Critical Access Hospital CoPs 2020 Part 2 of 4 Part Webinar Series

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Describe the requirements for CAH to monitor and inspect to ensure that outdated drugs are not available for patient use.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.

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Outdated drugs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

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Sue Dill Calloway

RN, MSN, JD

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 management and patient safety for five years for the Doctors Company. Sue Dill Calloway was the past VP of legal services at a community hospital in addition to being the privacy officer and the compliance officer. She was a medical malpractice defense attorney for ten years. She has 3 nursing degrees in addition to a law degree.

Sue Dill Calloway is a well-known lecturer and the first one in the country to be a certified professional in CMS. She also teaches the course for the CMS certification program. She has written 102 books and thousands of articles.

Pharmacy, Dietary, Maintenance, Board, ED, and Policies

Sue Dill Calloway