Safe Injection Practices and IV Push Guidelines: Complying With CDC and the CMS Hospital CoPs

Complying With ISMP, CDC and CMS Guidelines on Safe Injection Practices and IV Push

Imagine a CMS surveyor who shows up at the hospital to do a CMS validation survey. The surveyor pulls out the final infection control worksheet which has a section on safe injection practices. Now compliance with safe injection practices will be assessed during all validation surveys, certification surveys, and resurveys. Hospitals have reported surveyors showing up at their doorstep just to go over the three worksheets.

This is especially important in light of a number of cases where patients have died or suffered an adverse event in the past year. CMS has issued many important survey memos related to safe injection practices and infection control. In a memo issued by CMS on this subject, it talked about what are expected by hospitals to do, to be compliant with CDC standards on safe injection practices. CMS issued another survey memo on four unsafe injection practices that can end up with a second knock at the hospital’s door from the state epidemiologist. Many hospitals are currently out of compliance!

Additionally, all hospitals should be in compliance with the 10 requirements of the CDC safe injection practices. Do you know what these ten requirements are and how do you ensure you are in compliance? Does your ED physician wear a mask when doing a LP or your anesthesiologist when they insert an epidural for pain relief? If they make it in a single dose then the hospital needs to purchase it. Do you know what the rules are now for multi-dose vials? Does your staff know these cannot be taken into patient rooms including the OR with exception? Every hospital should have a policy on this. All staff, including physicians, should be trained on this. Staff needs to be educated on the ten CDC standards for safe injection practices and assessment with compliance should be done.

CMS also requires hospitals to follow standards of care such as those issued by the Institute for Safe Medication Practices (ISMP). The policy should be amended to include these standards in addition to education of the staff. Injected medicines are common in healthcare today. Injection safety or safe injection practices are measures taken to perform injections in an optimally safe manner for patients. Many hospitals and other facilities have just taken for granted that, this was being performed appropriately but recent studies show this to be untrue. A physician in Nevada was recently sent to prison for being out of compliance with these standards. State boards have taken away the licenses of nurses and physicians and pharmacists for violating safe injection practices.

Every hospital that accepts Medicare or Medicaid reimbursement should listen to this important program!

This program by expert speaker Sue Dill Calloway, RN MSN JD, will answer all the above questions and provide a detailed guidance on Safe Injection Practices and IV Push Guidelines to help you comply with CDC and the CMS Hospital CoPs. This session will also cover the recent guidelines issued by ISMP on IV push medication for adults.

Session Highlights:

• Review the infection control work sheets: List of items that will be assessed during the on-site survey in order to determine compliance with safe injection practices.
• Identify the 10 CDC standards on safe injection practices that all hospitals should be following.
• Why your ED physician should wear a mask when doing a LP or your anesthesiologist when they insert an epidural for pain relief?
• What are the new rules for single and multi-dose vials?
• How every hospital should have a policy on safe injection practices and how staff needs to be educated?
• The 26-page guideline published by ISMP on IV push medication for adults.
• Why all hospitals and ASCs should have a policy on safe injection practices?
• Why all physicians and staff should be trained?
• Have you reviewed the new pharmacy IGs?
• Your hospital’s policy on safe injection practices.
• Educating your nurses in orientation and safe injection practices.
• Identifying risks for transmitting infections.

Session Agenda:

• CMS Memo on safe injection practices
• CMS memo on 4 infection control breaches
• CDC memo on insulin pens
• CMS revised pharmacy guidelines
• CMS  infection control worksheet section on safe injection practices
• Ten cases MRSA
• Hospital and ASCs infection control violations
• CDC guidelines on safe injection practices
• CDC’s 10 recommendations for safe injection practices
• CDC guidelines for isolation practices
• Nevada ASC violations of safe injection practices
• Reuse of syringes
• CDC resources on safe injection practices
• The federal law on compounding
• OIG report on oversight of hospital pharmacies
• 5 cases: Failure to wear mask when inserting epidural line
• Catheter flushing in oncology clinic and 99 cases HCV
• Nebraska hematology/oncology clinic outbreak irrigating IVs from 500 cc IV bag HCV
• Joint commission standards
• CMS infection control standards
• WHO guidelines for safe injection practices
• Infusion nursing standard of practice
• ASC quality collaborative toolkit
• APIC and other recommendations to include in policy

Who should attend?

• Infection preventionist
• Infection control committee members
• Pharmacists including the director of pharmacy
• All nurses and physicians
• Chief nursing officer
• Chief operating officer
• All nursing supervisors and department directors
• Anesthesiologist and CRNAs
• OR director and OR nurses
• Emergency department physicians and nurses
• Nurse educator
• Joint Commission coordinator
• Performance improvement director and PI staff
• Chief medical officer
• ASC staff
• Compliance officer
• Regulatory compliance director
• Anyone involved with safe injection practices
• Chief medical officer
• Physicians
• Ambulatory clinic directors and staff
• Hospital owned physician office staff
• OR Nurses
• Radiology and clinic professional staff
• All department directors
• Anyone involved in safe injection practices

Ask a question at the Q&A session following the live event and get advice unique to your situation, directly from our expert speaker.

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