Description

Learning Objectives:-

• Recall that the infection preventionist must be appointed by the board
• Recall that CMS has an infection control worksheet that may be helpful to CAHs
• Discuss that insulin pens can only be used on one patient
• Describe that an order is needed to allow the patient to self-administer medications
• Explain that there are three-time frames in which to administer medications
• Discuss that CMS requires that a plan of care be done

Agenda:-

Introduction

• How to find the manual
• Policy and Memo website
• Access to Deficiency data

Infection Prevention and Control

• Targeted surveys
• CDC vaccine storage and handling
• Final changes to infection control and antibiotic stewardship requirements
• Hospital Improvement Rule
• CDC Core elements
• Facility Wide program
• Infection control organizations and following nationally recognized standards and guidelines
• Infection Control worksheet
• Infection preventionist role and responsibilities
• Healthcare-associated infections
• Infection control orientation new employees
• Surveillance, sanitary environment, and mitigation of risks
• Role of leaders in infection control
• Documentation
• Antibiotic Stewardship program
• ASP leadership duties and responsibilities
• CDC training and resources
• 10 CDC Safe Injection Practices

Provision of services

• Diagnostic and therapeutic services
• Supplies
• Outpatient services
• Outpatient director
• Inpatient services
• Census and Ensuring compliance

Lab Services

• Meet CLIA standards
• Scope of services

Nursing

• Nursing services and leadership
• Leadership duties
• Supervision and Evaluation of care
• Observation of med passes/nursing care
• Changes in observation guidelines
• Nursing care plans
• RN for each patient
• Drugs and IVs
• Written policies and procedures for the administration
• Timing of medications
• High alert drugs
• Safe opioid use and patient assessment
• Sedation scales
• IV medications
• Blood and blood products
• Verbal orders
• Verbal order policy
• Nursing care plan

Discharge Planning

• Need for the effective discharge planning process
• Discharge evaluation and plan
• Review of the discharge planning process
• The requirement to assist in PAC selection
• Discharge Planning worksheet

Who Should Attend:-

CEOs, COOs, CFOs, Nurse executives, Accreditation and regulation director, Nurse managers/supervisors, Pharmacists, Quality managers, Risk managers, Health information management personnel, Social workers, Dieticians, Nurses, Nurse educators, Patient safety office, Infection preventionist, Radiology Director, Laboratory Director, Emergency department directors, Outpatient director, Medication team, Ethicist, Director of Rehab (OT, PT, speech pathology, and audiology), OR supervisor, OR staff, CRNA/anesthesia providers, Dietician, Radiology staff, Infection control committee members, Pharmacists, Compliance officers