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 …
Lead Infection Preventionist
What Is an Infection Preventionist? An infection preventionist (IP) helps healthcare organizations prevent infections from spreading in their …
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 …
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 …
Medical Staff Appointments
Do the Medical Staff (MS) appointments and re-appointments and allied health professionals require documentation in the Medical Executive Committee …
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 …