CMS Nursing Standards Update for Critical Care Nurses: May 20

Updated on April 4, 2014

Time of Program: 1:15 PM EDT – 2:45 PM EDT
Faculty: Sue Calloway RN, MSN, JD

Learning Objectives:

On successful completion of this activity, the participant should be able to:

  • Discuss the CMS critical care nursing services with a focus on the most recent changes.
  • Outline the most problematic standards for hospitals
  • Examine other standards outside the nursing services such as verbal orders, medication standards, restraints and seclusions
  • Identify strategies to stay compliant

Did you know there were eleven recent memos of importance to nurses, including critical care nurses in the past year? Did you know there are new changes to nine of the tag numbers in the nursing service chapter in the past year? Did you know that CMS has issued deficiency reports which includes which are the most problematic standards for hospitals which include the nursing section?

The many changes to this section include timing of medications, standing orders, soft wrist restraints and restraint reporting, plan of care, verbal orders, blood transfusions, IV medication, third revised worksheet, and drug orders. There were many changes to the final interpretive guidelines that went into effect June 7, 2013. They address self administration of medication, standing orders, care plans, and more.

The nursing services section in the hospital CoP manual will also be included. Facilities accredited by the Joint Commission, American Osteopathic Association, CIHQ, and DNV Healthcare must also follow these regulations.

This program will also reference other important sections that all nurses should be aware that are found outside the nursing services section such as medication standards, verbal orders, history and physicals, visitation, restraint and seclusion and grievances, discharge planning standards and privacy and confidentiality. CMS issued the privacy and confidentiality memo, safe injection practices memo, humidity memo, and insulin pen memo. CMS also requires hospitals to follow standards of care and standards of practice. So the standards, practice alerts, and evidence based recommendations of organization such as the American Association of Critical Care Nurses are important.

Recently, there has been increased scrutiny and surveillance to make sure that all hospitals are in compliance with the hospital CoPs. Don’t be caught off guard and put your hospital’s reimbursement at risk.

Investment for Amerinet members is $139.00 per connection. Investment for non-members is $189.00 per connection.

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