"When medications look and sound alike, we can avoid problems by ordering one medication under a different brand, such as ordering adrenaline instead of epinephrine, or by using tall man letters (which elongate the letters that are different in the spellings of the words) to highlight differences in the names," she says. Burden "For example, although a circulating nurse may carry out the time out, it does not ensure that everyone will pay close attention. "The physicians let us know if there were any complications and then we use that information to identify trends and take corrective measures, if necessary," says Ms. Brickey. For specific questions please contact SCGEmergencyPrep@cms.hhs.gov. 426 0 obj <>stream 4. Your Disaster Plan should be shared with local emergency preparedness and government agencies to assure your local first responders are aware of your plans. Training. Browse and order AAAHC tools and publications. "For example, if your center has booked a right-side surgery but the patient swears it's for the left, the patient consent process can detect and solve the disagreement," she says. endstream endobj startxref Primary Care Adult Depression; Surgical/Procedural. "You and your staff should investigate it fully and create proactive measures to lessen the chances of that incident happening again."2. 0 This is an Emergency Operation Plan (EOP) template. hT0Pw/+Q0L)640)XTb;; 1 , Additional resources are available through CDCs Clinician Outreach and Communication Activity (COCA) program. IAhi'q[cq+rGNVz&z]D?nbWUm|$$` Qq8vC\(5FXz{Xdo Nursing staff should evaluate each patient by phone or in person, checking for any indications that the patient might not be suited for an outpatient facility and report this information to the physician. The presentation also includes timelines for compliance, some additional FAQs and an overview of the CMS Emergency Preparedness website. "Labeling is a big issue," Ms. Website users acknowledge The Joint Commission may not be the primary source of the content. "The problem area in this process is getting the full attention of everyone in the room," says Ms. Patient Safety Primer: Medication Errors. The plan must do the following: (1) Be based on and include a documented, facility-based and community-based risk assessment, utilizing an all-hazards approach. This can include a description of the disaster drill schedules; fire drill plans and policies; quality assurance meetings that review the facilities functions; education relevant to disaster awareness such as OSHA training; security precautions; CPR classes; emergency back-up equipment in the building and how it is tested; availability of shelter-in-place plans; and the equipment needed to secure the building. (2) Include strategies for addressing emergency events identified . b?W/DqF/ueCd-J"8j4Z=\(SKp=9&5f+Kqo$ VaX,-={I1#G6wtmMu`| Here are links to stories which provide 10 different sample policies, procedures, tools and resources you can adapt for use in your surgery center. This process, often referred to as the Joint Commission's Universal Protocol, should occur before all procedures, and the members of the surgical team should work to make certain that these protocols are observed by all members of the team. There are several other advantages to ambulatory care facilities, including: 1. Obtain useful information in regards to patient safety, suicide prevention, infection control and many more. Ask your staff members this question: What occurrences would make working a severe hardship and potentially impact the care we provide? You might be surprised to hear some of them refer to the loss of phone service or medical records access as a disaster! Ambulatory Health Care: 2023 National Patient Safety Goals; . Learn about the development and implementation of standardized performance measures. Emergency preparedness plans and drills. One of the things ASC directors should keep in mind while putting new emergency preparedness regulatory compliance on their to-do lists is that this advance work can prove to be a figurative and literal lifesaver in the event of an actual disaster. When creating or evaluating your practice's plan for responding to unexpected medical crises, consider the following: 1. 1237 0 obj <> endobj Proactive actions and retroactive reporting. CT\_GT@:I VI>A#8FeFY"(Bh8 Plan Emergency Operations Plan . website belongs to an official government organization in the United States. 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"These drills should include debriefings so that your staff can learn from them, making this component just as important as the drill. ment tool, was used to assess, plan, and implement the emergency response pro-gram. Emergency preparedness plans and drills. or This final rule established national emergency preparedness requirements for all 17 Medicare and Medicaid provider and supplier types. There are web-based training courses that come out roughly every week, as well as a comprehensive course catalog that combines all FEMA emergency preparedness resources in one place. These steps should be incorporated in the policies and procedures. %%EOF Patient Safety and the Just Culture . Why does this matter? ASCs need to have an emergency preparedness plan for various types of emergencies in place, including fire or other evacuations, cardiac arrest and malignant hyperthermia, and the facility must perform drills of these plans on a regular basis. W00$DGKG`GCG* a` Get unlimited access to our full publication and article library. Toolkits are tailored for primary care, surgical/procedural, or universal patient care settings and address a range of vital topics, covering areas of high deficiency, AAAHC Standards, and best practices. Thoughtful planning and careful consideration must be used to develop a sound plan to cover 1 0 obj<> endobj 2 0 obj<>/Font<>/ProcSet[/PDF/Text]/ExtGState<>>> endobj 3 0 obj<>stream It may be used as a reference by other facilities to help develop their plans. By closing this banner, scrolling this page, clicking a link or otherwise continuing to use this site, you are giving us your consent to do this. If something happens, send out email blasts to staff and patients. Through leading practices, unmatched knowledge and expertise, we help organizations across the continuum of care lead the way to zero harm. However, the Burden warns that staff members need to be particularly careful when pulling medications that have similar names, such as epinephrine and ephedrine. What is a huddle? An ASC could designate a communication captain who makes sure they put lines of communication in place and keep them open, Howell recommends. Ambulatory Surgery Center (FCSC), Grand Valley Primary Care (GVPC), Grand Valley Urgent Care (GVUC), Colorado Mesa University Student Health Center (CMUSC), . endstream endobj startxref management plan, and guidance on plan format for ambulatory surgery centers in Florida. "You must have a process in place for the proper evaluation of patients," says Ms. Brickey. Copyright © 2023 Becker's Healthcare. At a different ASC where Ms. The ASC must develop and maintain an emergency preparedness plan that must be reviewed, and updated at least annually. Facilities are also required to maintain a training and testing program. This describes integrated planning to prepare for a wide range of man-made and natural emergencies, focusing on those most likely to occur for the specific provider/supplier location. So what does it take to create a plan that meets your facilitys needs and helps you to achieve accreditation standards? For Hospitals (HAP), Critical Access Hospitals (CAH), and Home Care (OME), those programs will follow the new EM chapter standards and elements of performance that begin with EM.09.01.01-EM.17.01.01. The emergency management chapter standards and elements of performance are intended to help organizations prepare for all-hazard emergencies. Interested in Group Sales? Copyright 2023 Becker's Healthcare. Ambulatory Surgery and Obstructive Sleep Apnea This field is for validation purposes and should be left unchanged. For instance, they can purchase a NOAA All-Hazards/Weather radio and store it in a place where its easy to hear when theres an alert, McCluskey suggests. trials, alternative billing arrangements or group and site discounts please call The Centers for Disease Control and Prevention (CDC) provide a number of training and educational resources. AAAHC also requires organizations to evaluate their disaster drills and identify what worked and did not work, modifying and implementing changes accordingly. If an organization is unable to conduct its own mock disaster drill, then it can hold a tabletop drill in which there is a discussion among staff about what to do during a particular disaster. Waiting Room 2. A variety of survey tools is available to identify potential gaps The Emergency Management (EM) portal provides valuable sources of information from The Joint Commission enterprise as well as other organizations related to the topics of emergency management, preparedness, response, recovery, and mitigation. Assistance creating a good pandemic plan is available from the CDC at http://emergency.cdc.gov/planning/. This includes personalizing content and advertising. CMS requires facilities to use an all-hazards approach to emergency plan development. For instance, ASCs should have some type of situational awareness for advance warning. Mandated preoperative time outs. "It is the responsibility of the physician to discuss and obtain the patient's informed consent, but the paperwork of signing it often occurs in the center and is an opportunity to discern any confusion or disagreement," Ms. "If you have an incident, such as a fall, you need to go the next step after reporting it and learn from it," she says. All rights reserved. Putting a business back together and dealing with the psychological impact of severe disasters requires planning and compassion for the effect that a disaster may have on staff and the business clients served. "If a physician tries to move forward without a time out, the center's staff will stop him or her and work as a team to make sure that the proper procedure is followed." Burden says. Training staff should begin in-house, followed by drills to test the facilitys response, Wei says. 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