Objectives - 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• Describe the requirements for CAH to monitor and inspect to ensure that outdated drugs are not available for patient use.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,
• Recall the requirements for nursing services and order sets, and protocols.
• Discuss the requirement to have a list of do not use abbreviations and a review of sound alike/look alike drugs.

 Provision of Services

• Patient care policies
• Review of and required policies
• 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, definition of medication error, adverse event, indicator or trigger drugs

Nursing

• Nursing care
• Observation of med passes/nursing care
• Nursing care plans
• RN - required and supervision
• Drugs and IVs
• Medication administration
• Timing of medications
• Safe opioid use
• IVs and Blood
• Verbal and Standing orders
• Self-medication administration

Pharmacy

• Inspections/staff interviews
• Dispensing of drugs
• Pharmacist responsibilities
• Staffing
• Pharmacy policies and procedures
• Medication therapy monitoring
• Emergency medicine kits
• Drug storage and maintenance
• Nursing med carts/anesthesia carts
• Survey of pharmacy
• Reporting ADR and medication errors
• High alert medication
• Definition of medication error required
• Trigger/indicator drugs
• Medication alerts
• Do not use abbreviations
• Sound alike/look alike drugs

Dietary and Nutrition Services

• Dietary policies
• Credentialing and Privileging of Dietician
• Meeting patient needs, diet order, follow recognized dietary practices
• Dietary support staff
• Assessment of patients and order

Surgical Services

• Surgery policies required
• Informed consent
• PACU
• OR register
• Operative report
• Surveyor in the OR
• Surgical privileges
• Designation of Qualified Practitioners

Anesthesia services

• Anesthetic Risk and Evaluation
• Administration of Anesthesia
• Pre-anesthesia evaluation
• Post-anesthesia evaluation
• Discharge
• PI required
• Healthcare-associated infections
• State Exemption of CRNAs
• Periodic Evaluation

Who Should Attend?

CEOs, COOs, CFOs, nurse executives, accreditation and regulation director, nurse managers, pharmacists, quality managers, risk managers, healthcare attorneys, health information management personnel, social workers, dieticians, health information management,  nurses, nurse educators, nursing supervisors, patient safety officer, infection preventionist, radiology director, laboratory director, emergency department directors, outpatient director, medication team, ethicist, director of Rehab (OT, PT, speech pathology, and audiology), OR supervisor, OR staff, CRNA,  anesthesia providers,  dietician, radiology staff, director of health information management, infection preventionist, dietician, activities director of swing bed patients, infection control committee members, pharmacists, and compliance officers.

Laura A. Dixon served as the Director, Facility Patient Safety and Risk Management and Operations for COPIC from 2014 to 2020.  In her role, Ms. Dixon provided patient safety and risk management consultation and training to facilities, practitioners, and staff in multiple states.  Such services included creation of and presentations on risk management topics, assessment of healthcare facilities; and development of programs and compilation of reference materials that complement physician-oriented products.

Ms. Dixon has more than twenty years of clinical experience in acute care facilities, including critical care, coronary care, peri-operative services, and pain management.  Prior to joining COPIC, she served as the Director, Western Region, Patient Safety and Risk Management for The Doctors Company, Napa, California.  In this capacity, she provided patient safety and risk management consultation to the physicians and staff for the western United States.

As a registered nurse and attorney, Laura holds a Bachelor of Science degree from Regis University of Denver, a Doctor of Jurisprudence degree from Drake University College of Law, Des Moines, Iowa, and a Registered Nurse Diploma from Saint Luke’s School Professional Nursing, Cedar Rapids, Iowa.  She is licensed to practice law in Colorado and California.