Part three of a five-part education series on the Center for Medicare and Medicaid Services Conditions of Participation (CoPs) presented by Sue Dill Calloway. The focus of Part 3 is Nursing and Pharmacy By the end of this presentation, learners should be able to: • Describe that medications must be given timely and within one of three blocks of time • Recall that all protocols should be approved by the Medical Staff and an order entered into the medical record and signed off • Recall that there are many pharmacy policies required by CMS • Recall that a nursing care plan must be in writing, started soon after admission and maintained in the medical record • Recall that the hospital must have a safe opioid policy approved by the MEC and staff must be educated on the policy