OCTOBER 2025
EDITION 40
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.
October QARS Audits (direct links available from Clinical Audit Intranet page)
NSLHD_01_Clinical Documentation – Nursing V2 NSLHD_01_Clinical Documentation Audit -Allied Health NSLHD_01_Clinical Documentation – Medical Officers V2 NSLHD_01_Clinical Documentation - Emergency Department Urgent Care Centre NSLHD_1_Maternity_Safe Sleeping for Babies NSLHD_03_Infection Prevention Control Program compliance NSLHD_03_Transmission Based Precautions V2 NSLHD_04_Prescription Pad - Quality of Prescribing Version 2 NSLHD_04_ Prescription Pad: Storage and handling NSLHD_4_VTE Prevention for admitted patients NSLHD_05_Nutrition Care Audit - Adults and Paediatric patients) NSLHD_05_Post Partum Haemorrhage (PPH) Audit
Standard 1
Standard 3
Standard 4
Standard 5
NSLHD_07_ Blood Product Transfusion Documentation V3
Standard 7
NSLHD_08_MONTHLY_Resuscitation trolley/backpack & Resuscitaire equipment 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
Expedited Specialist Pathway for Psychiatrists – MHDA NSLHD - Procedure GradStart Workforce Guidelines NSLHD - Guideline Medicinal Leech Therapy and Care - RNSH_Procedure Penicillin Allergy Assessment and Direct Oral Challenge Procedure (Adults) - RNSH_Procedure Standing Order Development, Review and Approval Process - NSLHD_Procedure Ketamine Infusion for Pain Management_Procedure Newborn Resuscitation Preparation in Level 4 Theatres, ASB - RNSH_Procedure Patient Controlled Analgesia (PCA) NSLHD_Procedure Nebulised Epoprostenol (Prostacyclin) for Hypoxic Respiratory Failure- NSLHD_Procedure Safety Notifications and Recalls Procedure
SAFETY ALERTS New, updated and recently published
Medication Safety Updates including medication shortages are available on the CEC website.
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