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Recorded Webinar
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Description
At the conclusion of part two, participants should be able to:
- Explain the responsibilities of the pharmacists that include developing, supervising, and coordinating activities of the pharmacy.
- Describe the requirements for CAH to monitor and inspect to ensure that outdated drugs are not available for patient use.
- Recall the requirements for security and storage of medications, medication carts, and anesthesia carts,
- Discuss the requirement to have a list of do not use abbreviations and a review of sound-alike/look-alike drugs.
Speaker
Sue Dill Calloway, RN, MSN, JD, is the president of Patient Safety and Healthcare Consulting and Education company with a focus 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. She was a director for risk... Read more
Agenda
- Physical Plant and Environment
- Disposal of trash
- Storage of drugs
- Physical environment
- Construction and equipment
- Maintenance
- Emergency Procedures-moved to new appendix Z
- Life Safety from Fire
- LSC waivers
- Fire inspections
- Board section
- Staffing
- Physician responsibilities
- Physician supervision
- Transfer of patient
- Patient admissions
- Patient care policies
- Medical management
Regulations and Interpretive Guidelines for CAHs
- Direct Services
- Services Provided through Agreements or Arrangements
- Drug and biologicals
- Security of medication, qualifications of pharmacy director, proper environmental conditions, P&P to monitor all carts, compounding, blue box advisories, Drug Quality and Security Act, standards of care, dispensing medications, list of high alert medications, labeling, the definition of a medication error, adverse event, indicator or trigger drugs
Pharmacy
- Inspections/staff interviews
- Dispensing of drugs
- Pharmacist responsibilities
- Staffing in pharmacy
- Pharmacy policies and procedures
- Medication therapy monitoring
- Pharmacy USP 797 regulations
- Emergency medicine kits
- Drug storage
- Nursing med carts/anesthesia carts
- Outdated drugs
- Survey of pharmacy
- Reporting ADR and medication errors
- Near misses/good catches
- High alert medication
- Definition of medication error required
- Trigger/indicator drugs
- Monitoring medication errors
- Medication alerts
- Standard of care for medications
- Websites and additional resources
- Required pharmacy P&P
- Do not use abbreviations
- Sound-alike/look-alike drugs
- Non-punitive policies
Dietary and Nutrition Services
- Final change
- Dietary policies
- C&P to order diet
- Meeting patient needs, diet order, follow recognized dietary practices
- Dietary compliance
- Qualified dietician
- Dietary support staff
- Assessment of patients and order