Q&A

Do the Medical Staff (MS) appointments and re-appointments and allied health professionals require documentation in the Medical Executive Committee …

We have a diabetes clinic that has been a part of the hospital outpatient departments.  In the past it was not specifically listed as a site to …

Are consents for Oral Chemotherapy required? We advise consents for infusion medication but is the same process required for oral chemotherapy …

What are the pre-surgical assessment requirements? We have an eye surgeon who wants to do an abbreviated pre-surgical assessment in their office but …

If a PA or NP assists in surgery, can they write the immediate post-op notes? In addition, if they can write it, do the post-op notes have to be …

Is informed consent required for Oral Chemotherapy? We follow that process for infusion medication, but does it apply to oral chemotherapy medication …

Some hospitals require their leadership to take FEMA training but does the Joint Commission require it? Emergency Management Training In short, …

To help with decision making, an outlying emergency department may at times text EKGs to cardiologists at another location. Does TJC and CMS Allow …

If you were cited for a ligature violation, it may not be something you can correct immediately. If that occurs, you may need to request a ligature …

Our Infection Prevention group is reviewing and updating the template they use to ensure we meet all infection prevention regulations. We are looking …