Immediate Post-op Notes
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 …
Informed Consent for Chemotherapy
Is informed consent required for Oral Chemotherapy? We follow that process for infusion medication, but does it apply to oral chemotherapy medication …
Is FEMA Training Required by The Joint Commission?
Some hospitals require their leadership to take FEMA training but does the Joint Commission require it? Emergency Management Training In short, …
Texting EKGs to Cardiologists
To help with decision making, an outlying emergency department may at times text EKGs to cardiologists at another location. Does TJC and CMS Allow …
Ligature Risk Extension Request
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 …
Infection Prevention and Control Plan
Our Infection Prevention group is reviewing and updating the template they use to ensure we meet all infection prevention regulations. We are looking …
Can You Have Brushes in Prep and Pack Areas?
We use brushes to inspect lumened instruments. I was told by a surveyor that you cannot have brushes in prep and pack areas of central …
What Are The Medical Governing Board Responsibilities?
For approving medical staff privileges for a Governing Board Chairperson, Vice Chair, Secretary, appointment of the CEO, etc. are there defined …
What Is An EMTALA Form?
The Emergency Medical Treatment and Labor Act (EMTALA) governs how patients are transferred from one hospital to another. When a patient requests a …
What Are Consent To Treat Signatures?
Consent to treat signatures provide written acknowledgement by the patient or representative that the informed consent process occurred. How Often …