SEPTEMBER 2022
EDITION 18
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 and next month are listed below.
September 2022 QARS Audits (entry links)
NSLHD_03_Aseptic Technique NSLHD_03_Perioperative sharps management_2022 (RNSH ASB OT | RNSH Ambulatory care | HKH OT | Ryde OT / Periop)
St 3
NSLHD_4_Monthly Accountable Drug (S4D_S8) Register Audit (RNSH | HKH | Ryde | MV | MHDA)
St 4
NSLHD_06_Clinical Handover - all Clinical Disciplines NSLHD_06_Handover; Nursing Shift to Shift 2021 (RNSH | HKH | Ryde | MV) MHDA_Clinical Handover PACH Communicating for Safety Audit Tool NSLHD_06_Consent Audit (RNSH | HKH | Ryde | MV) NLSHD_08_Monthly inspection for resuscitation trolley/ Resuscitaire equipment checklists
St 6
NSLHD_8_Resuscitaire Checklist NSLHD_8_MHDA_Engagement and Observation Audit_2022 (RNSH | HKH | Ryde | MV | MHDA | PACH)
St 8
POLICIES, PROCEDURES AND GUIDELINES New, updated and recently published district-wide PPGs.
Clinical Governance Standard
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
Medicated Dressing Policy - NSLHD NSLHD Capital Framework Sudden Unexpected Death in Infancy (SUDI) Management 1800 Mental Health Line (1800 MHL) General Practitioner Electronic Referral Procedure Tracheostomy Management Procedures in Adults eMR Downtime Policy NSLHD eMR Downtime Procedure NSLHD Injury Management and Workers Compensation - NSLHD
SAFETY ALERTS New, updated and recently published
Clinical Governance Standard
- Issued 1 September2022
SA:005/22 Criticaldisruptionto supply– tenecteplase(Metalyse®)injection- UPDATED SN:011/22 Strongopioidsdetectedin counterfeit‘Kalma’tablets - Issued26 August2022 SI:006/22 Unregisteredbenzodiazepinesandcounterfeitalprazolamproductsin NSW
- Issued1 August2022
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 For more information, contact: NSLHD-SafetyAlert@health.nsw.gov.au Medication Safety Updates Medication Safety Updates including medication shortages are available on the CEC website. A recent update that is available includes the Drug Guideline – Use of molnupiravir capsules for COVID-19 (Version 1.1, September 2022).
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