Critical Access Hospitals (CAHs) must comply with the Centers for Medicare & Medicaid Services’ Conditions of Participation located in Appendix W in the manual. This nine-part webinar series will cover the CAH CoP manual.  Included is a 2-hour program on Patient Rights – one of the most cited segments of the Manual. The CAH Manual does not include a specific section on Patient Rights as does the Acute manual; but hospitals must provide a safe environment for patients and method to ensure all patient rights are met.

This series will help CAHs comply with specific CoP problem areas, such as nursing care plans, necessary policies and procedures, medication administration and drug storage, and informed consent to name a few.

Continuing Education
The Kentucky Hospital Research and Education Foundation is an approved Kentucky Board of Nursing continuing education provider. This offering number 5-0023-12-25-016 is approved for 1.2 contact hours. Participants must attend the entire session, complete the post-session evaluation, and provide nursing license number in order to receive contact hours and be awarded a certificate. No partial credit will be given. The Kentucky Board of Nursing approval does not constitute endorsement of program content.

Pharmacy/ Drugs and Biologicals

• Pharmacy policies and procedures
• Responsibility for pharmacy services
• Staffing in pharmacy
• Storage and environmental conditions
• Security of biologicals
• Handling of biologicals
• Compounding and pharmacy responsibilities
• Dispensing drugs/biologicals
• Labeling and scheduled medications
• Reporting ADR and medication errors
• Inspections/staff interviews
• Survey of pharmacy
• High alert medication
• ISMP IV Push Guidelines

Infection Prevention & Control and Antibiotic Stewardship

• Infection prevention and control and antibiotic stewardship requirements
• Infection preventionist role
• Infection program essentials
• Healthcare associated infections
• Program’s scope and complexity
• Antibiotic Stewardship program
• ASP leadership duties
• Facility Wide program
• Documentation
• Role of leadership
• Preventionist’s responsibilities
• ASP leadership duties and responsibilities
• CDC Core elements

Appendix and Resources