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 5-0023-12-25-018 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.

Radiology

• Radiology services
• Radiology staff
• Scope of radiology services
• Required radiology policies

Lab Services

• Meet CLIA standards
• Scope of services

Surgical Services

• Surgery policies required
• History and physical
• 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
• State Exemption of CRNAs

Organ, Tissue, and Eye Procurement

• Requirement for policies and procedures
• Need for an agreement with OPO, and/or Eye and tissue bank
• Definition of imminent death
• Tissue and eye bank
• Family notification
• Staff training

Appendix and Resources