CAH Hospital CoPs Changes: Nursing, Pharmacy, IV Medications, Safe Opioid Use, and Drugs

Event Information
Product Format
Prerecorded Event
Sue Dill Calloway, RN, MSN, JD
90 minutes
Product Description

Get an Expert Review of CMS’ Rewritten Interpretive Guidelines for Nursing and Pharmacy in Critical Access Hospitals

CMS has recently published a 93 page advanced memo and they have rewritten all of the nursing and pharmacy standards for Critical Access Hospitals. This comprises of a new section on IV medication, safe opioid use, blood, and drugs and biologicals. This change is considered as the biggest in CAH standards since the inception of the program.

CAHs hospitals must comply with the Centers for Medicare & Medicaid Services CoP for Critical Access Hospitals. The CMS regulations and interpretive guidelines serve as the basis for determining compliance. Join Sue Dill Calloway, RN, MSN, JD in this webinar to learn about these new changes; discuss the completely rewritten interpretive guidelines; and to understand how hospitals can ensure compliance.

Objectives of the session:

  • Review of the sections of the manual rewritten in 2015 including nursing, drugs and biologicals, pharmacy, IV medication, and safe opioid use.
  • Discussion on the responsibilities of the pharmacists that cover developing, supervising, and coordinating activities of the pharmacy.
  • Insights on the requirements for CAH to monitor and inspect to ensure that outdated drugs are not available for patient use.
  • Overview of the requirements for security and storage of medications, medication carts and anesthesia carts.

Session Agenda

Drug and Biologicals

Insights on 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, definition of medication error, adverse event, indicator or trigger drugs.


Review of 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monitoring, Pharmacy USP 797 regulations, Emergency medicine kits, Drug storage, Nursing med carts/anesthesia carts, Outdated drugs, Survey of pharmacy, Reporting ADR and medication errors, High alert medication, and more!

Safe Medication

Review of 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, and more!


Review of Nursing care, 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, Blood and blood products, Verbal orders, Verbal order policy, Culture of questioning, Medication passes, and more!

Who Should Attend?

CEOs, COOs, nurse executives, accreditation and regulation director, nurse managers, pharmacists, quality managers, risk managers, healthcare attorneys, nurses, nurse educators, nursing supervisors, patient safety officer, infection preventionist, medication team, infection preventionist, infection control committee members, and compliance officers.


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About Our Speaker

Sue Dill Calloway - Hospital Coding Expert

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. She was the past VP of...   More Info
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