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You are here: Home / Archives for Q&A

Q&A

USP 797 PPE Requirements

What Are USP 797 PPE Requirements?

There are a few well documented USP 797 PPE requirements. For example, not reusing disposable PPE, decontaminating and cleaning reusable PPE after use …

Read moreWhat Are USP 797 PPE Requirements?

USP <797> Jewelry and Cosmetics Requirements

On November 1, USP published the new version of USP <797> which will become effective November 1, 2023. Although the new chapter clarifies a …

Read moreUSP <797> Jewelry and Cosmetics Requirements

Telemedicine in Ambulatory Settings

What are the requirements for telemedicine in ambulatory settings? We have an offsite ambulatory location with a telemedicine contract. The Medical …

Read moreTelemedicine in Ambulatory Settings
staff competency validation process

Staff Competency Validation Process

For the competency validation process, what is the The Joint Commission’s view on the staff completing a self-assessment? Is Self-Assessment …

Read moreStaff Competency Validation Process
lead infection preventionist

Lead Infection Preventionist

What Is an Infection Preventionist? An infection preventionist (IP) helps healthcare organizations prevent infections from spreading in their …

Read moreLead Infection Preventionist
first dose of a new medication

Monitoring First Dose of a New Medication

When administering medication, is the nursing staff required to monitor the patients’ response to a first dose of a new medication? Does the …

Read moreMonitoring First Dose of a New Medication
lpn care model

LPN Care Model

Due to staffing shortages, our hospital is considering a care model that includes an increased use of LPNs. What criteria should we use to develop an …

Read moreLPN Care Model
Medical staff documentation criteria

Medical Staff Appointments

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

Read moreMedical Staff Appointments
outpatient department surveys

Outpatient Department Surveys

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 …

Read moreOutpatient Department Surveys
oral chemotherapy

Oral Chemotherapy

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

Read moreOral Chemotherapy
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