AUGUST 2025
EDITION 39
NSLHD CLINICAL AUDIT SCHEDULE
Clinical Governance Standard The NSLHD Clinical Audit Schedule has been developed for all sites and services within NSLHD to support the monitoring and evaluation of clinical care processes and to provide support for clinical quality improvement activities across NSLHD. Download the complete 2025 - 2026 NSLHD Clinical Audit Schedule from the Clinical Audit Schedule Intranet page Clinical audits required to be completed this month are listed below.
August/September QARS Audits (direct links available from Clinical Audit Intranet page)
NSLHD_01_Clinical Documentation – Health Information Services (HIS) V2
Standard 1
NSLHD_03_Perioperative Sharps Management NSLHD_03_Aseptic Technique NSLHD_Peripheral Intravenous Cannula (PIVC) Insertion & Management and Care
Standard 3
NSLHD_4_Monthly Accountable Drug (S4D_S8) Register Audit NSLHD_4_User applied labelling audit 2025 Vaccine Management and Storage Audit in QARS
Standard 4
NSLHD_05_Cognitive Impairment Audit (Delirium)
Standard 5
NSLHD_06_Clinical Procedure Safety Checklist (level 3 procedures) NSLHD_06_Clinical Handover – Nursing and Midwifery BEDSIDE Shift-to-Shift NSLHD_06_Clinical Handover-all disciplines NSLHD_06_Consent Audit
Standard 6
NSLHD Patient Blood Management (medical)
Standard 7
NSLHD_08_MONTHLY_Resuscitation trolley/backpack & Resuscitaire equipment audit -V2 NSLHD_08_BIANNUAL_Resuscitation trolley / Resuscitaire check audit
Standard 8
POLICIES, PROCEDURES AND GUIDELINES Refer to the PPG Weekly updates (PPG Resource hub) to access the most up-to-date list of PPGs For any queries relating to policy, procedure and guideline development contact NSLHD-Policies@health.nsw.gov.au
NSLHD – Recently Published Policies, Procedures, Guidelines and Standing Orders
Clinical Governance in NSW (PD2025_032) - Ministry of Health Policy Inpatient Medication Handling Procedure - NSLHD Nasogastric and Orogastric Tube Insertion and Management in Neonates, Infants and Children (GL2025_012) - Ministry of Health Guideline
SAFETY ALERTS New, updated and recently published
Medication Safety Updates including medication shortages are available on the CEC website.
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