Ligature Risks: Ensuring Compliance with the CMS Hospital CoPs and TJC Requirements 2018 is a webinar dedicated to the amended CMS requirements for preventing ligature risk and self-harm from patients that are suicidal.
Ligature Risks: Ensuring Compliance with the CMS Hospital CoPs and TJC Requirements 2018 covers topics such as:
- Introduction
- CMS Hospital Ligature Risks
- Amends tag 144 and 701
- 13 page memo and manual updated
- Suicide 10th leading cause of death
- Deficiency reports
- Anchor points and examples
- What is a ligature risk? CMS definition
- Education recommendations
- Policy and procedure requirements
- Patient assessment
- Competency requirements
- Correction of environmental risk
- Environmental assessment
- Things to do to reduce ligature risk
- Design guide for creating safe rooms
- VA mental health guide and checklist
- Documentation requirements
- Ligature resistant requirements
- When are sitters or 1:1 observers required?
- 13 requirements to prevent suicide
- Joint Commission
- Sentinel event reduction doors and soft suicide prevention doors
- Recommendation for psych unit, psych hospital, and general acute care settings including emergency departments
- Shower curtains
- Ceilings, beds, and toilets
- EC.02.06.01 EP 1 requirements
- SAFER matrix and when at risk for getting RFI
- Suicide risk reduction
- Dedicated verses non-dedicated spaces
- TJC ligature risk FAQ
- Zero suicide campaign
- NPSG 15
- TJC sentinel event alerts on suicide and SEA 56
- Suicide prevention resource center
- Resources and tools of the trade
- Suicide prevention guidelines for training
- VA/DoD Clinical practice guidelines
- Patient health questionnaire PHQ-9 and 3
- Design guide for built environment of behavioral health facilities
- Patient safety secondary screener
- ED-SAFE screeners
- Environmental Assessment
- ED" Suicide Behaviors Questionnaire SBQ-R
- SAFE-T Assessment
- C-SSRS Columbia Suicide Severity Rating Scale
- NY patient safety standards guidelines
- Suicide Prevention Decision Support Tool and more
Ligature Risks: Ensuring Compliance with the CMS Hospital CoPs and TJC Requirements 2018 intended for:
- All staff, nurses, physicians and providers at Psychiatric hospitals
- All staff, nurses, physicians and providers on the hospital behavioral health unit
- All staff, nurses, physicians and providers on hospital units where suicidal patients are taken care of such as ICU, medical-surgical units, OB and post-partum, and outpatient areas
- All staff, nurses, physicians, and providers in hospital emergency departments
- Hospital legal counsel
- All hospital risk managers
- CEO, COO, CNO, and nurse supervisors
- Patient safety officer
- Director of maintenance and facility services
- Chief medical officers
- Materials management
- Biomedical engineering
- Security
- Environmental Services
- Quality improvement coordinator
- Director in charge of environment of care requirements and staff
- Director of Regulatory Affairs
- Compliance officer
- Nurse educator
- Board members
- All department directors/nurse managers such as ED, ICU, CCU, Med-surg managers, outpatient, etc.
- Clinic and outpatient managers
- Anyone who is responsible to ensure compliance with the CMS hospital conditions of participation and the Joint Commission standards