Compliance

Compass Clinical Consulting

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To be in compliance with MM.03.01.01 EP 7, The Joint Commission requires organizations to re-label multi-dose vials with a revised expiration date of 28 days once the multi-dose vial is opened or punctured. Click here for a Free printable expiration date calculator.

Compliance Solutions

Health Care logistics offers a myriad of products that have long been used by our customers to comply or satisfy the regulations and requirements of specific governing bodies.

Whether helping to meet a Joint Commission National Patient Safety Goal or keeping up with a new chapter from the USP (United States Pharmacopeia), our simple product solutions can be the answer to many of your challenges.

We continually expand our selection by responding to the needs of our trusted customers. The next time you’re needing help meeting compliance with NIOSH, The Joint Commission, CMS, State Board of Pharmacy, Health Departments, CDC, USP, ASHP or another regulatory affiliation please browse our website full of unique products or call us toll free at 1.800.848.1633 and let us suggest products to help with your needs.

 

* The specific products and product categories referenced below are suggested products to help with regulatory compliance. Please refer to your specific regulatory manuals, surveyors, consultants or other authority to make sure these are right for you. If you should need compliance consulting please contact our friends at Compass Clinical Consulting. Their professional team can assist with TJC and CMS related questions.

 

Key Compliance Issues and Solution Suggestions

Description Potential Use Standard HCL Item Number
USB Temperature & Humidity Logger Monitoring of room temperature in surgical areas (dried bone held at room temperature) Tissue Management 14147
Large High Alert Insulin Bin As designed

"Look alike - sound alike"

"High alerts"

 17269
High Alert Tamper Indicating Bag with Tear-Off Receipt Use for paralytics High Alert medications 17501
Lockable Return Drug Box with Keyless Entry Digital Lock As designed Medication Security 17847
Warning Paralytic Agent Bag 3 x 4 As designed High Alert medications 9536
Crash Cart Security Bag with Blue Border, Full Size As designed   7509
Clear Box on Wall for Crash Cart Meds Medication security Medication Security   3751-01
Traceable Memory Monitoring Air Temperature Thermometer All Medication Refrigerators Medication storage 10367
Do Not Use Beyond Label Labeling of multi-dose vials (28 day expiration) MM.03.01.01, EP 7 18333
Medication Expires On Label Labeling of multi-dose vials (28 day expiration) MM.03.01.01, EP 7 2763

 

Joint Commission Standard/Goal

HCL Suggested Solutions

E.C.5.20
Design and maintain newly constructed and existing environments to comply with the Life Safety Code.
  • Labeling of water shutoffs
  • ILSM signage
  • Receptacles and hooks for equipment for entering construction areas

Suggested Solutions:
Labels
Custom Labels

IM.6.50
Designated qualified staff accept and transcribe verbal or telephone orders from authorized individuals.
  • Labels to document compliance
Suggested Solutions:
Labels
Custom Labels

MM.2.20
Properly and safely store medications.

Selection and procurement

  • Labels denoting "change in manufacturer" or new drug

Suggested Solutions:
Labels
Custom Labels

Storage

  • Refrigerator boxes
  • Crash cart clear boxes preparing and dispensing
  • Many products related to labeling of high risk and LASA drugs
  • Preprinted labels for single concentration meds

Suggested Solutions:
Labels
Custom Labels
Locking Refrigerator Boxes
Crash Cart Boxes
Error Prevention

Administration

  • Safety mechanisms to prevent incorrect dosing – separate for automated and non automated monitoring
  • Labels to document compliance

Suggested Solutions:
Labels
Custom Labels
Error Prevention

NPSG Requirement 2C
Measure, assess, and take appropriate action to improve timeliness of reporting and receipt of critical tests and critical results and values.
  • Labels to document compliance.
Suggested Solutions:
Labels
Custom Labels

IM.6.10
Keep a complete and accurate medical record for patients assessed, cared for, treated, or served.
  • Labels for chart re: infection control and code blue that follow with the chart
Suggested Solutions:
Labels
Custom Labels

EC.5.40
Maintain fire safety equipment and building features.
  • Labeling of shut offs
  • Labeling of fire dampers
  • Labels for rated walls and barriers
  • ILSM labels and signs
Suggested Solutions:
Labels
Custom Labels
Lexan Signs

NPSG Requirement 3D
Label all medications, medication containers (for example, syringes medicine cups, basins), or other solutions on and off the sterile field.

 Suggested Solutions:
Sterile Labels
Labels
Custom Labels
Error Prevention

UP Requirement 1 C
Conduct a "time out" immediately before starting a procedure as described in the Universal Protocol.

 Suggested Solutions:
Error Prevention
Labels
Custom Labels

NPSG Requirement 8A
Compare the patient's current medications those ordered for the patient while under the care of the organization.

 Suggested Solutions:
Medication Reconciliation Labels
Labels
Custom Labels