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Thursday 6:42 CST, April 28, 2016

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Standards FAQ

Testing Requirements - Business Occupancy / Lease Facility

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What are the fire safety system testing requirements in business and leased facilities?

Related Items: ec.02.03.05

04/11/2016
Standards FAQ

Fire Drill - Transmission of Fire Alarm "After Hours"

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What is the requirement for fire signal transmissions during fire drills?

Related Items: ls.02.01.70 , ec.02.03.01

04/11/2016
Standards FAQ

CMS Categorical Waivers - Water Flow Alarms

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When is the CMS Categorical Waiver 13-58-LSC applicable to vane/pressure switch-type water flow alarms?

Related Items: ec.02.03.05

04/11/2016
Standards FAQ

Focused Professional Practice Evaluation (FPPE) - Peer Review

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Is this really just the process that was historically called Peer Review?

04/11/2016
Standards FAQ

CMS Categorical Waivers - Fire Pumps

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When is the CMS Categorical Waiver 13-58-LSC applicable to electric motor driven fire pumps?

Related Items: ec.02.03.05

04/11/2016
Standards FAQ

Credentialing - Expedited MEC Function

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As part of the expedited credentialing process, can the responsibilities of the  Medical Executive Committee (MEC) be delegated to the chairman of the committee?

04/11/2016
Standards FAQ

History and Physical - Outpatient Procedures

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Do patients receiving non-inpatient services such as outpatient surgery, therapy services, laboratory and x-ray service require a history and physical?    

04/11/2016
Standards FAQ

Medication Security - Anesthesia Cart

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Can an anesthesia cart containing medication be left unlocked in an OR suite between cases?  

04/11/2016
Standards FAQ

Privileging - Organ Procurement Team

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Is a health care organization required to perform credentials review and grant clinical privileges to members of transport teams and donor surgical teams for clinical intervention provided in the health care organization?  

04/11/2016
Standards FAQ

Medication - Monitoring Patient Response

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How do we monitor patient response to a newly added medication before we make it available for dispensing or ordering?

04/11/2016
Standards FAQ

Medication - Licensed Independent Practitioner Controlled - Pharmacy Review

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  When medications are administered under Licensed Independent Practitioner (LIP) control, must there be a retrospective Pharmacy review when the Pharmacy is open?  

04/11/2016
Standards FAQ

Multi-dose Vials - Definition1

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What types of vials are considered to be "multi-dose?"

04/11/2016
Standards FAQ

Medical Equipment - Initial Check

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What is the requirement for safety, operational and functional checks to be performed on equipment?

Related Items: ec.02.04.03

04/11/2016
Standards FAQ

Multi-dose Vials - Punctured or Opened Discard Date1

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When do multi-dose vials that have been punctured or opened need to be discarded?

04/11/2016
Standards FAQ

Medical Equipment - High-Risk Equipment

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What is the requirement for high-risk medical equipment to have emergency power required?

Related Items: life-support , ec.02.04.03

04/11/2016
Standards FAQ

NFPA 99 - Edition Adoption Date

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What is the requirement for retroactive compliance with NFPA 99-1999?

Related Items: ec.02.05.01

04/11/2016
Standards FAQ

Minimizing Waterborne Pathogens - Ice Machines

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What are the requirements for ice machines in health care settings?

Related Items: ec.02.05.01

04/11/2016
Standards FAQ

Emergency Generator - Fuel Capacity

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How is the minimum required on-site fuel supply calculated?

Related Items: ec.02.05.01

04/11/2016
Standards FAQ

Emergency Power Systems - Types

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What is the distinction between emergency generators and stored emergency power supply systems (SEPSS) and when is one used versus the other?

Related Items: ec.02.05.07

04/11/2016
Standards FAQ

Multi-Dose Vials - Definition

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What types of vials are considered to be “multi-dose?'

04/11/2016
Standards FAQ

Sample Medications - Applicability of Standards

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What issues must our organization consider relating to sample medications?

04/11/2016
Standards FAQ

Multi-Dose Vials - Punctured or Opened Discard Date

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When do multi-dose vials that have been punctured or opened need to be discarded?

04/11/2016
Standards FAQ

Multi-Dose Vials - Punctured or Opened New Expiration Date

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Does the multi-dose vial need to be labeled with a new expiration date once it is opened or punctured?

04/11/2016
Standards FAQ

Refrigerator/Freezer - Medication Temperature Logs

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Are we required to maintain temperature logs for medication storage refrigerators and freezers?    

04/11/2016
Standards FAQ

Multi-Dose Vials - Vaccine 28 Day Rule

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Do vaccines need to follow the 28 day rule?

04/11/2016