MAY 2025
EDITION 38
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.
May and June QARS Audits (direct links available from Clinical Audit Intranet page)
NSLHD_01_Clinical Documentation – Nursing V2 NSLHD_01_Clinical Documentation – ALLIED HEALTH
NSLHD_01_Clinical Documentation - Emergency Department & Urgent Care NSLHD_01_Clinical Documentation - Health Information Services (HIS) V2
Standard 1
NSLHD_01_Clinical Documentation – Medical Officers V2 NSLHD_01_Clinical Documentation Audit_ VCS Version 3 NSLHD_1_Maternity_Safe Sleeping for Babies
NSLHD_03_Peripheral Intravenous Cannula (PIVC) Insertion and Management - V2
Standard 3
NSLHD_4_Monthly Accountable Drug (S4D_S8) Register Audit NSLHD_4_VTE Prevention for admitted patients 2025 Vaccine Management and Storage Audit in QARS
Standard 4
NSLHD_06_Clinical Handover – Nursing and Midwifery BEDSIDE Shift-to-Shift V2 NSLHD_06_Clinical Handover -all Clinical Disciplines
Standard 6
NSLHD_07_Patient Blood Management (Perioperative) 2025
Standard 7
NLSHD_08_MONTHLY_Resuscitation trolley/backpack & Resuscitaire equipment audit -V2 (Audit available from 1 June – 30 June 2025)
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
Haemodialysis: Fluid Assessment - NSLHD Guideline Intra-operative Topical Rifampicin Use During Aortic Surgery - Medication Protocol Cord Blood Banking - (PD2025_016) Ministry of Health Policy Directive Fetal Heart Rate Monitoring (GL2025_004) - Ministry of Health Guideline Cyber Security Procedure - NSLHD Procedure Neonatal Resuscitation (GL2025_003) - 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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