Description:-

This program will cover nursing plus problematic standards with CMS (Center for Medicare and Medicaid Services) and the Joint Commission (TJC). CMS issues quarterly listing on all the deficiencies received by hospitals from surveys making it easier to track top problematic standards. Other topics to be addressed include CMS hospital regulations on safe opioid use, IV medication, blood transfusions, restraints, compounding, BUD, history and physicals, verbal orders, informed consent, plan of care, the timing of medications, and the post Anesthesia evaluation. 

CMS memos on insulin pens, safe injection practices, worksheets, organ procurement organizations, humidity, complaint manual update, deficiency memo, final worksheets, and privacy and confidentiality will be covered. Additionally, interpreters and low health literacy will be discussed to help hospitals comply with CMS and Joint Commission standards and compliance with the OCR Section 1557 on signage, patient rights, non-discrimination, qualified interpreters, and 2020 changes. It will also discuss the revised hospital discharge planning and hospital improvement rule final changes.

Objectives:-

• Describe the CMS memos and how they impact nursing including infection control
• Recall changes to medications including updates to the timing of medication of administration
• Discuss that a physician who signs off a verbal order must also date and time it
• Describe that every hospital should have a safe injection practices policy that follows the CDC guidelines
• Recall the impact of informed consent changes on nursing

Session Highlights:-

• TJC and CMS top problematic standards
• CMS CoP changes 
• CMS discharge planning and hospital improvement rule final changes
• A patient advocate or support persons
• Interpreters and low health literacy
• Section 1557 of ACA non-discrimination, interpreters, signs, patient rights, auxiliary aids for patients
• CMS changes to the timing of medications by nurses
• CMS changes on medication errors, ADE, and drug incompatibility
• Verbal orders CMS and TJC
• Informed consent requirements
• H&P CMS and TJC
• CMS restraint and seclusion
• CMS post Anesthesia evaluation 
• MRI guidelines
• Medication error prevention issues
• Infection control a hot issue 
• Standards of practice and guidelines
• Falls programs
• Importance of documentation
• Safe injection practices
• IV medication and safe opioid use
• ISMP IV push guidelines 
• CMS compounding and BUD and what staff need to know
• TJC patient-centered care standard on interpreters
• TJC Record of care documentation standards

Who Should Attend?

• Risk Managers
• Patient safety officer
• Chief Operating Officer (COO)
• Chief Nursing Officer (CNO)
• Chief  Medical Officer (CMO)
• Emergency Department Manager
• Nurse Managers, Supervisors, Staff Nurses
• Compliance Officer
• Joint Commission Coordinator
• Quality Improvement personnel
• Consumer Advocates
• Clinic Managers
• Legal Counsel
• Pharmacist
• Anyone interested in nursing, risk management, and patient safety issues