CMS Hospital Surgery, PACU COP, Anesthesia Guidelines 2022 Webinar

Webinar Details

Speaker

Laura A Dixon

Industry

Healthcare

Speciality

Nursing

Available

All Days

Duration

120 Minutes


Registration Options

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Description

This program will cover the CMS hospital CoP standards for surgery, CMS anesthesia guidelines 2022, CMS H&P requirements 2022, and PACU. Every hospital that accepts Medicare and Medicaid must follow these standards and they must be followed for all patients.

Some of the important CMS memos that impact the provision of care in the OR arena and discuss safe injection practices and infection control breaches with IV medications will be discussed. Guidance from ISMP and CDC will also be provided.

Another topic to be covered is the changes to H&P that went into effect lately.  Some of the changes include the options for hospitals to elect to assess healthy outpatients undergoing surgery or a procedure instead of an H&P.

This program will go over the number of reported CMS deficiencies and types received by hospitals. This has many important issues such as informed consent, CMS H&P requirements 2022, and safe injection practices.

The many standards required by the surgery department and anesthesia will be addressed, including required policies, the current CMS guidelines, interpretive guidelines regarding pre-anesthesia evaluations, post-anesthesia evaluations, and anesthesia services.

Hospitals are required to have many policies including one on specific clinical situations involving anesthesia or analgesia. This includes interpretive guidelines on moderate sedation and deep sedation, including moderate and deep sedation done in other places like the emergency department and GI lab and patients who have ECTs.

The history and physical and informed consent form must be on the chart before surgery except in an emergency. An exception is made for young healthy outpatients if hospitals implement policies and follow the CMS H&P requirements 2022.

Other areas to be covered include required surgical equipment, post-anesthesia assessment, and Joint Commission standards related to surgery, and CMS anesthesia guidelines 2022.

Learning Objectives

  • Recall that there are several policies and procedures required by CMS related to surgery and CMS anesthesia guidelines 2022 services
  • Describe that CMS has a section that addresses PACU requirements
  • Recall that CMS has a list of things that must be included in the OR register
  • Describe what information is required for informed consent and that it should be on the chart before surgery
  • Discuss the 48-hour requirements for the post-anesthesia evaluation of both inpatients and outpatients

Outline

Surgery and PACU

  • CMS manual and website
  • CMS Certification and Survey Memos
    • Humidity in the OR
    • Safe injection practices
    • Infection control breaches memo
    • CMS worksheets with a section on safe injection practices
  • Deficiency reports for Surgery, PACU, and Anesthesia
  • Surgical services chapter
  • Infection control in ORs
  • Equipment, temperature, humidity
  • Supervision in the OR
  • Scrub tech and circulators
  • Surgical privileges
  • Surgery policies required
  • Preventing OR fires and wrong site/side surgeries
  • History and physical 2019 & 2020 changes    
  • Informed consent and what must be included
  • OR register
  • Operative report requirements
  • Surgery equipment required
  • PACU standards
    • Monitoring of patients receiving opioids

Anesthesia

  • Director of Anesthesia Services
  • Anesthesia versus analgesia
  • General, regional, MAC, topical, minimal sedation, moderate sedation
  • Rescue capacity
  • Other locations in a hospital where anesthesia is provided
  • QAPI
  • Director of Anesthesia responsibilities
  • Those who can administer anesthesia
  • Scope of practice for CRNA and Anesthesia Assistants
  • CRNA state exemption
  • Anesthesia Policies required
  • Pre-anesthesia assessment
  • Post-anesthesia evaluations
  • Consent and safety policies required
  • Documentation requirements
  • Intraoperative anesthesia record requirements

Appendix and Resources

Who Should Attend

  • Director of the OR and OR nurses/staff
  • PACU Nurse Manager/PACU nurses
  • Chief of Anesthesia
  • Anesthesiologist
  • CRNAs
  • Anesthesia Assistants
  • Medical Credentialing Staff
  • Patient Safety Officer
  • Risk Manager
  • Chief Nursing Officer (CNO)
  • Chief Medical Officer (CMO)
  • Chief Operating Officer (COO)
  • Chief Executive Officer (CEO)
  • OB Nurses and Nurse Director
  • Joint Commission liaison
  • Quality Improvement Director
  • Regulation and Accreditation Director
  • Nurse Educator
  • PI Director
  • Compliance Officer
Laura A Dixon
Laura A Dixon

(BS, JD, RN, CPHRM)

Laura A. Dixon recently served as the Regional Director of Risk Management and Patient Safety for Kaiser Permanente Colorado where she provided consultation and resources to clinical staff. Prior to joining Kaiser, she served as the Director, of 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 consultation and training to facilities, practitioners, and staff in multiple states. Such services included the creation of presentations on risk management topics, assessment of healthcare facilities; and development of programs and compilation of reference materials that complement physician-oriented products.

Prior to joining COPIC, she served as the Director, of the 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 in the western United States. Ms. Dixon’s legal experience includes medical malpractice insurance defense and representation of nurses before the Colorado Board of Nursing.

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.

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.

Registration Options

Choose Your Options

Error Conference Exists In Wish-list.

Congrats Conference Added In Wish-list.


Need Corporate Discount ?


  • * For more than 6 attendee call us at +1-800-803-7592 or mail us at cs@conferencepanel.com
  • * For Check and ACH payment call us at +1-800-803-7592 or mail us at cs@conferencepanel.com
  • * Click to download the Order Form
Laura A Dixon
Laura A Dixon

(BS, JD, RN, CPHRM)

Laura A. Dixon recently served as the Regional Director of Risk Management and Patient Safety for Kaiser Permanente Colorado where she provided consultation and resources to clinical staff. Prior to joining Kaiser, she served as the Director, of 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 consultation and training to facilities, practitioners, and staff in multiple states. Such services included the creation of presentations on risk management topics, assessment of healthcare facilities; and development of programs and compilation of reference materials that complement physician-oriented products.

Prior to joining COPIC, she served as the Director, of the 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 in the western United States. Ms. Dixon’s legal experience includes medical malpractice insurance defense and representation of nurses before the Colorado Board of Nursing.

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.

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.