This webinar will discuss the new standards on safe opioid use, IV medication and blood transfusion as well as the ISMP IV Push guidelines for adults, National Action Plan for ADR prevention related to the opioid recommendations, and the CDC final opioid guidelines.
Why Should You Attend:
This program will discuss the revised standards on the CMS hospital CoPs on safe opioid use, IV medication and blood transfusion. This is the fifth time this section has been amended in the past few years along with an amendment last to nursing section 405 which addresses safe injection practices, compounding and beyond use date. The following are also covered: CDC opioid guidelines, Joint Commission final pain management guidelines, federal guidelines for opioid programs, opioid epidemic, and required hospital policies and training.
In the survey memo CMS states that while this section is in the nursing section, hospitals are expected to meet the related requirements found in the pharmacy and quality assessment and performance improvement sections. This program will also discuss the ISMP IV Push guidelines for adults which hospital should have.
It will discuss the National Action Plan for ADR prevention related to the opioid recommendations. The CMS final worksheet on QAPI will be covered regarding the tracking of medication administration errors and adverse drug reactions. The CDC final opioid guidelines are also discussed.
Topics
Introduction into the CMS hospital CoPs
Where to locate a copy
CMS deficiency reports and problematic standards for tags in CMS Medication Memo
How to get apprised of changes
Changes and safe injection practices
ISMP 26 pages of guidelines on IV Push medication
CDC Opioid Guidelines 2016
Federal guidelines for opioid programs
TJC pain management guidelines effective in 2018
Amends tags 405, 409, 412 and 957
Changes: medication administration, IV, blood, and opioid safe use and immediate post-op care
National Action Plan for ADE prevention
Anticoagulants, opioids, and diabetic agents
Stages of the medication process
Incidence of medication errors and ADEs
Reminder for nurses to know pharmacy CoPs
Blue boxes or advisories
IV Medication and Blood transfusions
Guidance on vascular access route
Verification of tubing connections
Monitoring patients for fluid and electrolyte imbalance
Patient risk assessment
Monitoring to prevent over-sedation of opioids
Required policy and procedure
Required nursing education
Equipment, ETCO2, pulse ox, etc,
Administration of blood and blood procedures
Competence of staff
Assessment and safe use of opioids
Educating patients and families of side effects
PCA as a variant of self-administration
Monitoring post-op patients
Orders for drugs and biologicals
Must include many things include age and weight of patient and dose calculations when applicable
Standing order
Consistent with state and federal law
Accepted standards of practice
Medical staff approved P&Ps
Basic safe practices for medication administration
Flu and Pneumovac
Nine rights
Timing of medication
3 time frames
Missed or late administration
Critical and non-critical scheduled medications
P&P required
Required education
Assessment and monitoring of patients
Documentation requirements
Audit the nursing documentation
Instructor
Sue Dill Calloway is a nurse attorney, a medical legal consultant and the past chief learning officer for the Emergency Medicine Patient Safety Foundation. She is the immediate past director of Hospital Patient Safety and Risk Management for The Doctors Company.
She is currently president of Patient Safety and Health Care Education and Consulting. She was a medical malpractice defense attorney for many years and a past director of risk management for the Ohio Hospital Association. She was in-house legal counsel for a hospital in addition to being the privacy officer and compliance officer.
Ms. Calloway has done many educational programs for nurses, physicians, and other health care providers. She has authored over 102 books and numerous articles. She is a frequent speaker and is well known across the country in the area of healthcare law, risk management, and patient safety. She has taught many educational programs and written many articles on compliance with the CMS and Joint Commission restraint standards.