Does TJC Consider Breast Milk Medication?
During a recent survey conducted in Labor & Delivery, the surveyor wanted them to treat breast milk as a medication. As a result, the nurse …
Q&A
Titration Orders
Titration orders typically involve adjusting the dosage of medication either upward or downward based on the patient’s condition. It is …
What are the Guidelines for Endoscope Processing?
What are the compliance guidelines for endoscope processing? The AAMI ST 91 endoscope processing provisions require reusable buttons and valves …
Self Closing Doors in Psych Units
What are the requirements for self closing doors in psych units? In fact, the requirements differ depending upon the type of room and ligature …
Detecting Signs Of Abuse
How should you go about detecting signs of abuse with infants, children, and non-verbal patients in the ambulatory setting? Speaking with …
USP 797 Compound Medications
The newly published USP 797 guidelines provide clarification on many topics that will help guide proper compliance. But, as you would expect, a few …
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 …
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 …
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 …
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 …