JCAHO and CMS have issued a new ruling that texting of medical orders from a personal mobile device (such as a smartphone) is no longer permitted, whether or not the texting service claims to be secure. The preferred method is to enter orders directly into the Electronic Health Record. Written order are still permitted, as are verbal orders when neither EHR nor written orders are feasible.
This is the headline article in the June 2017 issue of Network 16 News. This issue also contains:
An article on “Are you State Survey Ready?” that provides advice on avoiding Condition Level citations.
A note about possible confusion between HBsAg and HBeAg that can cause a facility to miss a Hepatitis B infection.
CMS has published new Survey & Certification guidelines on:
Cleaning the ESRD station between patients: CDC recommends that a dialysis station, in order to prevent cross contamination, be completely vacated by the previous patient before the ESRD staff may begin cleaning and disinfection of the station and set up for the next patient.
Precaution: CMS reiterates that patients should not be moved from the dialysis station until they are clinically stable.
CMS has issued new Survey & Certification guidelines on:
Preparation of Medications: ESRD facilities must follow aseptic technique when preparing and administering intravenous medications; including the filling of syringes with sterile saline for use during the dialysis procedure.
Filling Saline Syringes at the Station: Pursuant to current recommendations from the Centers for Disease Control (CDC), ESRD facilities may not fill syringes with saline from the single dose saline bag or IV tubing connected to the patient at the dialysis station. To comply with recommended safe injection practices, the facility may acquire pre-filled syringes or may prepare saline syringes for an individual patient in a clean area away from the patient treatment area.
CMS will hold an Emergency Preparedness Requirements Final Rule Training Call April 27, 2017 to discuss the implementation of the new emergency preparedness requirements, including an overview of the regulation, and training and testing requirements. Facilities must be in compliance with the new rule by November 15, 2017. A question and answer session will follow the presentation. Providers and suppliers affected by the final rule; state survey agencies; health care coalitions, and state emergency preparedness officials are encouraged to attend. For details and registration see https://blh.ier.intercall.com/details/3fffe92ff39341f4935586d18895c3d3 .