TJC
Medication Storage
CMS Surveys
Vaccines and Immunizations
Fentanyl
100
What does TJC stand for?
The Joint Commission
100
Who is responsible for the proper storage of medications requiring refrigeration?
Department of Pharmacy
100
What does CMS stand for?
Centers for Medicare and Medicaid Services
100
What should the expiration date be for an open multi-dose vial of vaccine?
If stored properly, the expiration date on the bottle.
100
What areas of the body can fentanyl patches be placed on?
chest, back, flank, or upper arm
200
How often does TJC come for a survey?
Every 3 years
200
How often should we check the "Discontinued" bins for medications to return to the pharmacy?
Daily
200
Is CMS a state or federal survey?
Federal
200
When is the pneumococcal immunization season?
Every day
200
What are contraindications to the use of fentanyl patches?
Contraindicated in patients who are not opioid-tolerant, in the management of acute or postoperative pain (including use in outpatient surgeries), and in the management of mild or intermittent pain
300
What happens if an institute does not pass a TJC survey?
Lose accreditation
300
This medication storage system remotely signals the pharmacy when the temperature is out of range.
What is Pyxis?
300
These standards MUST be met in order to pass a CMS survey?
What are CoP (Conditions of Participation)
300
These are placed in the vaccine fridges to help control variations in temperature
What are water bottles
300
Name three signs or symptoms of an opioid overdose?
Hiccups, respiratory depression, loss of consciousness, altered mental status, cold clammy skin, etc.
400
TJC standards overlap standards from what other agency?
CMS
400
Temperature logs are recorded twice daily on this online site.
What is Simplifi 797?
400
What happens if an institute does not pass the CMS survey? (negative outcome)
Reduced reimbursement
400
What 3 things do we document when monitoring VFC vaccine temperatures?
Current temperature, Min, Max Record twice daily
400
What strengths do fentanyl patches come in?
12 MCG/HR, 25 MCG/HR, 50 MCG/HR, 75 MCG/HR, 100 MCG/HR
500
This method of surveying follows a patient through his entire stay to observe how different areas of the hospital work together to provide care
What is the Tracer Methodology
500
What two things MUST be done when a medication fridge/freezer is out of range?
1. Contact Plant Ops/Pharmacist 2. Relocate medications to working fridge/freezer
500
This form is issued at the end of a survey as a statement of deficiences
What is CMS 2567
500
When is the best time of day to clear the temp record and why?
At the end of the day (late evening), so we know if the temperature went out of range over night
500
What is the form number of the preprinted fentanyl order sheet?
What is #269