OR Manager - February 2019 - 15

Patient safety
Continued from page 13
using the word " competency, " the Joint
Commission wants to see validation of
acquired knowledge.
EP 4: The hospital provides information
to staff and licensed independent
practitioners on available services for
consultation and referral of patients
with complex medical needs. " If a
chronic pain patient with probable addiction
is admitted for surgery, what
consultants are available to assist in
patient management? Do you have
someone in your organization to provide
this assistance? " Rosing asks. " To
score well on a survey, you have to be
able to answer this question, " he says.
EP 5: The hospital identifies opioid
treatment programs that can be used
for outpatient referrals. " Does the physician
do this, does social work do this,
is a booklet provided to the patient for
Sharpen preexisting
opioid
use disorder
assessment
processes.
self-referral? " Rosing asks. " We don't
know yet what option surveyors want
to see, and might not know for some
months, " he says. Often the Joint Commission
will publish a " Frequently Asked
Question " on their website that clarifies
their intent.
EP 6: The hospital facilitates practitioner
and pharmacist access to the
Prescription Drug Monitoring Program
databases. All states now have a database
where known drug-seeking individuals
or addicted individuals are labeled.
Some states make it mandatory to
check this database before giving a patient
an opioid prescription; it's optional
in others, says Rosing. This standard
also asks organizations to facilitate access
to that database with a link or an
icon that can be used to open it quickly.
EP 7: Hospital leadership works
with clinical staff to identify and acquire
equipment needed to monitor patients
who are at high risk for adverse outcomes
from opioid treatment. Rosing
notes that this EP goes back to the
March 2014 Survey and Certification
Letter and asks organizations what they
have done to:
* identify those most at risk before
treatment, such as patients who are
elderly, morbidly obese, have undiagnosed
sleep apnea, are opioid
naïve, or opioid addicted, and those
requiring long surgical procedures
* prescribe guidance on opioid potency
and dosing
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OR Manager - February 2019

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