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Legal and Risk Management Issues in the ED

July 26, 2016 @ 9:00 am - 11:00 am

| $150

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Overview:
The emergency department (ED) is a high-risk area of liability for the hospital. This seminar will focus on legal and risk management issues that healthcare providers face while caring for patients in this high-risk environment.  It will also discuss how to comply with selected CMS hospital CoP and Joint Commission standards that are problematic for emergency department staff. It includes how the visitation law affects the ED and the CMS anesthesia standards on the use of deep sedation or moderate sedation in the emergency department. The impact of the new CMS worksheets will be discussed along with new changes regarding the use of standing orders in the ED. The issue of alarm fatigue and the impact in the ED including the Joint Commission NPSGs and sentinel event alert.
The Joint Commission standard on patient centered communication will be discussed including the interpreter, low health literacy and collecting race and ethnicity data in the ED.
Medication errors are the most common medical error and the common medication errors that occur in the ED will be discussed and how to avoid them. This program will also discuss the CMS CoP changes which require all ED nurses to have training on blood transfusion and IV medication and what must be included. CMS made changes to medication management and opioid use and this is currently an area where hospitals are still struggling to meet compliance. The importance of discharge instructions will be covered and are important to prevent unnecessary readmissions and returns. The CMS five requirements for discharge instructions will be discussed.
Objectives:
  • Discuss legal and risk management issues in the ED and recommendations including how to reduce the most common medication errors that occur in the ED.
  • Recall the Joint Commission standard to collect race and ethnicity data in the ED
  • Describe the importance of documenting the use of interpreters for patients with limited English proficiency
  • Describe that the visitation law requires the ED to give the patient written information on their rights including information on the hospital’s advance directive policy
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