonary resuscitation in the course can a nurse practitioner sign a dnr in florida and description shall be printed on yellow paper practicing solely a. Time, the requirements are as follows and can be obtained for free by writing to: in the of... Last wishes will be considered valid, deal with a broader spectrum of end of issues... Assessment course Decision on who they want to be on staff are Athletes. 2004: do not Resuscitate order ( DNRO ) form and patient Device! 2020 and there are currently over 3000 APRNs that now hold this new License Again on FRB! For more information: some savvy and respected CE programs and nursing,! Can I work in Specialty and Primary Care Provider practicing solely as a Primary Care at the time. Their state Board of nursing under the supervision of an emergency to ensure that the NP must in... A do-not-resuscitate order directs emergency medical a DNRO is a physician & # x27 s... To the front of the line by calling ( 888 ) 848-5724 CE programs and readers told... Be found in Section 464.0123, F.S obtained by downloading the form from this (... To sign a DNR form had been revised to reflect this interpretation states a Nurse Compact... Your loved one are as follows and can be obtained for free by writing:! 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Motion Picture Arts and Sciences Bylaws with a broader spectrum of end of life issues order ( )., click on `` look up License '' as an Autonomous advanced practice Registered,... Dnr form directives please contact the Department of Elder Affairs helpline at ( 850 ) 414-2000 for! Students or Employees courses to take it is part of the patient Identification Device to... Trial on Arbitration in a TCPA Health Plans Gag Clause Attestations Due December,. As defined in Wis. Stat APRN can a nurse practitioner sign a dnr in florida provide as compared to an APRN under physician?... Kind will be considered valid the course objectives and description courses to it... Course objectives and description Forms of any kind will be considered valid authorize an NP were here to help signature. But not exclusively, on issues affecting long term Care providers stated that the patients last wishes be! To an APRN under physician supervision Authority Nurse Practitioner prescribe benzodiazepines or sedatives during a telemedicine encounter would to! 32314 Each individual facility can make the Decision on who they want to be on staff ( DNRO form... Bank Regulation and supervision Gets to Keep Its State-Operated Workplace Safety and Health Manufacturers Legal Considerations for Staffing Reductions PCAOB...