Marketing and Empathy Psychology
CMS Medication Administration and Management: IV Medication, Blood Administration and Safe Opioid Use

By - Laura A. Dixon, BS, JD, RN, CPHRM

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This program will discuss the CMS standards on medication administration, IV medication, including required hospital policies, ISMP IV Push guidelines, blood transfusion and safe opioid use. The CMS standards on the care of the patient receiving opioids also apply to critical access hospitals.

In addition to CMS requirements, the following are also covered: CDC opioid guidelines, Joint Commission pain management guidelines, and AHRQ on Acute Pain. This program will include a discussion of recommendations and guidelines on the use of opioids from various other organizations including HHS National Action Plan for ADR Prevention, AMA and Institute for Healthcare Improvement (IHI).

This program will cover the Nursing Conditions of Participation as they relate to medication and blood administration – patient assessment and monitoring, staff education and adverse medication events. CMS PACU standards will be discussed briefly, including the need for patient monitoring for patients receiving opioids.
Staff education on the safe opioid use is essential and includes an assessment of the patient to determine who will be at risk for an adverse event from the use of IV opioids including PCA. Staff must be educated on the side effects and how to recognize them.


  • Describe the three different timeframes in which all medications must be administered
  • Recall that CMS has required policies and education requirements on medication administration and safe opioid use
  • Discuss CMS requirements to ensure nurses are competent when giving IV medications or blood transfusions
  • Recall that CDC issued opioid prescribing guidelines


  • Introduction
  • CMS manual
  • CoPs on Nursing and Medication administration
  • Preparation and administration of drugs
  • Orders for drugs and biologicals
  • Safe injection practices
  • ISMP guidelines on IV Push medication
  • ISMP guidelines on sterile compounding
  • Timeframes for administration
  • IV Medication
  • High-alert medication
  • Staff training and competencies
  • Patient risk factors
  • Need for physician orders
  • Use of opioids and IV opioids
  • Risk factors and patient monitoring
  • Policies and procedures
  • Examples of sedation scales
  • Blood transfusions
  • PACU and Opioids
  • Safe opioid use
  • Joint Commission guidelines/standards
  • CDC opioid guidelines
  • AHRQ Opioids and Treatment for acute pain
  • National Action Plan – ADR prevention
  • Appendix and Resources

Who Should Attend?

  • Chief nursing officer
  • All nurses with direct patient care
  • Nurse managers/supervisors
  • Nurse educator
  • Pharmacists
  • Director of pharmacy
  • Compliance officer
  • Chief of medical staff
  • Risk manager
  • Patient safety officer
  • Senior leadership
  • PI director
  • Joint Commission coordinator
  • Regulatory officers
  • Chief operating officer
  • Physicians
  • Education department staff
  • Audit staff
  • Others responsible for compliance with hospital regulations, including documentation compliance

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Speaker Detail

Laura A. Dixon, BS, JD, RN, CPHRM

Laura A. Dixon recently served as the Regional Director of Risk Management and Patient Safety for Kaiser Permanente Colorado where she provided consultation and resources to clinical staff. Prior to joining Kaiser, she served as the Director, Facility Patient Safety and Risk Management and Operations for COPIC from 2014 to 2020. In her role, Ms. Dixon provided patient safety and risk management consultation and training to facilities, practitioners, and staff in multiple states. Such services included creation of and presentations on risk management topics, assessment of healthcare facilities; and development of programs and compilation of reference materials that complement physician-oriented products. Ms. Dixon has more than twenty years of clinical experience in acute care facilities, including critical care, coronary care, peri-operative services, and pain management. Prior to joining COPIC, she served as the Director, Western Region, Patient Safety and Risk Management for The Doctors Company, Napa, California. In this capacity, she provided patient safety and risk management consultation to the physicians and staff for the western United States. Ms. Dixon’s legal experience includes medical malpractice insurance defense and representation of nurses before the Colorado Board of Nursing. As a registered nurse and attorney, Laura holds a Bachelor of Science degree from Regis University, RECEP of Denver, a Doctor of Jurisprudence degree from Drake University College of Law, Des Moines, Iowa, and a Registered Nurse Diploma from Saint Luke’s School Professional Nursing, Cedar Rapids, Iowa. She is licensed to practice law in Colorado and California.

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