JUNE 2023
EDITION 26
Clinical Governance Standard
NSLHD CLINICAL AUDIT SCHEDULE
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 2022-23 NSLHD Clinical Audit Schedule. Note: The Schedule is divided into three categories (NSLHD acute, sub-acute, MHDA and PACH). Visit the clinical audit intranet page for more information. Clinical audits required to be completed this month are listed below.
June 2023 QARS Audits (entry links)
NSLHD_03_Aseptic Technique
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NSLHD_4_Monthly Accountable Drug (S4D_S8) Register Audit
NSLHD_04_Prescription Pad: Quality of Prescribing NSLHD_04_ Prescription Pad: Storage and handling (RNSH | HKH | Ryde | MVH | MHDA)
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NSLHD_05_ Perioperative Patient Positioning (Ryde OT | HKH OT | RNSH OT) NSLHD_8_ Between the Flags (BTF) Audit-SMOC, SPOC, SAGO (HKH | Ryde | MVH) NLSHD_08_Monthly inspection for resuscitation trolley/ Resuscitaire equipment checklists (RNSH | HKH | Ryde | MV | MHDA | PACH-HITH)
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POLICIES, PROCEDURES AND GUIDELINES New, updated and recently published district-wide PPGs. Click on the links below to download documents from the Prompt document system. Refer to the NSLHD weekly bulletin in your inbox to access the most up-to-date list of PPGs Outpatient Rehabilitation in NSLHD_Guideline (new) Peritoneal Portacath and Drainage of Ascites – Community Nursing - NSHNS_Procedure (updated) Diabetes Mellitus: Blood Glucose Monitoring Point of Care Testing AMSL StatStrip® Xpress Meter – NSLHD_Procedure (updated) Pantoprazole Infusion for the treatment of bleeding peptic ulcers – administration in adults_Procedure (updated) Heat Wave Preparation and Actions for Mental Health Consumers – MHDA_Guideline (updated) Consumer Health Information - Approval Steps for Producing and The Consumer Tick Process- NSLHD_Procedure (updated) Clinical Emergency Response System (CERS) – Mona Vale Hospital_Procedure (Updated) Clinical Audit in QARS- NSLHD Administration of Intravenous Sodium Chloride 3% in Neurosurgical Step Down Unit (NSDU)
SAFETY ALERTS New, updated and recently published
Safety Alert (SA) - Requires immediate attention and action Safety Notice (SN) - Requires risk assessment at the district level Safety Information (SI) - Ensuring that lessons learned from state-wide, national or international sources are shared actively across NSW health system SN:013/23 Risk of burn injury from degraded insulated laparoscopic instruments 25 May 2023 SI:008/23 Updated: Reporting Adverse Events Following Immunisation 23 May 2023 SN:012/23 Disruption to supply: Potassium chloride (Pfizer) concentrate 10 mmol (750 mg) in 10 mL injection ampoule 18 May 2023 SN:011/23 Discontinuation of thiopental sodium (Pentothal®) 500 mg vial for injection 9 May 2023
Medication Safety Updates including medication shortages are available on the CEC website.
For more information, contact: NSLHD-SafetyAlert@health.nsw.gov.au
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