LIVE (Multiple Attendees)



In July of 2018, The Joint Commission began enhancing their focus on sterile medication compounding, suicide prevention, high-level disinfection and hemodialysis. These are areas that introduce significant risk into facilities and harm has occurred. There have been a number of immediate threat findings related to these topics. The Joint Commission stated that a letter went out to the CEO of accredited organizations informing them of this enhanced survey process.

This webinar will provide a highlight of the four high risk focus areas along with links and tips for compliance from a facility and infection prevention perspective. Surveyors have been trained to have a different approach to surveying these areas. Leadership needs to provide direct oversight to these areas as well as  the documentation of training, competency assessment and monitoring.

Personnel involved may be so distracted by all the work that needs to be accomplished that they may not have consistent mindfulness while processing equipment, preparing medications, performing dialysis and being vigilant about suicide prevention. Each step of each of these activities is a key  for ensuring safe patient care.

Learning Objectives:

  1. Identify key policy steps required for compliance for each of the four high-risk areas
  2. Discuss the criteria for orientation, training and competency assessments
  3. Discuss the tips for monitoring compliance
  4. Review Available resources

Areas Covered in the Session:

  1. List the four focus areas
  2. Identify the high-risk activity for each area:
  3. Sterile Medication Compounding
  4. USP 800 – Release Delayed Pending Review
  5. Suicide Prevention – Importance of interim mitigation activities
  6. High Level Disinfection- Ongoing training and competency
  7. Hemodialysis – Infection Prevention
  8. Review resources available
  9. Discuss tips for monitoring compliance 

Who Should Attend:

  1. Healthcare Administrative
  2. Senior Executives
  3. Facilities leadership both Clinical and Non-Clinical
  4. Safety Directors
  5. Department Managers
  6. Accreditation Specialists
  7. System/Divisional Leadership

About the Presenter:

Marge McFarlane, PhD, MT (ASCP), CHFM, CJCP, CHSP, HEM, MEP, brings over 40 years of comprehensive experience in the environment of care, life safety, emergency management and infection prevention for construction. McFarlane has authored handbooks on the GHS update to the OSHA Hazard Communication Standard and OSHA training for Medical Facilities. She is a frequent presenter for seminars, regional conferences, and audio conferences on OSHA topics, infection prevention, hazardous materials/RCRA waste streams and emergency management. She is currently working with healthcare systems and clinics nationally to identify and mitigate risks in the physical environment.

McFarlane holds a PhD in Safety Engineering and master’s degrees in Environmental and Public Health (ENPH) from the UW-Eau Claire and Risk Control from the UW–Stout. She is a member of the Wisconsin Healthcare Engineering Association (WHEA) Code Committee, the American Society of Healthcare Engineers (ASHE) and the International Association for Healthcare Security and Safety (IAHSS). She is a FEMA Master Exercise Practitioner and has served as a healthcare subject matter expert for regional, state and national exercises.

After Registration

You will receive an email with login information and handouts (presentation slides) that you can print and share to all participants at your location.

System Requirement

Operating System: Windows any version preferably above Windows Vista & Mac any version above OS X 10.6
Internet Speed: Preferably above 1 MBPS
Headset: Any decent headset and microphone which can be used to talk and hear clearly

Can’t Listen Live?
No problem. You can get access to On-Demand webinar. Use it as a training tool at your convenience.

For more information you can reach out to below contact:
Toll-Free No: 1-302-444-0162