ISMP published its annual “Top 10” issues on medication errors and hazards. Many requirements must be met when the patient is provided their first opioid. This program will discuss common errors and hazards related to medication administration.
Also covered will be CDC opioid guidelines, Joint Commission final pain management guidelines, federal guidelines for opioid programs, the opioid epidemic, and required hospital policies and training. The CMS standards on the care of the patient receiving opioids will be addressed, which also apply to critical access hospitals.
This will also discuss the ISMP IV Push guidelines for adults and 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's final opioid guidelines are also discussed.
Staff education on the safe opioid use policy is required by CMS and includes an assessment of the patient to determine who will be at risk for an adverse event from the use of IV opioids including PCA. Training includes education on the side effects and how to recognize them.
(BS, JD, RN, CPHRM)
Laura A. Dixon served as the Director, Facility Patient Safety and Risk Management, and Operations for COPIC from 2014 to 2020. In her role, Ms. Dixon provided patient safety and risk management consulting and training to facilities, practitioners, and staff in multiple states. Such services included the creation of and presentations on risk management topics, assessment of healthcare facilities; and development of programs and compilation of reference materials that complement physician-oriented products. Ms. Dixon has more than twenty years of clinical experience in acute care facilities, including critical care, coronary care, peri-operative services, and pain management. Prior to joining COPIC, she served as the Director, Western Region, Patient Safety and Risk Management for The Doctors Company, Napa, California. In this capacity, she provided patient safety and risk management consultation to the physicians and staff for the western United States. Ms. Dixon’s legal experience includes representation of clients for Social Security Disability Insurance providing legal counsel and representation at disability hearings and appeals, medical malpractice defense, and representation of nurses before the Colorado Board of Nursing. As a registered nurse and attorney, Laura holds a Bachelor of Science degree from Regis University, RECEP of Denver, a Doctor of Jurisprudence degree from Drake University College of Law, Des Moines, Iowa, and a Registered Nurse Diploma from Saint Luke’s School Professional Nursing, Cedar Rapids, Iowa. She is licensed to practice law in Colorado and California.
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