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Safe Opioid Use, IV Medication, Blood and Medication Requirements

September 29, 2020 @ 8:00 am - 10:00 am MDT


Complying with the CMS Hospital CoPs

Due to COVID-19, the registration is per hospital and not per connection for this webinar. Please only select a qty. of “1” under Registration and indicate the number of connections requested when completing the Attendee information.

Did you know the Centers for Medicare and Medicaid (CMS) has a requirement that the first time an opioid is given by a nurse, a special assessment must be done? Do you have a safe opioid policy which specifies what vital signs must be taken, how often you take the vital signs, and if you are going to use pulse oximetry and/or ETCO2?

This program will discuss the revised standards on the CMS hospital conditions of participation (CoPs) on safe opioid use, IV medication and blood transfusion. This is the fifth time this section has been amended in the past few years along with an amendment last year to nursing section 405 which addresses safe injection practices, compounding and beyond use date.

This informative webinar will also cover CDC opioid guidelines, Joint Commission final plan management guidelines, federal guidelines for opioid programs, opioid epedemic, and required hospital policies and training. The CMS standards on the care of the patient receiving opioids also apply to critical access hospitals.

In the survey memo on care of the patients on opioids, CMS states that while his section is in the nursing section, hospitals are expected to meet the related requirements found in the pharmacy and quality assessment and performance improvement sections. This program will also discuss the ISMP IV Push guidelines for adults. It will discuss the National Action Plan for ADR prevention related to the opioid recommendations, as well as the CMS final worksheet on QAPI regarding the tracking of medication administration errors and adverse drug reactions.

At the conclusion of this session, participants should be able to:

  • Discuss that CMS has issued a 32-page memo on medication administration and safe opioid use.
  • Discuss that all medications must be administered within three different time frames.
  • Recall that CMS has required policies and education requirements on medication administration and safe opioid use.
  • Discuss that CMS has requirements to ensure nurses are competent when giving IV medications or blood transfusions.
  • Recall that the CDC issued opioid prescribing guidines.

Chief nursing officers, all nurses with direct patient care, nurse managers, nurse supervisors, nurse educators, pharmacists, director of pharmacy, compliance officers, chiefs of medical staff, medical staff coordinators, risk managers, patient safety officers, senior leadership, documentation specialists, hospital legal counsel, PI directors, Joint Commission coordinators, regulatory officers, legal counsel, chief operating officers, chief medical officers, physicians, education department staff, board members, directors of health information management, audit staff, and others responsible for compliance with hospital regulations including documentation compliance.

Sue Dill Calloway is president of Patient Safety and Health Care Education Consulting, where she focuses on medical legal education, especially Joint Commission and the CMS hospital CoPs regulatory compliance. She also lectures on legal, risk management and patient safety issues. Previously, Sue was a director for risk management and patient safety for the Doctors Company. She was the VP of legal services at a community hospital and served as the privacy officer and the compliance officer. She was also a medical malpractice defense attorney for 10 years and has three nursing degrees in addition to a law degree.

She is a well-known lecturer and the first in the country to be a certified professional in CMS. She has written 102 books and thousands of articles.

The speaker has no real or perceived conflicts of interest that relate to this presentation.

Tuesday, September 22; 5:00 p.m. MDT

Access instructions and materials will be emailed to the person completing the order prior to the program date. If you do not receive the instructions at least 24 hours in advance, please contact IHA.


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September 29, 2020
8:00 am - 10:00 am MDT
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