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All facilities accredited by TJC, AOA, CIHQ, and DNV Healthcare must adhere to the CMS CoPs. This 525-page manual contains interpretive guidelines, policies, procedures, and standards that must be followed for all providers treating patients hospitals or any hospital-owned departments.
Part III of the series will cover the nursing and pharmaceutical services in the interpretive guidelines.
|- Orders, protocols, standing orders & order sets||- Medication administration & safe opioid use||- Safe injection practices & compounding|
|- Preparation & administration of drugs||- IV medication & blood transfusions||- Reporting medication errors & ADEs|
|- 2018 proposed changes||- Director of nursing||- Nursing care plan|
|- Staff competency||- 3 timings of medication||- Verbal orders|
|- Incident reports||- Agency nurses||- Licensure verification|
|- Self administration||- IV & blood transfusions||- Policies & procedures|
|- 2018 proposed antibiotic stewardship program||- Standardization of prescribing & communication practices||- Best practices recommendations like ISMP & ASHP|
|- PI requirements for adverse drug events||- Outdated, mislabeled medications & unusable drugs||- Preparing CSPs outside the pharmacy|
|- Storage & security of medications||- Medication error, ADE & DI definitions||- Night pharmacy cabinet standards|
|- Pharmacy administration||- Meeting patient needs||- Drugs & biologicals|
|- Drug interactions||- Required policies & training||- Medication self-administration|
|- BUD & compounding||- Radiopharmaceutical on & off hours||- Minimizing drug errors|
Anyone involved with or interested in compliance regulations and standards, including but not limited to: CEOs, CFOs, COOs, CMOs, CNOs, CE Directors, Quality Improvement Staff, Physicians, Nurses (all levels), Board Members, Clinic Managers, Outpatient Directors, Lab Directors, Compliance Officers, CMS Liaisons, TJC Liaisons, Registration Staff, Safety Officers and Staff, Pharmacy Staff, Ethics Committee Members, Consumer Advocates, Risk Managers, Legal Counsel, Behavioral Health Staff, Psychiatry Staff, Social Workers, Discharge Planners, Case Managers, Hospice Staff and Regulatory Affairs Staff.