CMS Medication Administration and Management: IV Medication, Blood Administration and Safe Opioid Use-CMS Medication Administration and Management: IV Medication, Blood Administration and Safe Opioid Use (W4031) Recording

Video Transcription

Video Summary

Ms. Laura Dixon, our speaker, brings a wealth of experience in risk management and patient safety from her roles at Kaiser Permanente and COPIC, along with over 20 years of clinical experience. Today, she addresses medication administration and blood, focusing on nursing and some pharmacy components. The Centers for Medicare & Medicaid Services (CMS) and the Joint Commission prioritize these areas due to the potential for patient injury, emphasizing sterile preparation and adherence to regulations.<br /><br />Laura underscores that her information is for educational purposes and not legal advice. Facilities must develop policies compliant with state laws, which vary in allowing personnel like LPNs to administer certain IV medications. The aim is to avoid deficiencies and corrective plans from CMS inspections, which can jeopardize Medicare and Medicaid agreements.<br /><br />The session covers various facets of medication management, including ordering, preparation, administration, and monitoring. It highlights the importance of following the "five rights" (right patient, medication, dose, route, and time) for safe administration. Laura stresses the necessity of a supportive culture where nursing staff feel safe to question orders.<br /><br />Timing protocols for medication administration are discussed, with time-critical and non-time-critical classifications influencing when meds should be given. Policies should define specific times and procedures for late or missed doses.<br /><br />The session also delves into blood administration, requiring policies for patient identification, sterile practices, monitoring, and venipuncture competency. Documentation after medication administration is crucial, as pre-documentation is improper.<br /><br />Laura emphasizes the importance of continuous education for staff on opioid administration and patient safety to mitigate risks like respiratory depression. Lastly, she provides extensive resources for further reading and underscores the collaborative effort required between medical, nursing, and pharmacy staff in ensuring patient safety.

Keywords

Laura Dixon

risk management

patient safety

Kaiser Permanente

COPIC

medication administration

blood administration

nursing

pharmacy

CMS

Joint Commission

five rights

opioid administration

patient safety education