2019 - Nursing: CMS CoP Standards for Hospitals and Proposed Changes: 2019 Update

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