Part 3 of 4 Infection Control, Safe Medication, Lab, Patient Services, Outpatient, Nursing and Discharge Planning

Objectives:-

• Recall that the infection preventionist must be appointed by the board
• Recall that CMS has an infection control worksheet that may be helpful to CAHs
• Discuss that insulin pens can only be used on one patient
• Describe that an order is needed to allow the patient to self administer medications
• Explain that there are three-time frames in which to administer medications
• Discuss that CMS requires that a plan of care be done

Agenda:-

Infection control

• Final changes to infection control
  • Antibiotic stewardship requirements
• Infection control worksheet
• CDC and FDA health update
• Investigating and controlling infections
• Following national recognized standards and guidelines
• Healthcare-associated infections
• Four challenges in infection control; MDRO, ambulatory care, communicable diseases, and bioterrorism
• Infection control websites
• Infection control orientation new employees
• Surveillance, sanitary environment, and mitigation of risks
• Role of leaders in infection control
• Infection control officer

Safe Medication

• Preparation and administration
• 10 CDC Safe Injection Practices
• CMS IC worksheet and safe injections
• Single and multi-dose vials
• Fingerstick devices, scopes, glucometers, insulin pens

Patient Services

• Diagnostic and therapeutic services
• Supplies           

Outpatient Services

• Outpatient department
• Outpatient director
• Final changes
• Board and MS action

Lab

Nursing

• Nursing care
• Final changes
• Observation of med passes/nursing care
• Changes in observation guidelines
• Nursing care plans
• RN for each patient
• RN supervising care
• Drugs and IVs
• Timing of medications
• High alert drugs
• Safe opioid use
• Sedation scales
• IV medications
• Blood and blood products
• Verbal orders
• Verbal order policy
• Culture of questioning
• Medication passes
• Nursing care plan