Nursing Law 2021 Update

This program will cover hot topics nursing plus problematic standards with CMS (Center for Medicare and Medicaid Services) and the Joint Commission (TJC). CMS issues quarterly listing on all the deficiencies received by hospitals from surveys making it easier to track top problematic standards.

Other topics to be addressed include CMS hospital's regulations on safe opioid use, IV medication, blood transfusions, restraints, compounding, BUD, history and physicals, verbal orders, informed consent, plan of care, the timing of medications, and the post-anesthesia evaluation.

CMS memos on insulin pens, safe injection practices, worksheets, organ procurement organizations, humidity, complaint manual update, deficiency memo, final worksheets, and privacy and confidentiality will be covered. Additionally, interpreters and low health literacy will be discussed to help hospitals comply with CMS and Joint Commission standards and compliance with the OCR Section 1557 on signage, patient rights, nondiscrimination, qualified interpreters, and 2020 changes. It will also discuss the revised hospital discharge planning and hospital improvement rule final changes.

Medication errors are the most common type of medical error. An IOM study found that a hospital patient is subject to one medication error per day. Studies show there is a considerable variation in medication error rates across facilities. Medication management is an important area for both CMS (in the hospital conditions of participation) and the Joint Commission. Infection control is important, and every hospital should have a safe injection practices policy that includes the ISMP IV Push guidelines.

• Describe the CMS memos and how they impact nursing including infection control
• Recall changes to medications including updates to the timing of medication of administration
• Discuss that a physician who signs off a verbal order must also date and time it
• Describe that every hospital should have a safe injection practices policy that follows the CDC guidelines
• Recall the impact of informed consent changes on nursing

• TJC and CMS top problematic standards
• CMS CoP changes
• CMS discharge planning and hospital improvement rule final changes
• A patient advocate or support persons
• Interpreters and low health literacy
• Section 1557 of ACA nondiscrimination, interpreters, signs, patient rights, auxiliary aids for patients
• CMS changes to the timing of medications by nurses
• CMS changes on medication errors, ADE, and drug incompatibility
• Verbal orders CMS and TJC
• Informed consent requirements
• H&P CMS and TJC
• CMS restraint and seclusion
• CMS post-anesthesia evaluation
• MRI guidelines
• Medication error prevention issues
• Infection control, a hot issue
• Standards of practice and guidelines
• Falls programs
• Importance of documentation
• Safe injection practices
• IV medication and safe opioid use
• ISMP IV push guidelines
• CMS compounding and BUD and what staff need to know
• TJC patient-centered care standard on interpreters
• TJC Record of care documentation standards

• Nurses
• Risk Managers
• Patient safety officer
• Chief Operating Officer (COO)
• Chief Nursing Officer (CNO)
• Chief Medical Officer (CMO)
• Emergency Department Manager
• Nurse Managers
• Nursing Supervisors
• OR Nurse Manager
• Compliance Officer
• Joint Commission Coordinator
• Quality Improvement personnel
• Consumer Advocates
• Nurse educator
• Clinic Managers
• Legal Counsel
• Pharmacist
• Anyone interested in nursing, risk management, and patient safety issues