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Essential preparation steps include: Hand hygiene wash hands thoroughly with soap and water or use alcohol-based hand sanitiser Gather supplies B12 ampoule, sterile syringe and needle, alcohol wipes, sharps container, and cotton wool or gauze Check the medication verify the correct drug, strength, and expiry date

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Additionally, as noted previously, if the required quality data in the HQRP is not reported by each designated submission deadline, the hospice will be subject to a payment reduction of 4 percentage points from its APU (beginning in FY2024) to deter against non-reporting (86 FR 42528)

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