RTN1308_B3_Tracer @ MM.03.01.01/MM.01.02.01 (Storage/LASA)

Posted August 8th, 2013 | Comments (0)

TS: -  Tracer Methodology 101: Medication Management Tracer in an Urgent Care Facility[®] [REF: MD, P&T, Phrm, RN] The Source, August 2013, Vol 11, #8, Pg 10 #JCs1308_b3

Although the stated focus is on Urgent Care, standards MM.03.01.01 (medication storage) and MM.01.02.01 (look-alike/sound-alike meds) referenced in the article are applicable to hospitals as well.  As such, the described scenario; 10 sample questions and included Mock Tracer Tracking Worksheet are relevant and worth reviewing.  Key take-home Point: Do not store LA/SA medications alphabetically as it may place them too close together.
Tip: Collect this and other Mock Tracer Tracking Worksheets as handy guides for  the staff who perform your mock surveyors.  All medication nurses should be able to answer the sample questions.
Tip: If you are expecting survey, use the 10 questions as practice issues for the Medication Management Interview. 

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RTN1308_B4_CJCP @ IM Standards

Posted August 8th, 2013 | Comments (0)

TS: -  CJCP™: Certified Joint Commission Professional: Focus on Information Management[®]  [Pearl: CJCP, IM, JCSC, MD] The Source, August 2013, Vol 11, #8, Pg 7 #JCs1308_b4

This month’s column only provides 3 sample questions.  As the title indicates, they primarily relate to IM standards, but they address issues physicians should know.
Tip: Encourage professional staff and key departments to incorporate a ‘Question(s) of the Month’ game-like challenge into their staff meetings.  For example, this month’s Question 3 is a little tricky and would be a great one for Medical Staff.  

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RTN1308_B5_Organ Procurement Agreements

Posted August 8th, 2013 | Comments (0)

CMS: - Organ Procurement Organizations (OPO) Agreements with Hospitals[®] [REF: CMS, JCSC, MD] S&C: 13-48-OPO, July 26 2013 #CMS1308_b5

As Per CMS Memorandum Summary:

• “OPO Hospital Agreements: Hospital regulations at 42CFR 482.45 (a)(1) require that all hospitals have written agreements in place with their OPO to notify them of an imminent death or of a death which has occurred.”
• “OPO Agreements with Hospitals That Do Not Have a Ventilator and Operating Room: While OPOs are not required to initiate agreements with hospitals that do not have a ventilator and an operating room, they are required at §486.303 (g) to enter into an agreement with any hospital that requests an agreement with them pursuant to the hospital regulations. However, for hospitals that do not have a ventilator and operating room, the agreement may be limited to notification of the OPO by the hospital of imminent death and/or death which has occurred in the facility. “

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