NSQHS Standard aligned PPGs

NSQHS Std 1 Clinical Governance

NSQHS Std 2 Partnering with Consumers

Collecting the Patient/Consumer Story

Community Engagement and Volunteers

Consumer Advisor Engagement Requests

Consumer Feedback Management Policy

Consumer First

Freedom of Information

Health Equity

Information Privacy Policy

Language Services – Interpreting Services

Language Services – Translation Services

Patient Consent

Producing Written Consumer Information

Promoting Diversity, Equity and Inclusion

Recruiting Community Advisory Committee Consumers

Release of Personal and Health Information

Statutory Duty of Candour

Welcome to Country and Acknowledgement of Country

NSQHS Std 3 Infection Prevention

Administering an Intradermal Vaccination for Hepatitis B Non-responders

Adrenaline Administration for Post Vaccination Anaphylaxis Management by Accredited Nurse Immunisers

Adult Sepsis Pathway Nurse/Midwife Initiated Investigations via the EMR

Antimicrobial Stewardship and Restrictions to Antimicrobial Use

Aseptic Technique (AT)

Blood and Body Fluid Spills

Chemical Disinfection

Cleaning of Patient Care Equipment

Cleaning, Disinfecting and Tracking of Ultrasound Transducers

Clinical Waste Management

Creutzfeldt-Jacob Disease (CJD)

Fit Checking of P2 N95 Respirator Masks

Gastroenteritis Outbreak Management

Hand Hygiene

Immunisations for Health Care Workers

Infection Prevention

Infection Prevention for Construction, Renovation and Maintenance

Infection Prevention Surgical and Operating Room Procedures

Influenza and Influenza Like Illnesses

Management of Patients with Viral Haemorrhagic Fever Guideline

Management of Suspected or Confirmed Monkeypox

Measles

Microbial and Water Monitoring of Automatic Flexible Endoscope Reprocessors (AFERs), Storage Cabinets and Endoscopes

Negative Pressure Isolation Rooms

Notifiable Conditions

Ordering of Basic Investigations for Outbreak and Exposure Management and Staff Clinic within the Electronic Medical Record

Outbreak Management of Communicable Conditions

Pandemic Plan (Pandemic Influenza and Emerging Respiratory Pathogens)

Personal Protective Equipment

Powered Air Purifying Respirators (PAPR)

Processing Reusable Equipment

Reportable Infection Prevention Issues

Sharps Handling and Disposal

Sharps Injury and Body Fluid Exposure Management

Single Use Devices (SUDS)

Skin Disinfection (Antiseptics)

Storage of Sterile Stock in Wards

Surgical Antibiotic Prophylaxis

Toy, Play and Educational Equipment Cleaning

Tuberculosis

Varicella-Zoster Virus (VZV) – Chickenpox Disseminated Shingles and Shingles

Waste Management

Water Quality Testing for Reprocessing Reusable Medical Devices

Western Health Standard and Transmission Based Precautions

NSQHS Std 4 Medication Safety

Adverse Drug Reaction and Reporting

Delivery of Medication from Pharmacy to Clinical Areas by Non-pharmacist Staff

Gentamicin – Dosing for Adults

Hazardous Medications

Insulin Infusion (Intravenous) in Adults

Insulin Prescription, Supply, Storage and Administration

Intermittent Opioid Analgesia in Adults for Acute Pain and Associated Observations (Inpatients Only)

Iron Infusion in Adults (including Pregnant Women)

Management of Children (less than 18 years) with Diabetes Mellitus on Insulin Therapy requiring Surgery

Management of Documented or Suspected Antibiotic Allergies

Medical Management of Drug Dependent Persons and Prescription of Long Term Opioid Medication

Medication Infusion Pump Dataset Approval Framework

Medication Prescription, Supply, Storage and Administration

Medication Refrigeration

Medication Use and Management

Nurse and Midwife Initiated Medications

Patient Controlled Analgesia (PCA) and Continuous Intravenous Opioid Infusion for Adults and Paediatric Patients over 50kg

Patient Controlled Continuous Subcutaneous Infusion of Insulin (CSII or Insulin Pump) in the Inpatient Setting

Pharmacy Services and Referral to Clinical Pharmacist

Potassium Use in Adults

Practitioners with Registration Restrictions – Prescribing

Safe Prescribing of Chemotherapy and Biologic Agents

Thrombolysis for Acute Pulmonary Embolis (PE) – Adult Medicine

Unfractionated Heparin (UFH) for Infusion in Adults greater than 16 Years

NSQHS Std 5 Comprehensive Care

Advance Care Planning

Care of the Bariatric Patient

Chemical Restraint under Mental Health and Wellbeing Act 2022

Comprehensive Care

Continence Management

Death of a Patient

Delirium Guidelines

Initial Patient Assessment and Discharge Planning Guideline

Management of Code Grey and Duress Alarms

Management of Skin Tears

Mechanical Restraint, Assessment and Application (Patients)

Mental Health Nursing Practice Guide in the use of Restrictive Interventions

Moisture Associated Skin Lesions – Incontinence Associated Dermatitis

Mortuary Mangement

Nutrition Management

Pressure Injury Prevention and Management

Pressure Injury Prevention Equipment

Preventing Patient Falls and Harm from Falls

Prevention and Management of Occupational Violence and Aggression

Prevention and Management of Occupational Violence and Aggression (OVA)

Proxi-mate Pro Nurse Call Alert System for Falls Prevention

Recording Identification of Aboriginal and Torres Strait Islander Patients including Newborns

Suicide and Self-Harm Adult Risk Assessment Procedure for Admitted Patients

Urgent Physical Restraints Under Mental Health and Wellbeing Act 2022

Use of Seclusion Guideline

Voluntary Assisted Dying Policy

Voluntary Assisted Dying Procedure

Wound Care Management

NSQHS Std 6 Communicating for Safety

Clinical Handover

Communicating for Safety

Correct Patient, Correct Procedure, Correct Site (Time Out) Procedure

Discharge

Family Meeting

Hospital Patient Transfers

Intensive Care Unit Access and/or Urgent Inter-hospital Transfer – Adults

Management of Duplicate Registrations

Patient Identification

Patient Verification and iPM Search

NSQHS Std 7 Blood Management

Blood and Blood Products

Blood Group Testing and Pretransfusion Tests

Consent, Prescribing and Administration of Blood and Blood Products

Critical Bleeding and Massive Transfusion

Emergency Blood Management Plan

Exchange Transfusion in Newborn Services

Fibrinogen Concentrate for Major Obstetric/Non-Obstetric Bleeding

General Practitioner (GP) Referral of Community Based Patients Requiring Transfusion

Guidelines for Coagulation Parameters in Cirrhotic Patients

Intravenous Immunoglobulins

Management of Patients who Refuse Blood and Blood Products

Recognition, Management, Investigation and Reporting of Blood and Blood Product Adverse Reactions and Events

Refrigerators and Monitoring Requirements for the Storage of Blood and Blood Products

Reporting Incidents to the Serious Transfusion Incident Reporting (STIR) System

Requesting Blood and Blood Products

Requesting, Prescribing and Administering Rh (D) Immunoglobulin (Anti D)

Requesting, Prescribing and Administration of Blood Products in Newborn Services

Storage, Issue and Transport of Blood and Blood Products

NSQHS Std 8 Deteriorating Patient

Adult Cardiopulmonary Resuscitation (Adult CPR)

Adult Rapid Response System – Footscray Hospital, Williamstown Hospital, and Sunshine Hospital Precinct (Inclusive of Joan Kirner Women’s and Children’s and the Western Health Mental Health Facilities).

Call for HELP – Patient, Family and Carer initiated Escalation

Code Green (Emergency Caesarean Section)

Code Pink (Obstetric Emergency)

Escalation Criteria for Adult Medical Emergency Team (MET) Responders at Footscray and Sunshine Hospitals

Management and Escalation of High-Risk Medical Conditions in the WHDHS Residential Units

Medications in Code Response (including Medical Emergency Response) Resuscitation Trolleys (Adults and Paediatrics)

Neonatal (including Newly Born) Resuscitation

Neonatal Rapid Response System – Neonatal MET and Code Blue Activation and Response

Paediatric Cardiopulmonary Resuscitation

Paediatric Rapid Response System – Paediatric MET and Code Blue Activation and Response

Rapid Response System – Bacchus Marsh

Rapid Response System – Melton

Recognising and Responding to Acute Deterioration

Recognition and Management of the Deteriorating Adult Patient (inclusive of Pregnant or Early Post-Partum Women)