This training program will cover requirements in the CMS hospital CoP manual on nursing section. It will discuss proposed changes in the Hospital Improvement Act including plans of care, staffing, policy changes, documentation, supervision, nursing leadership, verbal orders, antibiotic stewardship program and much more.
Did you know that CMS has issued deficiency reports which includes which are the most problematic standards for hospitals? Did you know that nursing services has been cited over 4,740 times according to the most recent report?
This is a must attend program for any clinical nurse or nurse leader or person interested in ensuring compliance with the CMS hospital conditions of participation in nursing.
Recently, there has been increased scrutiny and surveillance to make sure that all hospitals are in compliance with the hospital CoPs. Don’t be caught off guard and put your hospital’s reimbursement at risk. If a surveyor showed up at your door tomorrow, would you be prepared?
This program will also reference other important sections that all nurses should be aware that are found outside the nursing services section such as medication standards, verbal orders, history and physicals, visitation, restraint and seclusion and grievances, discharge planning standards and privacy and confidentiality.
Why Should You Attend:
Did you know there were over eighteen recent memos of importance to nursing in the recent past? Did you know there have been many changes nursing chapter in the past years including three proposed changes in 2019? The proposed changes are in the Hospital Improvement Rule. It will discuss plans of care, staffing, policy changes, when a RN is required in an outpatient department, documentation, supervision, nursing leadership, verbal orders, antibiotic stewardship program requirement and more.Did you know that CMS has issued deficiency reports which includes which are the most problematic standards for hospitals? Did you know that nursing services has been cited over 4,740 times according to the most recent report?
This is a must attend program for any clinical nurse or nurse leader or person interested in ensuring compliance with the CMS hospital conditions of participation in nursing.
Recently, there has been increased scrutiny and surveillance to make sure that all hospitals are in compliance with the hospital CoPs. Don’t be caught off guard and put your hospital’s reimbursement at risk. If a surveyor showed up at your door tomorrow, would you be prepared?
This program will also reference other important sections that all nurses should be aware that are found outside the nursing services section such as medication standards, verbal orders, history and physicals, visitation, restraint and seclusion and grievances, discharge planning standards and privacy and confidentiality.
Learning Objectives:
- Recall that CMS has a section on nursing services that every hospital must follow even if accredited
- Describe that all medications must be administered within three different time frames
- Discuss that nursing care plans are a frequently cited area by CMS and recall a recent change
- Recall that all verbal orders must be signed off and need to include both a date and time
- Recall that there is a focus on safe injection practices by CMS
Areas Covered in the Webinar:
- Introduction into the CMS hospital CoPs
- Where to locate a copy
- CMS deficiency reports and problematic standards
- How to get apprised of changes
- Changes to medication management, IV, blood, and opioid safe use
- Proposed changes under the Hospital Improvement Act
- ISMP IV push guidelines
- Safe injection practices
- Changes related to safe injection practices, compounding, medication preparation, immediate use, and labeling
- Revised CMS Hospital work sheets and importance
- CMS memos of interest
- Rewrote all the discharge planning standards
- Hospital deficiencies
- Reporting to the PI system
- Insulin pens and safe injection practices
- New interpretive guidelines
- Luer misconnections
- Organ Procurement Organization Contracts
- Discharge planning standards
- CMS complaint manual
- Humidity in the OR
- Federal regulation changes
- Final interpretive guidelines and changes
- Most current CMS Manual
- Many recent changes to 9 tag numbers
- Starts at Tag 385 and goes to tag 413
- Nursing Services and 24 hours services
- Third revised worksheet
- RN on duty
- Integrated with hospital wide PI program
- Organizational chart and nursing
- Chief Nursing Officer (CNO) responsibilities
- CNO requirements
- CNO approval of nursing policies
- Staffing and delivery of care
- 24 hour nursing services and supervision
- Valid license for nurses and verification
- RN to evaluate to care of all patients
- Nursing care plans
- Changes to the plan of care
- Agency nurse requirements
- Orientation of agency nurses
- Medication administration
- Order required for all medications
- Standards of care and practice to prevent HAI
- BUD, compounding sterile preparations (CSP)
- Immediate use CSP
- Administration one hour rule
- Safe injection practices
- Standing orders and protocols
- Three medications timing changes
- Protocols, standing orders, order sets
Tag 405 standards moved to 457
- Requirements for complete drug order
- Verbal orders and verbal orders changes
- Blood transfusions and IV medications changes
- Self-administered medications
Who Will Benefit:
- Chief Nursing Officer
- Nurse Managers
- Nurse Supervisors
- Nurse Educator
- HIM staff
- Compliance Officer
- Chief of Medical Staff
- Medical Staff Coordinator
- Risk Manager
- Patient Safety Officer
- Documentation Specialist
- Hospital Legal Counsel
- PI Director
- Joint Commission Coordinator
- Regulatory Officers
- Chief Operating Officer
- Chief Medical Officer
- Physicians
- Education Department Staff
- Board Members
- Director of Health Information Management
- Audit Staff
- Others responsible for compliance with hospital regulations including documentation compliance
Speaker
Sue Dill CallowayCourse Provider
Sue Dill Calloway,
