CAH CoP 2020 Series- Part 2: Pharmacy, Dietary, Maintenance, Board, ED, and Policies

HEALTHCARE Mar 16, 2020 120 minutes
01:00 PM EST 12:00 PM CST 11:00 AM MST 10:00 AM PST

Description:-

At the conclusion of part two, participants should be able to:

  • Explain the responsibilities of the pharmacists that include developing, supervising, and coordinating activities of the pharmacy.
  • Describe the requirements for CAH to monitor and inspect to ensure that outdated drugs are not available for patient use.
  • Recall the requirements for  security and storage of medications, medication carts, and anesthesia carts, 
  • Discuss the requirement to have a list of do not use abbreviations and a review of sound-alike/look-alike drugs. 

Session Agenda:-

  • Physical Plant and Environment
  • Disposal of trash
  • Storage of drugs
  • Physical environment
  • Construction and equipment
  • Maintenance
  • Emergency Procedures-moved to new appendix Z
  • Life Safety from Fire
  • LSC waivers
  • Fire inspections 
  • Board section
  • Staffing
  • Physician responsibilities
  • Physician supervision
  • Transfer of patient
  • Patient admissions
  • Patient care policies
  • Medical management

 

Regulations and Interpretive Guidelines for CAHs

  • Direct Services
  • Services Provided through Agreements or Arrangements
  • Drug and biologicals
    • Security of medication, qualifications of pharmacy director, proper environmental conditions, P&P to monitor all carts, compounding, blue box advisories, Drug Quality and Security Act, standards of care, dispensing medications, list of high alert medications, labeling, the definition of a medication error, adverse event, indicator or trigger drugs

 

Pharmacy

  • Inspections/staff interviews
  • Dispensing of drugs
  • Pharmacist responsibilities
  • Staffing in pharmacy
  • Pharmacy policies and procedures 
  • Medication therapy monitoring
  • Pharmacy USP 797 regulations
  • Emergency medicine kits
  • Drug storage
  • Nursing med carts/anesthesia carts
  • Outdated drugs
  • Survey of pharmacy
  • Reporting ADR and medication errors
  • Near misses/good catches
  • High alert medication
  • Definition of medication error required
  • Trigger/indicator drugs
  • Monitoring medication errors
  • Medication alerts
  • Standard of care for medications
  • Websites and additional resources
  • Required pharmacy P&P
  • Do not use abbreviations
  • Sound-alike/look-alike drugs
  • Non-punitive policies

 

Dietary and Nutrition Services

  • Final change
  • Dietary policies
  • C&P to order diet
  • Meeting patient needs, diet order, follow recognized dietary practices
  • Dietary compliance
  • Qualified dietician
  • Dietary support staff
  • Assessment of patients and order
Presenter BIO

Sue Dill Calloway, R.N., M.S.N, J.D. is a nurse attorney and President of Patient Safety and Healthcare Consulting and Education. She is also the past Chief Learning Officer for the Emergency Medicine Patient Safety Foundation and a current board member.  She was a director for risk management and patient safety for five years for the Doctors Company. She was the past VP of Legal Services at a community hospital in addition to being the Privacy Officer and the Compliance Officer.  She worked for over 8 years as the Director of Risk Management and Health Policy for the Ohio Hospital Association.  She was also the immediate past director of hospital patient safety and risk management for The Doctors Insurance Company in Columbus area for five years.  She does frequent lectures on legal and risk management issues and writes numerous publications.

Sue has been a medico-legal consultant for over 30 years. She has done many educational programs for nurses, physicians, and other health care providers on topics such as nursing law, ethics and nursing, malpractice prevention, HIPAA medical record confidentiality, EMTALA anti-dumping law, Joint Commission issues, CMS issues, documentation, medication errors, medical errors, documentation, pain management, federal laws for nursing, sentinel events, MRI Safety, Legal Issues in Surgery, patient safety and other similar topics.  She is a leading expert in the country on CMS hospital CoPs issues and does over 250 educational programs per year.  She was the first one in the country to be a certified professional in CMS.  She also teaches the course for the CMS certification program.

She also writes many articles for Briefing on the Joint Commission. She also writes articles on ambulatory surgery and present educational programs on ambulatory surgery issues. She was affiliated with Mount Carmel College of Nursing as an adjunct nursing professor for over seventeen years. She was also a trial attorney for eight years defending nurses, physicians and healthcare facilities.

She has been employed in the nursing profession for more than 30 years.  Ms. Calloway has legal experience in medical malpractice defense for physicians, nurses and other health professionals.  She is also certified in healthcare risk management by the American Society of Healthcare Risk Managers.

Ms. Calloway received her AD in nursing from Central Ohio Technical College, her BA, BSN, MSN (summa cum laude) and JD (with honors) degrees are from Capital University in Columbus.  She is a member of many professional organizations. She has a certificate in insurance from the American Insurance Institute.

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