portfolio committee no.2 health inquiry into the operation & … · 2019. 9. 24. · mona vale...
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Portfolio Committee No.2 – Health Inquiry into the Operation & Management of Northern Beaches Hospital
Questions on Notice from 26 August public hearing
The Hon. WALT SECORD: Where would somebody get a copy of that report by the independent verifier?
Mr GAMERON: I will take that on notice.
The Hon. WALT SECORD: Could you provide a copy of that report to the Committee, please?
Mr GAMERON: I will take advice on that.
Answer: The Independent Verifier issued an Operational Readiness Certificate. The Verifier did not provide a report.
The Hon. WALT SECORD: How many sentinel events have occurred at the Northern Beaches Hospital? Dr WOODS: The exact number I would have to take on notice, but I am aware of two which have been
subjected to the full RCA—that is a root cause analysis. It is important to note that the final determination on
whether something is a sentinel event occurs after the completion of a root cause analysis.
Answer: Two. One event is still being reviewed and its final determination as a sentinel event is
yet to be confirmed.
Ms CATE FAEHRMANN: Could you provide the Committee with a breakdown of those positions. When you
said full-time equivalent, I think you said 43 per cent. Is that correct?
Mr ROYLE: Correct.
Ms CATE FAEHRMANN: Would we be able to have a breakdown of each: what those full-time equivalent
represent in terms of junior doctors, senior doctors, nurses and other staff?
Mr ROYLE: I cannot see an issue with that detail being provided.
Answer: As at end of August 2019, there are 1,136 full-time equivalent of staff. Of these, 821 are
full time. The breakdown of positions is as follows:
These figures do not include Junior Medical Officers (JMOs) employed by the Local Health District
who rotate through the NBH as part of their training or Visiting Medical Officers (VMOs) who are
contractors providing specialist services to the hospital.
Admin/Support Services 321 full time staff, 50.94 part time FTE
Medical (employed)
23 full time staff; 23.57 part time FTE
Allied Health
44 full time staff; 17.54 part time FTE
Nursing 433 full time staff; 223.34 part time FTE
Ms CATE FAEHRMANN: Is there a reason why in the project deed, I think, the targets in relation to maternity services have been redacted in the summary that is available for
public viewing?
Mr ROYLE: I have no knowledge of that; I apologise. I would have to refer that to the ministry. I really do not know.
Ms CATE FAEHRMANN: So would it be the Minister who would have redacted it? Would you be able to—
Mr ROYLE: I am sorry, I have no idea on that.
The CHAIR: Just take it on notice.
Ms CATE FAEHRMANN: It is highly unusual, I believe.
The CHAIR: Mr Royle might take that on notice.
Answer: Information about obstetrics services from the Project Deed, including targets and performance threshold, is provided below. Information relating to
penalties applicable in the event that targets are not met remains commercial-in-confidence.
(a) KPIs (non- Service Measures ) Item No
Area ACHS
Indicator Set or NSLHD Service Agreement
Area
KPI Descriptor Target Performance Threshold
ConcludedI
Rectifiable
Remedial Period
Repeated Failure
Monitoring Method
17 Service Specific
Anaesthesia Obstetric Patients commencing surgery within 30 minutes of lower segment caesarean (LSCS) request
{Cl No. 6.2)
Number of obstetric Patients who commence surgery within 30 minutes of request for immediate LSCS
75th Percentile of ACHS Peer Hospitals
60th Percentile of ACHS Peer Hospitals
Concluded N/A NIA 6 month ACHS Clinical Indicator Report
29 Service Specific
Obstetrics Selected primipara - surgical repair of perineum for fourth degree tear (Cl No. 3.6)
Number of selected primipara undergoing surgical repair of the perineum for fourth degree tear
25th Percentile of ACHS Peer Hospitals
40th Percentile of ACHS Peer Hospitals
Concluded N/A NIA 6 month ACHS
Clinical Indicator Report
(a) KPIs (non- Service Measures ) Item No
Area ACHS
Indicator Set or NSLHD Service Agreement
Area
KPI Descriptor Target Performance Threshold
ConcludedI
Rectifiable
Remedial Period
Repeated Failure
Monitoring Method
30 Service Specific
Obstetrics Vaginal birth - blood transfusion (Cl No. 7.1)
Number of women who give birth vaginally who receive a blood transfusion
25th Percentile of ACHS Peer Hospitals
40th Percentile of ACHS Peer Hospitals
Concluded N/A N/A 6 month ACHS
Clinical Indicator Report
31 Service Specific
Obstetrics Babies - birth weight <2750 g
at 40 weeks gestation or beyond (Cl No. 8.1)
Number of babies born with birth weight less than 2750g at 40 weeks gestation or greater
25th Percentile of ACHS Peer Hospitals
40th Percentile of ACHS Peer Hospitals
Concluded NIA N/A 6 month ACHS
Clinical Indicator Report
32 Service Specific
Obstetrics Term babies - Apgar score of
<7 at 5 minutes
post-delivery (Cl No. 9.1)
Number of live born term babies with an Apgar score of less than 7 at 5 minutes post delivery
25th Percentile of ACHS Peer Hospitals
40th Percentile of ACHS Peer Hospitals
Concluded NIA NIA 6 month ACHS Clinical Indicator Report
33 Service Specific
Obstetrics General anaesthetic for caesarean section (Cl No. 4.1)
Number of women who had a general anaesthetic for a caesarean section
25th Percentile of ACHS Peer Hospitals
40th Percentile of ACHS Peer Hospitals
Concluded NIA NIA 6 month ACHS Clinical Indicator Report
34 Service Specific
Obstetrics Appropriate prophylactic antibiotic at time of caesarean section (Cl No. 5.1)
Number of women who receive an appropriate prophylactic antibiotic at the time of caesarean section
75th Percentile of ACHS Peer Hospitals
60th Percentile of ACHS Peer Hospitals
Concluded NIA NIA 6 month ACHS Clinical Indicator Report
The Hon. NATASHA MACLAREN-JONES: Another issue that has been raised relates to community
consultation in the lead-up to the design and building of the hospital. What engagement has been made with the
community and with key stakeholders across the Northern Beaches—and also post the opening?
Mr GAMERON: We have regular contact with a number of community groups now. I was not part of the
project team that brought the hospital through to commissioning. However, we can provide that on notice. I am
aware that hundreds of meetings occurred across the years prior to the hospital opening.
Answer: Preliminary community consultation about proposed changes to health services on the
Northern Beaches was undertaken by the NSW Ministry of Health and the Northern Sydney Local
Health District and pre-dated Healthscope’s involvement in the project.
Following its selection as the preferred tenderer to design, build, operate and maintain the new
hospital, Healthscope worked with Northern Sydney Local Health District on community
engagement. More than 100 forums were held to brief organisations in the community, including
local government, community groups and clubs. A series of staff briefings were held prior to the
the hospital’s opening and mail-outs to community members and organisations provided milestone
updates.
We continue to build relationships with the community that we serve and have engaged with
numerous organisations including, but not limited to:
• Hospital volunteers
• Frenchs Forest businesses, organisations and residents
• Elected representatives including local members of parliament and local council
• Community organisations such as Northern Beaches Sydney Surf Life Saving School.
• Clinicians and organisations involved in providing health care to the Northern Beaches community, such as the Sydney North Health Network
• Community action groups and community groups
The Hon. WES FANG: Are there any training positions that were not previously offered at Manly and Mona
Vale that you now offer?
Dr WOODS: I am not sure. I believe that there were representatives from each of those specialties but certainly
not in the numbers.
Mr ROYLE: We could take that on notice and provide that detail.
Answer: Both the number of training places available and the complexity of training experience
has increased at Northern Beaches Hospital over what was previously available at Manly and
Mona Vale hospitals.
Northern Beaches Hospital has 76.25 FTE trainees, increasing to 77.25 in 2020. At the time of
closure, Manly and Mona Vale combined had 71.5 trainees.
There are additional trainee positions available in General Medicine, Obstetrics and Gynaecology,
Psychiatry, Orthopaedics and General Surgery.
It is expected that these training positions will continue to expand, with a number of other
specialties expressing interest in applying for accreditation of training positions.
The Hon. SHAYNE MALLARD: I think that is something that should be noted. Specialists are colocating.
What types of specialists have co-located to this hospital? You were saying that the advantage was that they co-
locate there.
Mr GAMERON: Sure—a full range of paediatricians, orthopaedic surgeons, obstetricians, cardiologists. We
can provide a full list of those co-located to the hospital but there is a significant range of doctors who have their
own rooms based at the hospital.
The Hon. SHAYNE MALLARD: If you provide that on notice you might also provide on notice which ones
are new services to the Northern Beaches that might not have been available from the other two hospitals.
Mr GAMERON: Sure. Pleased to do that.
Answer: There were no on-site private consulting rooms at Manly or Mona Vale hospitals.
Northern Beaches Hospital has the following categories of specialists consulting from private, on
site, consulting rooms:
• breast surgery
• cardiology
• colorectal surgery
• gastroenterology
• general surgery
• geriatric medicine
• medical oncology
• neurology
• obstetrics and gynaecology
• orthopaedics
• paediatrics and fetal cardiology
• paediatrics
• plastic and reconstructive surgery
• rheumatology
• spinal surgery
• vascular surgery
PORTFOLIO COMMITTEE NO. 2 – HEALTH
INQUIRY INTO THE OPERATION & MANAGEMENT OF THE NORTHERN BEACHES HOSPITAL
Supplementary questions – Hearing - 26 August 2019
Questions directed to Mr Richard Royle, Interim Chief Executive Officer, Northern Beaches Hospital:
BED NUMBERS
1. What were the number of beds that was originally proposed for the Northern Beaches Hospital? Answer: 486
2. As of 26th August 2019, what is the total capacity in terms of beds that the Northern
Beaches Hospital has? Answer: 486
3. As of 26th August 2019, exactly how many beds are available and operational?
Answer: As many as necessary on any given day to meet the patient demand.
4. As of 26th August 2019, what number are available for public patients?
Answer: As many as necessary on any given day to meet the patient demand.
5. As of 26th August 2019, what number are available for private patients?
Answer: As many as necessary on any given day to meet the patient demand.
6. How is a bed defined at the Northern Beaches Hospital?
Answer: In accordance with the licensing rules of the NSW Ministry of Health.
OPERATIONAL READINESS
1. Will you provide a copy of the Independent Verifiers report that indicated the hospital was operationally ready to open?
Answer: The Independent Verifier issued an Operational Readiness Certificate. The Verifier did not provide a report.
TIME IN EMERGENCY DEPARTMENT
1. What were the exact dates when patients were waiting in the Emergency Department longer than 24 hours?
Answer: Patients within the emergency department undergo assessment, diagnostic testing, treatment and active monitoring. The length of stay is not a reflection of waiting times for treatment. We understand the question relates to the length of stay receiving treatment in the Emergency Department rather than waiting time. On this basis, the days on which length of stay exceeded 24 hours were 2, 3, 4, 5, 11 and 15 November 2018.
2. What were the exact dates when patients were waiting in the Emergency Department longer than 12 hours?
Answer: Patients within the emergency department undergo assessment, diagnostic testing, treatment and active monitoring. The length of stay is not a reflection of waiting times for treatment. Emergency Department length of stay between 12 hours and 24 hours is not a metric that is captured as it is not required to be reported.
3. As of 26th August 2019, what is the current average waiting time for patients
accessing the Emergency Department?
Answer: Northern Beaches Hospital’s Emergency Department month to date performance as of August 26 was:
ATS Category Maximum waiting time target
Performance Indicator (%)
NBH August 2019 results
1 Immediate 100 100
2 10 minutes 80 78.23
3 30 minutes 75 76.08
4 60 minutes 70 92.93
5 120 minutes 70 100
This data is calculated by triage category in accordance with the Australasian Triage Scale (ATS). Northern Beaches Hospital is measured against benchmark Key Performance Indicators (KPIs) that are set higher for some categories than other hospitals. This data will be validated by the NSW Bureau for Health Information as part of the normal review process.
SENTINEL EVENTS 1. As of 26th August 2019, how many sentinel events have occurred since the Northern
Beaches Hospital opened? Answer: Two. However, the second event is still being reviewed and its final determination as a sentinel event is yet to be confirmed.
2. Can you provide the details of what occurred for each sentinel event (without identifying any individual patients)? Answer: It is not appropriate to provide further details as to do so would breach patient confidentiality.
3. Can you provide the Root Cause Analysis reports for each of these events?
Answer: The detail contained in an RCA has the potential to breach patient and staff confidentiality and we therefore cannot provide it. The purpose of RCAs is to identify what may have contributed to an event occurring, share system-wide lessons with health care practitioners and others in the health system and minimise the risk of similar events occurring. Northern Beaches Hospital fully participates in the NSW Health clinical governance process.
COMMON ROOMS and BUNDY CARD SYSTEM 1. Was any of the staff common rooms locked overnight?
a. If so, what was the reason behind this decision?
Answer: Sections of the hospital predominantly intended for day-time use, including the Education Centre, are locked at night for security reasons. Junior doctors have 24-hour access to the JMO lounge, workroom and kitchen and bathroom facilities.
Doctors who are on-call and required to be at the hospital but not on duty have access to on-call rooms which provide a bed and desk. They also have access to kitchen, bathroom and toilet facilities, the JMO lounge and computer facilities.
2. Have any doctors ever been required to tap on and off using a Bundy-style system
when they worked at the Northern Beaches Hospital? 3. If so, can you provide details as to how this system operates and who is required to
comply with it? 4. As of 26th August 2019, is a Bundy-style system still in place?
Answer to questions 2-4: Most hospital staff, including junior medical staff directly employed by Northern Beaches Hospital, use an electronic swipe card based on the Kronos time and attendance software. NBH is currently piloting the same system for Junior Medical staff who are employed by the Northern Sydney Local Health District (LHD) and rotate through Northern Beaches Hospital. This has been done in consultation with ASMOF.
Questions directed to Dr Simon Woods, Interim Medical Director, Northern Beaches Hospital:
CLINICAL POLICIES
1. As of 26th August 2019, how many Clinical Policies have been produced and published to assist staff working at the hospital?
Answer: In addition to the Healthscope and Northern Beaches Hospital-specific clinical policies that existed at the time of the hospital’s opening, a further 118 clinical policies have been developed with the majority based on policies from the Local Health District. Some 22 of the pre-existing NBH specific policies have been updated.
2. Can you list the name of each of the Clinical Policies that has been produced and
published?
Answer: In total there are 808 policies accessible to all staff. There is an overlap between
those classified as clinical and others which directly relate to patient care with areas such
as transport and infection control, which are classified separately. There are 501 which
could be definitively considered to relate to patient care issues. The full 808 are listed
below.
Accreditation and Public Disclosure of Outcomes 1.04 Healthscope Administration
Accredited Health Practitioner's Credentials 1.2O Healthscope Administration
Acknowledgement of Country 1.03 Healthscope Administration
Admission of a Patient to Acute Medical Surgical Hospital
2.65 Healthscope Administration
Admission of Patients and Informed Financial Consent 2.01 Healthscope Administration
Admission of Patients by Ambulance 2.04 Healthscope Administration
Admission of Patients - Refusal and Authorisation 2.26 Healthscope Administration
Admissions, exclusion criteria and referral network - adult critical care
NBH-05-10
NBH Administration
Admissions, exclusions and referral criteria - Paediatrics
NBH-05-06
NBH Administration
Admissions, exclusions and referral network - perinatal NBH-05-05
NBH Administration
Advance Care Directives 2.56 Healthscope Administration
Advance care directives NBH-05-12
NBH Administration
Alerts - Documentation and Management of 2.45 Healthscope Administration
Animals, Assistance - Patients 2.41 Healthscope Administration
Auditing, Internal - Quality 2.37 Healthscope Administration
Business Names 1.47 Healthscope Administration
By-Laws, Policies, Procedures and Memoranda 1.07 Healthscope Administration
Car / Motor Vehicle 1.16 Healthscope Administration
Chain of Command - Nursing Staff 2.19 Healthscope Administration
Chemotherapy Governance of NBH-05-37
NBH Administration
Claims for Non Clinical Hours - Senior Medical Staff NBH-05-13
NBH Administration
Clinical Coders - Training and Assessment (prev. Trainee Clinical Coder, New HIM / CC)
2.42 Healthscope Administration
Clinical Coding and Checking 2.38 Healthscope Administration
Clinical Indicators previously Clinical Indicators - Minimum Data Set
2.33 Healthscope Administration
Clinical Trials and Research 2.11 Healthscope Administration
National Committees and Clinical Webex Teams 2.18 Healthscope Administration
Coding Query Process 2.46 Healthscope Administration
Complaints Management 1.08 Healthscope Administration
Complaints Management Process NBH-05-04
NBH Administration
Consent to Medical / Surgical Treatment 2.17 Healthscope Administration
Consumer-Approved Publications 2.6 Healthscope Administration
Consumers, Partnering with 1.05 Healthscope Administration
Contracts Register - Healthscope Group 1.3 Healthscope Administration
Copyright 1.09 Healthscope Administration
Correct Patient, Correct Procedure, Correct Site 2.15 Healthscope Administration
Credit Card Authorisation 1.51 Healthscope Administration
Critical Systems Review (CSR) 1.36 Healthscope Administration
Day of Surgery – unplanned overnight admission NBH-05-18
NBH Administration
Day Procedure admission and discharge criteria NBH-05-17
NBH Administration
Deaths, In-Hospital - Review of 2.48 Healthscope Administration
Delegations of Authority - Administrative Requests 1.26 Healthscope Administration
Discharge of a Patient 2.5 Healthscope Administration
Discharge of a Patient against Medical Advice - (previously 8.19)
2.51 Healthscope Administration
Document Control 1.14 Healthscope Administration
Document Destruction - Criminal Offence 1.06 Healthscope Administration
Document Retention - Non Health Information 1.28 Healthscope Administration
Duplicate UR Management 2.47 Healthscope Administration
Ellis Disclaimer 2.12 Healthscope Administration
Emergency Departments 2.03 Healthscope Administration
Energy Management 1.46 Healthscope Administration
Enrolled Nurses in the Intensive Care Unit 2.53 Healthscope Administration
Environmental Management 1.45 Healthscope Administration
Exclusion from admission NBH-05-07
NBH Administration
Exclusions - Services not Provided 2.31 Healthscope Administration
Fax Streaming 1.25 Healthscope Administration
Forms, Medical Record 2.34 Healthscope Administration
Gifts, Gratuities and Conflict of Interest 1.13 Healthscope Administration
Health Fund - Contract Amendments 1.48 Healthscope Administration
Health Fund - Contract Amendments - Process Map 1.48 Healthscope Administration
Incident Management 2.13 Healthscope Administration
Incident reporting to NSW Health NBH-05-03
NBH Administration
Integration of ED Education Programs NBH-05-36
NBH Administration
Internet Content Management 1.21 Healthscope Administration
Interpreter Service 2.36 Healthscope Administration
Interpreter service - access to NBH-05-09
NBH Administration
JMO Un-Rostered Overtime, Call-Back (Recall) NBH-05-11
NBH Administration
Leave Cover (Executive) - Delegation of Authority 1.27 Healthscope Administration
Logos (Corporate) - Use of 1.43 Healthscope Administration
Marketing and Business Development Plans 1.32 Healthscope Administration
Maximiser Database Use 1.42 Healthscope Administration
Mechanical Ventilation & ICU Hours 2.58 Healthscope Administration
Media and Public Relations 1.17 Healthscope Administration
Medical Company Representatives (MCR) - Site Visits (previously Supplier Representatives - Site Visits)
1.4 Healthscope Administration
Medical Discharge Summary / Doctor's Letter 2.4 Healthscope Administration
Medical Record, paper based - Request for correction of patient information
2.09 Healthscope Administration
Medical Record Documentation Audit 2.27 Healthscope Administration
Medical Record Paper-Based - Documentation in (retitled)
2.39 Healthscope Administration
Medical Records, Paper-Based - Lost 2.22 Healthscope Administration
My Health Record System 2.66 Healthscope Administration
New Interventional Procedures - Safe Introduction of 2.32 Healthscope Administration
Notification of Disease and Child Abuse 2.25 Healthscope Administration
Open Disclosure 2.3 Healthscope Administration
Pastoral and Spiritual Care 2.05 Healthscope Administration
Pastoral Care Service at NBH NBH-05-08
NBH Administration
Patient Identification Bands 2.08 Healthscope Administration
Patient Satisfaction Surveys 1.33 Healthscope Administration
Photography - Consent for 1.44 Healthscope Administration
Policy and Document Control NBH-05-02
NBH Administration
Policy Compliance Monitoring 1.1 Healthscope Administration
Policy Proforma and Template 1.15 Healthscope Administration
Policy Review, Authorisation and Distribution 1.01 Healthscope Administration
Preadmission of Patients - Acute Hospitals 2.28 Healthscope Administration
Privacy 2.23 Healthscope Administration
Privacy - New Zealand 2.23 Healthscope Administration
Procurement 1.29 Healthscope Administration
Product Recall 2.1 Healthscope Administration
Patient Rounding 2.63 Healthscope Administration
Quality Management 1.18 Healthscope Administration
Release of Health Information 2.24 Healthscope Administration
Removal or Exclusion of Persons from Premises 1.11 Healthscope Administration
Reports - General Managers' 1.12 Healthscope Administration
Retention and Disposal of Health Information 2.21 Healthscope Administration
Rights and Responsibilities - Patients' 2.16 Healthscope Administration
Risk Management - Clinical 2.29 Healthscope Administration
Risk Management and Integrated Risk Register 1.34 Healthscope Administration
Risk Management System - Use of Riskman 1.38 Healthscope Administration
Root Cause Analysis (Statutory) - Clinical 2.02 Healthscope Administration
Scanned Documents in WebPAS - Financial Forms and Certificates
2.67 Healthscope Administration
Second Opinion, Right to a 2.35 Healthscope Administration
Self-Funded Hospital Patients 1.5 Healthscope Administration
Sentinel and HSSE Event Identification and Escalation 1.35 Healthscope Administration
Communication for Site Visits - Head Office Staff 1.39 Healthscope Administration
Social Media - Patient Use 1.41 Healthscope Administration
Social Media - Professional Use 1.37 Healthscope Administration
Staff Discounts 2.59 Healthscope Administration
Suicide (Threatened, Attempted or Completed) of an Adult Inpatient in a Non-Mental Health Facility
2.54 Healthscope Administration
Top Tips for Safe Health Care (Renamed from Ten Tips for Safer Health Care)
2.14 Healthscope Administration
Transfer (Intrahospital) of Patient from the Emergency Department
2.55 Healthscope Administration
Transfer of a Patient - Inter-Hospital 2.49 Healthscope Administration
Transport of Patient - Intra Hospital NBH-05-32
NBH Administration
Travel - Company 1.19 Healthscope Administration
Vision and Values 1.02 Healthscope Administration
Accredited Health Professionals' Credentials 1.20 Healthscope Administration
Visitors 2.06 Healthscope Administration
Waste Management 1.49 Healthscope Administration
WebPAS Coding Audit Tool 2.57 Healthscope Administration
webPAS Contingency Process 1.52 Healthscope Administration
Wills & Power of Attorney for Patients 1.24 Healthscope Administration
Allied Health
Clinical Handover – Allied Health Staff NBH-13-01
NBH Allied Health
All Healthscope Corporate Clinical Policies
Acute Asthma Management NBH-06-65
NBH Clinical
Acute Cardiac Rehab NBH-06-34
NBH Clinical
Acute Severe Behavioural Disturbance in Emergency Departments Management
NBH-06-71
NBH Clinical
Admission and Discharge to ICU NBH-06-30
NBH Clinical
Advanced Life Support 8.13 Healthscope Clinical
Animal Visits to Hospital NBH-06-43
NBH Clinical
Arterial Line Management 8.4 Healthscope Clinical
Aseptic Technique 8.38 Healthscope Clinical
Basic Life Support (BLS) and Cardiopulmonary Resuscitation (CPR)
8.42 Healthscope Clinical
Bed Sticks 8.79 Healthscope Clinical
Bladder Irrigation Continuous -Post Op NBH-06-57
NBH Clinical
Blood Alcohol And Drug Testing NBH-06-59
NBH Clinical
Blood Cultures – Collection of NBH-06-61
NBH Clinical
Blood Fridge - Contents Management and Unused Blood Products
8.64 Healthscope Clinical
Blood Transfusion - Management of Patient Blood and Blood Products
8.64 Healthscope Clinical
Blood Transfusion - Massive 8.62 Healthscope Clinical
Blood Transfusion - Massive Transfusion Protocol NBH
NBH-06-05
NBH Clinical
Blood Transfusion (Emergency) of Unmatched Red Cells
8.63 Healthscope Clinical
BME Acceptance and Commissioning NBH-06-97
NBH Clinical
BME Calibration of biomedical testers NBH-06-106
NBH Clinical
BME Decommissioning of medical equipment NBH-06-98
NBH Clinical
BME Equipment servicing repairs_External NBH-06-101
NBH Clinical
BME Medical Equipment Repairs NBH-06-99
NBH Clinical
BME Periodic Maintenance Schedule NBH-06-102
NBH Clinical
Cardiac Monitoring in Adult Patients NBH-06-67
NBH Clinical
Care Planning Emergency Department NBH-06-17
NBH Clinical
CAT Scans for Headaches 8.48 Healthscope Clinical
Central Venous Catheter (CVC) - Administration of Medications and Fluids
8.47 Healthscope Clinical
Central Venous Catheter (CVC) - Blood Sampling 8.47 Healthscope Clinical
Central Venous Catheter (CVC) - Dressing 8.47 Healthscope Clinical
Central Venous Catheter (CVC) - Flushing and Locking
8.47 Healthscope Clinical
Central Venous Catheter (CVC) - Infusion Set - Needleless Connector Change
8.47 Healthscope Clinical
Central Venous Catheter (CVC) - Insertion 8.47 Healthscope Clinical
Central Venous Catheter (CVC) - Removal 8.47 Healthscope Clinical
Clinical Deterioration - Recognising and Responding to
8.45 Healthscope Clinical
Clinical Escalation Response System (CERS) NBH-06-02
NBH Clinical
Clinical Handover - Departmental and Intra-Unit 8.18 Healthscope Clinical
Clinical Handover Processes NBH-06-03
NBH Clinical
Cold Therapy 8.49 Healthscope Clinical
Continuous Renal Replacement Therapy (CRRT) using the Gambro Prismaflex
NBH-06-87
NBH
Coordination of Services NBH-06-234
NBH Clinical
Coronary Angiography and Percutaneous Coronary Intervention (PCI)
NBH-06-60
NBH Clinical
Coronary Angioplasty/Angiogram - Patient Preparation NBH-06-66
NBH Clinical
Coronary Care Unit (CCU) - Admission to NBH-06-68
NBH Clinical
Death of a Patient - care of the Body After Death NBH-06-15
NBH Clinical
Death of a patient – Coronial NBH-06-18
NBH Clinical
Death of Infectious Patient - Care of Body after Death NBH-06-16
NBH Clinical
Defibrillation NBH-06-62
NBH Clinical
Delirium and Cognitive Impairment Prevention and Management
8.94 Healthscope Clinical
Diabetic Ketoacidosis - Management of - Adult NBH-06-56
NBH Clinical
Diet and Nutrition - Adult Inpatients 8.27 Healthscope Clinical
Discharge Planning & Procedure NBH-06-22
NBH Clinical
Domestic Violence - Identifying and Responding NBH-06-20
NBH Clinical
Drains - Management and Removal of NBH-06-
72 NBH Clinical
Elective Cardioversion NBH-06-47
NBH Clinical
Electrocardiogram (ECG) NBH-06-94
NBH Clinical
Emergency Department - Discharge of patients from NBH-06-
73 NBH Clinical
Emergency Department Triage NBH-06-103
NBH Clinical
Emergency Dept. Intra-hospital transfer of patients from ED to Hospital wards
NBH-06-09
NBH Clinical
Emergency Equipment – Location and Content (Hospital Wide)
NBH-06-08
NBH Clinical
Emergency Equipment - LUCAS chest compression system
NBH-06-04
NBH Clinical
Emergency Trolley - Checking and Restocking NBH-06-11
NBH Clinical
End of life care and decision making NBH-06-07
NBH Clinical
Endotracheal Tube - Securing NBH-06-28
NBH Clinical
Enteral Feeding via a Percutaneous Endoscopic Gastrostomy (PEG) or a Percutaneous Jejunostomy Tube
8.28 Healthscope Clinical
Epicardial Pacing Wires - Management of the patient with
NBH-06-26
NBH Clinical
Epidurals - Insertion and Management of 8.39 Healthscope Clinical
External Ventricular Drain - Management of NBH-06-114
NBH Clinical
Extubation - Endotracheal Tube 8.77 Healthscope Clinical
Falls Prevention and Management - Patient 8.04 Healthscope Clinical
Fluid Balance Charts 8.91 Healthscope Clinical
Haemodialysis - Air Embolism Management NBH-06-32
Clinical
Haemodialysis Extracorproreal Circuit Anticoagulation NBH-06-236
NBH
Haemodialysis - Management of Intradialytic Hypotension
NBH-06-45
NBH Clinical
Haemodialysis - Management of Machines and Immediate Environment
NBH-06-49
NBH Clinical
Haemodialysis - Managing dialysate potassium levels NBH-06-37
NBH Clinical
Haemodialysis - Transfusion of Blood Products on dialysis
NBH-06-46
NBH Clinical
Haemodialysis Patient Failure to Attend NBH-06-235
NBH Clinical
Hand Hygiene 8.1 Healthscope Clinical
Heat Therapy – ‘Flexeze’ Heat Patch 8.46 Healthscope Clinical
Humidified High Flow Oxygen Therapy via Nasal Cannula
NBH-06-72
NBH Clinical
Hypoglycaemia - Recognition and Treatment of - Adults
NBH-06-53
NBH Clinical
Immunoglobulin - Administration of 8.92 Healthscope Clinical
Implanted Venous Ports - Administration of Medications or Fluids
8.37 Healthscope Clinical
Implanted Venous Ports - Blood Sampling 8.37 Healthscope Clinical
Implanted Venous Ports - Changing Needleless Connectors
8.37 Healthscope Clinical
Implanted Venous Ports - De-Accessing and Removal 8.37 Healthscope Clinical
Implanted Venous Ports - Dressing Change 8.37 Healthscope Clinical
Implanted Venous Ports - Flushing and Locking 8.37 Healthscope Clinical
Implanted Venous Ports - General Care, Assessment and Documentation
8.37 Healthscope Clinical
Implanted Venous Ports - Management of Emergencies
8.37 Healthscope Clinical
Implanted Venous Ports - Needling and Accessing 8.37 Healthscope Clinical
Intra-Aortic Balloon Pump (IABP) Catheter - Insertion and Management
8.43 Healthscope Clinical
Intra-Aortic Balloon Pump Macquet - Timing and Weaning
NBH-06-116
NBH Clinical
Jehovah's Witnesses & Transfusions 8.87 Healthscope Clinical
Last Days of Life Care and Management 8.96 Healthscope Clinical
Lumbar Puncture NBH-06-63
NBH Clinical
Major Trauma Criteria NBH-06-141
NBH Clinical
Mechanical Ventilation in ICU NBH-06-27
NBH Clinical
Meningococcal Disease - Management in the Ed NBH-06-80
NBH Clinical
MRI of patients with MR Conditional Cardiovascular Implantable Electronic Devices (CIEDs)
NBH-06-64
NBH Clinical
Nasogastric Tube - Insertion and Care 8.29 Healthscope Clinical
Negative Pressure Rooms NBH-06-48
NBH Clinical
Negative Pressure Wound Therapy NBH-06-231
NBH Clinical
Neurological Observations NBH-06-40
NBH Clinical
Neurovascular Observations NBH-06-41
NBH Clinical
Non-fatal Drowning/Submersion/Immersion NBH-06-154
NBH Clinical
Not for Cardiopulmonary Resuscitation (NFR) - Withdrawal of Treatment
8.14 Healthscope Clinical
Nursing Care of the Intensive Care Patient NBH-06-31
NBH Clinical
Nurse Initiated XRay (NIXR) NBH-06-150
NBH Clinical
Observations in the ED 8.12 Healthscope Clinical
Observations General - Minimum Standards NBH-06-42
NBH Clinical
Ophthalmology Pts presenting to ED - Management of NBH-06-142
NBH Clinical
Organ and Tissue Donation NBH-06-14
NBH Clinical
Organ and Tissue Donations 8.81 Healthscope Clinical
Pacing, Temporary - Management DRAFT 1 8.19 Healthscope Clinical
Patient Special NBH-06-50
NBH Clinical
Peripheral Intravenous Cannula (PIVC) - Insertion, Management and Removal
8.33 Healthscope Clinical
Peripherally Inserted Central Catheter (PICC) - Administration of Medications and Fluids
8.36 Healthscope Clinical
Peripherally Inserted Central Catheter (PICC) - Changing Needleless Connectors
8.36 Healthscope Clinical
Peripherally Inserted Central Catheter (PICC) - Dressing Change
8.36 Healthscope Clinical
Peripherally Inserted Central Catheter (PICC) - Flushing and Locking
8.36 Healthscope Clinical
Peripherally Inserted Central Catheter (PICC) - General Care, Assessment and Documentation
8.36 Healthscope Clinical
Peripherally Inserted Central Catheter (PICC) - Blood Sampling
8.36 Healthscope Clinical
Peripherally Inserted Central Catheter (PICC) - Management of Emergencies
8.36 Healthscope Clinical
Peripherally Inserted Central Catheter (PICC) - Removal
8.36 Healthscope Clinical
Peritoneal Dialysis - Line Change NBH-06-69
NBH Clinical
Peritoneal Dialysis - Management of NBH-06-70
NBH Clinical
Physical Assessment of ICU Patient: Documentation of
NBH-06-33
NBH Clinical
Pigtail Drains, Removal of 8.8 Healthscope Clinical
Pleural Drains - Insertion of 8.9 Healthscope Clinical
Pleural Drains - Management of 8.9 Healthscope Clinical
Pleural Drains - Removal of 8.9 Healthscope Clinical
Possession of Firearms - Notifying and Managing Risk to Other Persons
NBH-06-71
NBH Clinical
Post-Operative Management of Cardiac Surgery NBH-06-12
NBH Clinical
Pre-operative hair clipping and preparation NBH-06-38
NBH Clinical
Pressure Injury - Prevention and Management of 8.05 Healthscope Clinical
Pulmonary Artery Catheter - Management 8.41 Healthscope Clinical
Pulmonary Artery Catheter - Removal 8.41 Healthscope Clinical
Pulmonary Artery Catheter- Insertion 8.41 Healthscope Clinical
Pulse Oximetry 8.44 Healthscope Clinical
Radial Sheath Removal with TR Band NBH-06-35
NBH
RefeedingSyndrome HKHS NSLHD Clinical
Re-sternotomy (Emergency Chest Opening) NBH-06-25
NBH Clinical
ROTEM - Thromboelastometry guided management of the bleeding patient
NBH-06-32
NBH Clinical
Safe Movement of Patients in Emergency Department NBH-06-10
NBH Clinical
Safe Sleeping - Infants 8.24 Healthscope Clinical
Safe Start (NSW PD) NBH-06-54
NBH Clinical
Sexual Assault, Management of patients presenting post
NBH-06-06
NBH Clinical
Sputum Collection 8.26 Healthscope Clinical
Subcutaneous catheter system (butterfly) management
NBH-06-51
NBH Clinical
Swallow Screening for Acute Stroke Transient Ischaemic Attack (TIA)
NBH-06-44
NBH Clinical
Talc Pleurodesis NBH-06-13
NBH Clinical
Targeted temperature management after cardiac arrest
NBH-06-52
NBH Clinical
Telephone Triage 8.08 Healthscope Clinical
Temporary Transvenous Pacing Management of Pt undergoing
NBH-06-29
NBH Clinical
TPN 8.84 Healthscope Clinical
Tracheostomy - Accidental Decannulation and Blockage
8.22 Healthscope Clinical
Tracheostomy - Speaking Valves 8.25 Healthscope Clinical
Tracheostomy - Tube Change and Decannulation 8.23 Healthscope Clinical
Tracheostomy Care 8.21 Healthscope Clinical
Tracheostomy Suctioning 8.2 Healthscope Clinical
Triage 8.07 Healthscope Clinical
Unidentified Person/s Presenting to the ED NBH-06-219
NBH Clinical
Urinary Bladderscan - Portable Unit 8.35 Healthscope Clinical
Urinary Catheterisation - Female 8.32 Healthscope Clinical
Urinary Catheterisation - Male 8.31 Healthscope Clinical
Urine Specimen Collection 8.3 Healthscope Clinical
Vas-Catheter for CRRT - Insertion of NBH-06-81
NBH Clinical
Venous Thromboembolism (VTE) - Prevention 8.06 Healthscope Clinical
Visitors in ICU NBH-06-224
NBH Clinical
Voluntary Assisted Dying (Victoria) 8.98 Healthscope Clinical
Wound Assessment and Management NBH-06-226
NBH Clinical
Wound Care - Basic Dressing Technique NBH-06-227
NBH Clinical
Wound Care - Skin Tear Guidelines NBH-06-232
NBH Clinical
Wound Swab - Procedure NBH-06-76
NBH Clinical
All Healthscope Corporate Governance Policies
Audit, Risk and Compliance Committee Charter 0.1 Healthscope Corporate
Governance
Board Charter 0.09 Healthscope Corporate
Governance
By-Laws 0.11 Healthscope Corporate
Governance
Code of Conduct 0.01 Healthscope Corporate
Governance
Continuous Disclosure 0.02 Healthscope Corporate
Governance
Dealing in Securities 0.056 Healthscope Corporate
Governance
Diversity and Inclusion 0.12 Healthscope Corporate
Governance
Executive Minimum Shareholding Policy 0.15 Healthscope Corporate
Governance
Enterprise Risk Management (ERM) Strategy 0.17 Healthscope Corporate
Governance
Market Disclosure and Communication Strategy 0.04 Healthscope Corporate
Governance
Nomination Committee Charter 0.08 Healthscope Corporate
Governance
Non Audit Services 0.13 Healthscope Corporate
Governance
Non-Executive Director Shareholding 0.16 Healthscope Corporate
Governance
People and Remuneration Committee Charter 0.07 Healthscope Corporate
Governance
Philanthropic Donations 0.03 Healthscope Corporate
Governance
Tax Governance 0.14 Healthscope Corporate
Governance
Whistleblowers 0.05 Healthscope Corporate
Governance
All Healthscope Corporate Finance Policies
Capital expenditure and equipment maintenance / replacement / disposal
3.03 Healthscope Finance
cheque signatories 3.04 Healthscope Finance
Credit card use - corporate 3.12 Healthscope Finance
Submission of Creditors invoices 3.17 Healthscope Finance
Debt collection 3.05 Healthscope Finance
Debt write offs 3.06 Healthscope Finance
Employee Reimbursement - Staff Petty Cash NBH-01-02
NBH Finance
Expenditure, authorisation of 3.01 Healthscope Finance
Expenses - staff 3.07 Healthscope Finance
Financial audit - external 3.09 Healthscope Finance
Information dissemination 3.13 Healthscope Finance
Ledger accounts reconciliation 3.11 Healthscope Finance
Petty cash 3.18 Healthscope Finance
Quarterly debtors review 3.15 Healthscope Finance
Stock count 3.14 Healthscope Finance
Strategic planning and budgeting process 3.02 Healthscope Finance
Supplier invoices 3.08 Healthscope Finance
WebPas payments 3.19 Healthscope Finance
Work cover debtors 3.16 Healthscope Finance
All Healthscope Corporate Human Resource Policies
Blood Testing of Healthcare Workers for Blood-Borne Diseases
4.32 Healthscope HR
Change in Employment Status, Personal or Banking Details
4.02 Healthscope HR
Communications - Internal 4.33 Healthscope HR
Dress Code - Corporate (Wardrobe and Identification) 4.11 Healthscope HR
Education and Training 4.06 Healthscope HR
Employee Master File Audit Report 4.35 Healthscope HR
Equal Employment Opportunity: Harassment and Discrimination
4.23 Healthscope HR
Exit Interviews 4.12 Healthscope HR
Foreigners, Employment of 4.37 Healthscope HR
Grievances 4.09 Healthscope HR
Kronos - Mobile App, Authorisation and Use 4.22 Healthscope HR
Kronos - Staff Sharing 4.25 Healthscope HR
Kronos Timecards - Authorisation of 4.19 Healthscope HR
Leave - Annual 4.01 Healthscope HR
Leave - Compassionate 4.01 Healthscope HR
Leave - Defence Forces 4.01 Healthscope HR
Leave - Jury Service 4.01 Healthscope HR
Leave - Long Service 4.01 Healthscope HR
Leave - Parental (maternity, paternity and adoption) 4.01 Healthscope HR
Leave - PDO, ADO, TIL 4.01 Healthscope HR
Leave - Personal (Sick and Carers) 4.01 Healthscope HR
Leave - special 4.01 Healthscope HR
Living away from Home Allowance 4.27 Healthscope HR
Mandatory Training 4.1 Healthscope HR
Orientation - Employee 4.16 Healthscope HR
Overtime 4.13 Healthscope HR
Payroll Periods 4.3 Healthscope HR
Performance and Conduct Management 4.05 Healthscope HR
Performance Review and Development (previously Performance Appraisals)
4.14 Healthscope HR
Personnel Records 4.17 Healthscope HR
Police / Clearance and Working with Children Checks 4.36 Healthscope HR
Position Descriptions 4.18 Healthscope HR
Recruitment and Selection 4.15 Healthscope HR
Redundancy and Retrenchment 4.2 Healthscope HR
Registration - Nurses and Allied Health Professionals 4.24 Healthscope HR
Relocation - Employee 4.34 Healthscope HR
Salary - Underpayment and Overpayment 4.21 Healthscope HR
Salary Packaging 4.28 Healthscope HR
Salary Packaging Guidelines 4.28 Healthscope HR
Social Media - Employee Use 4.4 Healthscope HR
Sponsorship - Employee Permanent Residency 4.39 Healthscope HR
Sponsorship - Temporary (457 Visa) 4.38 Healthscope HR
Termination of Employment 4.04 Healthscope HR
Timesheets - Authorisation of 4.03 Healthscope HR
Transfer of Employees 4.29 Healthscope HR
Uniform Dress Code and Appearance NBH-02-06
NBH HR
Union Visits (prev. 1.22 under Admin) 4.31 Healthscope HR
Workplace Surveillance NBH-02-05
NBH HR
Casual Employees 4.08 Healthscope HR
Leave Forms – Completion, Authorisation and Submission of Leave Forms to Payroll
4.01 Healthscope HR
Volunteers 4.07 Healthscope HR
Management of patients with Tuberculosis NBH-12-02
NBH Infection Control
Management of the Arjo Huntleigh Pressure Relieving Mattress (Nimbus Mattress
NBH-12-07
NBH
MRO - Screening for Multi-resistant Organisms NBH-12-04
NBH Infection Control
Notification of Infectious Diseases NBH-12-03
NBH Infection Control
HICMR Infection Control Policy manual
All Healthscope Corporate Information Technology Policies
Digital Content - Management and Authorisation (previously Internet Content Authorisation)
7.05 Healthscope IT
Email Management and Retention 7.1 Healthscope IT
Information Security 7.06 Healthscope IT
Information Technology - Acceptable Use 7.01 Healthscope IT
IT Back-Up 7.07 Healthscope IT
All Healthscope Corporate Medication Policies
Administration of Insulin Therapy 18.58 Healthscope Medication
Administration of Ocrelizumab in the Day Medical centre
NBH-07-10 NBH Medication
Adrenaline Nebulisation - Paediatrics NBH-07-
47 NBH Medication
Adverse Drug Reactions - Reporting to TGA (Therapeutic Goods Administration) 18.76 Healthscope Medication
Anaphylaxis - Treatment of by Credentialled Registered Nurse
NBH-07-32
NBH Medication
Antimicrobial Prescribing and Management 18.53 Healthscope Medication
Antimicrobial Stewardship & Appendix A - Prophylactic Use of Antibiotics for adult surg patients
NBH-07-07
NBH Medication
Best Possible Medication History, Obtaining the 18.85 Healthscope Medication
Bivalirudin (Angiomax discontinued)- Administration Guidelines
NBH-07-49
NBH Medication
Buccal Midazolam for home emergency use in Children - Administration
NBH-07-22
NBH Medication
Caring for the imminently dying adult patient - Prescribing guidelines
NBH-07-01
NBH Medication
Continuous Nebulised Iloprost Therapy in ICU NBH-07-29
NBH-07-29
NBH Medication
Continuous Peripheral Nerve Infusions (CPNI) NBH-07-18
NBH Medication
Controlled Drugs - Storage and Administration of 18.56 Healthscope Medication
Cytotoxic Medication IM & Subcut Injections NBH-07-13
NBH Medication
Cytotoxic Medication - Intrathecal Administration NBH-07-54
NBH Medication
Cytotoxic Medication - Oral NBH-07-12
NBH Medication
Cytotoxic Medications – Administration of Intravenous via Central Venous Access Devices
NBH-07-57
NBH Medication
Cytotoxic Medications - Administration of via Peripheral Intravenous Cannula
NBH-07-11
NBH Medication
Cytotoxic Medications Management & Safe Handling NBH-07-14
NBH Medication
Discharge Medication 18.49 Healthscope Medication
Disposal of Medications 18.78 Healthscope Medication
Drugs of Addiction (S8) & Restricted Substances (S4)
NBH-07-02
NBH Medication
Ear Medication - Administration of 18.57 Healthscope Medication
Emergency and Intensive Care Drug Protocols NBH-07-15
NBH Medication
Enema - Disposable - Administration of 18.72 Healthscope Medication
Enrolled Nurse - Administration Medication 18.02 Healthscope Medication
Entonox Procedure NBH-07-23
NBH Medication
Extravasation Guidelines for Cytotoxic Medications NBH-07-55
NBH Medication
Eye Drops / Eye Ointment - Administration of 18.54 Healthscope Medication
Formulary addition and Individual patient use (IPU) requests management
NBH-07-30
NBH Medication
Formulary submission form NBH-07-
30a NBH Medication
Individual Patient Use Medication Request Application Form
NBH-07-30b
NBH Medication
Heparin Infusion 18.65 Healthscope Medication
High Risk Medication Management NBH-07-03
NBH Medication
Hydromorphone 18.19 Healthscope Medication
HYDROmorphone - Safe administration and storage NBH-07-04
NBH Medication
Hyperkalaemia - management of NBH-07-58
NBH Medication
Hypophsophataemia – Treatment of - Adults NBH-07-
31 NBH Medication
Inhaled Medication - Administration of 18.66 Healthscope Medication
Intramuscular Injection Route (Administration of Medication via)
18.59 Healthscope Medication
Intranasal Fentanyl Citrate Administration for Paediatric Patients
NBH-07-24
NBH Medication
Intravenous (IV) Therapy - Medications and Infusions 18.34 Healthscope Medication
Intravenous Insulin Infusion in the Intensive Care Unit NBH-07-
25 NBH Medication
Intravenous Iron Infusions 18.16 Healthscope Medication
Intravenous Vancomycin - Dosing and Administration guidelines
NBH-07-26
NBH Medication
Ketamine Infusion (Adult Acute Setting) 18.14 Healthscope Medication
Ketamine Infusion NBH-07-17
NBH Medication
Magnesium Sulfate Infusion in Severe Asthma - Quick Reference Guide for Paediatric Patients
NBH-07-19
NBH Medication
Medication able to be administered in NBH patient areas
NBH-07-28
NBH Medication
Medication - Orders and Administration 18.01 Healthscope Medication
Medication Management Plan 18.75 Healthscope Medication
Medication Safety Governance 18.89 Healthscope Medication
Methotrexate (Oral), Safe administration of NBH-07-05
NBH Medication
Narcotic Infusion/Patient-Controlled Analgesia (PCA) and CADDS
18.15 Healthscope Medication
Nasal Medication - Administration of 18.71 Healthscope Medication
Neuromuscular Blocking Agents, Safe administration of
NBH-07-06
NBH Medication
Nitrous Oxide Administration for paediatric patients NBH-07-27
NBH Medication
Nurse Initiated Medication MBH-07-17
NBH Medication
Oral Medication - Administration of 18.6 Healthscope Medication
Oral Medication - Devices to Assist Administration 18.55 Healthscope Medication
Ordering Medication - Verbal 18.5 Healthscope Medication
Potassium Chloride - Storage and Administration 18.51 Healthscope Medication
Prescription Pads - The Management and Storage of NBH-07-21
NBH Medication
Psychotropic Medications - Recommended Maximum Daily Doses
NBH-07-33
NBH Medication
Rectal Medication - Administration of 18.68 Healthscope Medication
Registered Nurse-Initiated Medications 18.52 Healthscope Medication
Schedule 4 Drugs Identified as Having Abuse Potential - Security and Custody of
18.67 Healthscope Medication
Self Administration - Medication Patient 18.03 Healthscope Medication
Standardised Medication Orders 18.17 Healthscope Medication
Standing Orders - Medication NBH-07-16
NBH Medication
SO_03 Dialysis_Heparin cvad Standing Order NBH SO_03 NBH Medication
SO_04 Dialysis_Heparin loading dose Standing Order NBH
SO_04 NBH Medication
SO_05 Dialysis_Heparin maintenance Standing Order NBH
SO_05 NBH Medication
SO_07 Dialysis_Heparin priming Standing Order NBH SO_07 NBH Medication
SO_08 Dialysis_Lignocaine1% Standing Order NBH SO_08 NBH Medication
SO_11 Day Med Heparin Standing order SO_11 NBH Medication
SO_12 Day Med Hydrocortisone Standing Order SO_12 NBH Medication
SO_13 Day Med Promethazine Standing Order SO_13 NBH Medication
SO_14 ED_Amethocaine-Standing Order NBH SO_14 NBH Medication
SO_15 _ED Histoacryl-Standing Order NBH SO_15 NBH Medication
SO_16 ED_Entonox-Standing Order NBH SO_16 NBH Medication
SO-20 ED_Panadeine Forte-Standing Order NBH SO_20 NBH Medication
SO_21 ED_Salbutamol-Standing Order NBH SO_21 NBH Medication
SO-22 ED_Diphtheria Tetanus ADT-Standing Order NBH
SO_22 07-16 outlines the
review
Medication
SO_23 ED_Normal Saline Infusion-Standing Order NBH
SO_23 NBH Medication
SO_24 ED_Topical ALA Standing Order NBH SO_24 NBH Medication
SO_25 ED_Ondansetron Standing Order NBH SO_25 NBH Medication
SO_26 OBS_Oxytocin Standing Order NBH SO_26 NBH Medication
SO_27 OBST_oxytocin prevention of PPH Standing Order NBH
SO_27 NBH Medication
SO_28 OBST_ Diclofenac Tablets EC Standing Order NBH
SO_28 NBH Medication
SO_29 OBST_Syntometrine Standing Order NBH SO_29 NBH Medication
SO_30 OBST_Metoclopramide in Labour Standing Order NBH
SO_30 NBH Medication
SO_31 OBST_Lignocaine Standing Order NBH SO_31 NBH Medication
SO_32 OBST_Oxytocin 40 units infusion Standing Order NBH
SO_32 NBH Medication
SO_35 ED_Ibuprofen Standing Order SO_35 NBH Medication
SO_36 ED_Oral rehydration for paediatric patients SO_36 NBH Medication
Subcutaneous Injection 18.61 Healthscope Medication
Suppository Medication via Colostomy - Administration of
18.69 Healthscope Medication
Temperature-Sensitive Medications, Storage of 18.86 Healthscope Medication
Tirofiban - Administration of NBH-07-48
NBH Medication
Topical Medication - Administration of 18.74 Healthscope Medication
Vaginal Medication - Administration of 18.7 Healthscope Medication
Vincristine, Administration of NBH-07-08
NBH Medication
Warfarin Administration 18.73 Healthscope Medication
All Healthscope Corporate Mental Health Policies
Admission and Transfer within MH services – Escalation of Decision Making
NBH-08-58
NBH Mental Health
Admission of Children & Youth MH Patients to MH Service
NBH-08-05
NBH Mental Health
Admission to Mental Health Inpatient Units NBH-08-06
NBH Mental Health
Aggression seclusion & restraint in mental health facilities in NSW
NBH-08-08
NBH Mental Health
Aggression seclusion & restraint in MH facilities - guideline focused upon older people
NBH-08-09
NBH Mental Health
Assessing, addressing & Managing environmental Risks - Inpatient areas & Ligature risks
NBH-08-13
NBH Mental Health
Children (0-17 years) Years Visiting MH Inpatient Units
NBH-08-15
NBH Mental Health
Children of parents with MH (COPMI) Referral Pathways & Service Delivery
NBH-08-24
NBH Mental Health
Clinical Care of People Who May be Suicidal NBH-08-16
NBH Mental Health
Clinical Handover & Clinical Review Meetings NBH-08-17
NBH Mental Health
Clinical Risk Assessment, Engagement and Observation
NBH-08-01
NBH Mental Health
Monitoring Protocol for Clozapine Induced Myocarditis NBH-08-
19 NBH Mental Health
Community Treatment Orders NBH-08-
04 NBH Mental Health
Consumer Carer Participation NBH-08-23
NBH Mental Health
Consumer Leave NBH-08-01
NBH Mental Health
Driving Restrictions 9.03 Healthscope Mental Health
Domestic Violence - identifying and Responding to NBH-08-26
Healthscope Mental Health
Duress Alarm Systems 9.11 Healthscope Mental Health
ECT Services Monitoring & Audit Procedure NBH-08-28
NBH Mental Health
Emergency Services Accessing Clinical Information MHS during High Risk Situations
NBH-08-29
NBH Mental Health
Family and Carer Participation NBH-08-30
NBH Mental Health
Fire and Emergency Evacuation from Mental Health Units
NBH-08-57
NBH Mental Health
Forensic & High Risk Civilian Patient Referrals to CFMHS
NBH-08-31
NBH Mental Health
Environmental Risks in Patient Areas, Managemet of 9.25 Healthscope Mental Health
Gender Identity Sensitivity and Cultural Safety 9.04 Healthscope Mental Health
Inpatient Management of Alcohol Withdrawal NBH-08-33
NBH Mental Health
Involuntary Treatment - Recommendation for 9.17 Healthscope Mental Health
Items of Risk in a Mental Health Environment 9.24 Healthscope Mental Health
Management of Benzodiazepine Withdrawal NBH-08-34
NBH Mental Health
Management of Correspondence between the Mental Health Tribunal and Mental Health Service (MHS)
NBH-08-03
NBH Mental Health
Management of Intoxication NBH-08-35
NBH Mental Health
Management of NSW Police Force Officers' Firearms in NBH
NBH-08-36
NBH Mental Health
Management of Opioid Withdrawal NBH-08-37
NBH Mental Health
Management of patients with ASBD in ED NBH-08-38
NBH Mental Health
Olanzapine Pamoate Long Acting Injecting (LAI) Administration
NBH-08-43
NBH Mental Health
Patient Agreement 9.14 Healthscope Mental Health
Patient Experience Measures Management NBH-08-59
NBH Mental Health
Patient Sexual Safety in MH Inpatient units NBH-08-44
NBH Mental Health
Patients under MHAct 2007 admitted to General Hospital
NBH-08-45
NBH Mental Health
Physical Health Care of Patients within MH Service NBH-08-46
NBH Mental Health
Polydipsia – Management of Psychogenic Polydipsia and Water Intoxication
NBH-08-07
NBH Mental Health
Recovery-Based Care Planning and Evaluation (prev Care Planning and Evaluation)
9.02 Healthscope Mental Health
Search of Patient Room and Belongings 9.13 Healthscope Mental Health
Security - External Entry and Exit Control for Mental Health Facilities
9.08 Healthscope Mental Health
Substance-use Assessment NBH-08-51
NBH Mental Health
Transcranial Magnetic Stimulation (TMS) - Continuum of care
9.21 Healthscope Mental Health
Transfer of Care From Mental Health Inpatient Services
NBH-08-47
NBH Mental Health
Transcranial Magnetic Stimulation (TMS) - Intra-procedure Care
9.22 Healthscope Mental Health
Therapeutic Outings for Patients 9.1 Healthscope Mental Health
Transport of people between healthcare facilities who are mentally ill
NBH-08-52
NBH Mental Health
Trust fund procedures, Mental Health NSW PD NBH-08-56
NBH Mental Health
Urine Drug Screening and Use of Breathalysers NBH-08-
04 NBH Mental Health
Visit by official visitors NBH-08-54
NBH Mental Health
Weighted Blanket Use within MH NBH-08-55
NBH Mental Health
All Healthscope Obstetric Corporate Policies
Admission - Antenatal Patient NBH-09-20 NBH Obstetrics
Assumption of Care by Community Services NBH-09-35 NBH Obstetrics
Blood Collection in SCN NBH-09-38 NBH Obstetrics
Breast Expression - Guidelines for NBH-09-69 NBH Obstetrics
Breastfeeding and Hepatitis C Positive Mothers NBH-09-54 NBH Obstetrics
Carboprost - Use in PPH NBH-09-53 NBH Obstetrics
Cardiorespiratory monitoring - neonatal NBH-09-14
NBH Obstetrics
Care of the dying baby NBH-09-44
NBH Obstetrics
Circumcision in the neonate NBH-09-41
NBH Obstetrics
Cleft Palate and Lip NBH-09-42
NBH Obstetrics
Cooling - Neonate Whole Body NSW PD NBH-09-117
NBH Obstetrics
Decreased Fetal Movements in Pregnancy - identification and management of
NBH-09-91
NBH Obstetrics
Discharge of Mother and baby Home NBH-09-74
NBH Obstetrics
Doula - Involvement During Labour and Delivery 11.11 Healthscope Obstetrics
Expressed Breast Milk (EBM) 11.01 Healthscope Obstetrics
Fetal Heart Rate Monitoring NBH-09-04
Healthscope Obstetrics
First Stage Labour – Care of a Woman with Normal Risk Pregnancy and Management
NBH-09-09
NBH Obstetrics
Gastric Tubes in Neonates NBH-09-
45 NBH Obstetrics
Hepatitis B Vaccination and Hepatitis B Immunoglobulin (HBIG) - Neonates
NBH-09-58
NBH Obstetrics
HigherDextrose Concentration Solution - Neonate NBH-09-119
NBH Obstetrics
Homebirth Transfer to Hospital NBH-09-12
NBH Obstetrics
Humidicrib, Care of the Neonate NBH-09-02
NBH Obstetrics
Hypertensive Crisis 11.02 Healthscope Obstetrics
Hypoglycaemia Bld Glucose Monitoring Monitor HKHS GE2013_005
NSLHD NBH Obstetrics
Induction of Labour - Artificial Rupture of Membranes (ARM)
NBH-09-36
NBH Obstetrics
Induction of Labour - Cervical Catheter NBH-09-38
NBH Obstetrics
Induction of Labour - Prostaglandins for Cervical Ripening
NBH-09-39
NBH Obstetrics
Jaundice - Recognition and Assessment in the Neonate NSW GL
NBH-09-03
NBH Obstetrics
Lower Segment Caesarian Section (LSCS) - Obstetric Emergency
11.05 Healthscope Obstetrics
Maternity In The Home (MITH) NBH-09-51
NBH Obstetrics
Maternity Unit Lockdown Policy NBH-09-
17 NBH Obstetrics
Midwifery Group Practice NBH-09-50
NBH Obstetrics
Miscarriage Management 11.04 Healthscope Obstetrics
Monitoring of the infant in SCN NBH-09-19
NBH Obstetrics
Neonatal Abstinence Syndrome NBH-09-45
NBH Obstetrics
Neonatal Continuous Positive Airway Pressure (CPAP)
NBH-09-55
NBH Obstetrics
Neonatal Resuscitation NBH-09-103
NBH Obstetrics
Neonates in Birth Units and Maternity Units NBH-09-181
NBH Obstetrics
Newborn Screening Test NBH-09-13
NBH Obstetrics
Newborn security, identification band NBH-09-05
NBH Obstetrics
Nipple Shields - Use of NBH-09-52
NBH Obstetrics
Oxygen therapy via headbox NBH-09-07
NBH Obstetrics
Oxygen therapy via humidicrib NBH-09-06
NBH Obstetrics
Oxytoxcic Induction and Augmentation of labour NBH-09-37
NBH Obstetrics
Perinatal Depression, Management of (prev. Post-Natal Depression, Management of)
11.08 Healthscope Obstetrics
Persistent Pulmonary Hypertension of the Newborn NBH-09-46
NBH Obstetrics
Placenta - Request to retain NBH-09-33
NBH Obstetrics
Positioning Guidelines for Premature Infants in the SCN
NBH-09-47
NBH Obstetrics
Pulse Oximetry Screening of Neonates NBH-09-08
NBH Obstetrics
Postpartum Haemorrhage - Identification, Prevention and Management
NBH-09-19
NBH Obstetrics
Pregnancy Day Assessment Unit - Indications for Referral
NBH-09-43
NBH Obstetrics
Rh(D) Immunoglobulin NBH-09-40
NBH Obstetrics
Second Stage Labour - Care of a Woman with Normal Risk Pregnancy and Management of Delay
NBH-09-10
NBH Obstetrics
Septic Workup in SCN NBH-09-
48 NBH Obstetrics
Shoulder Dystocia A124 11.07 Healthscope Obstetrics
State Wide Infant Hearing Screening Program NBH-09-12
NBH Obstetrics
Sterile Water Injections for Relief of Low Back Pain in Labour
NBH-09-80
NBH Obstetrics
Surrogate Births 11.1 Healthscope Obstetrics
Thermoregulation in SCN NBH-09-49
NBH Obstetrics
Third Stage of Labour Active and Physiological Management
NBH-09-21
NBH Obstetrics
Threatened Premature Labour and Birth NBH-09-
62 NBH Obstetrics
Umbilical Cord Prolapse 11.03 Healthscope Obstetrics
Vaginal Birth After Caesarean Section VBAC NBH-09-
18 NBH Obstetrics
Vaginal Birth After Caesarean Section VBAC 11.09 Healthscope Obstetrics
Vaginal Examination NBH-09-19
Water for Immersion in Labour and Birth NBH-09-115
NBH Obstetrics
All Healthscope Corporate Paediatric Policies
Abdominal Pain - Infants and Children - Acute Management of
NBH-11-33
NBH Paediatric
Acute Management of Asthma - Infants and Children NBH-11-19
NBH Paediatric
Advanced Life Support - Paediatric 13.06 Healthscope Paediatric
Bacterial Meningitis - Acute Mgt of -Infants and Children
NBH-11-36
NBH Paediatric
Bronchiolitis Acute Management - Children and Infants NBH-11-20
NBH Paediatric
Child protection- identifying escalating and reporting risk of harm
NBH-11-02
NBH Paediatric
Child Wellbeing & Protection P&P NSW PD NBH-11-41
NBH Paediatric
Children and Youths guidelines for care NBH-11-04
NBH Paediatric
Children and Youths safety and security NBH-11-03
NBH Paediatric
Close observation beds nursing high acuity paediatric patients
NBH-11-08
NBH Paediatric
Community Acquired Pneumonia - Acute mgt of - Infants and Children
NBH-11-37
NBH Paediatric
Congenital Conditions_ Reporting Requirements NSW Register of
NBH-11-34
NBH Paediatric
Croup - Acute Mgt of in Children and infants NBH-11-29
NBH Paediatric
Early Diagnosis and management of children with Acute Scrotal Pain
NBH-11-17
NBH Paediatric
Fever Management Acute - Children and Infants NSW PD
NBH-11-13
NBH Paediatric
Head Injury - Acute Management of in Children and Infants
NBH-11-30
NBH Paediatric
Humidified High Flow NC O2 Guideline for Paeds Wards & EDs
NBH-11-42
NBH Paediatric
Hypoglycaemia (Not Diabetic) in Infants and Children - Management
NBH-11-12
NBH Paediatric
Information Sharing – Child Protection NBH-11-05
NBH Paediatric
Intraosseous Insertion and Management in Infants Children and Adolescents
NBH-11-18
NBH Paediatric
Lumbar Puncture - Paediatrics NBH-11-
15 NBH Paediatric
Oxygen Therapy in Paediatrics NBH-11-14
NBH Paediatric
Nasogastric and Orogastric Tube Insertion and removal 13.08
Healthscope Paediatric
Paediatric Clinical Assessment 13.03 Healthscope Paediatric
Paediatric Intramuscular Injections 13.04 Healthscope Paediatric
Paediatric Opioid Infusions via PCA or NCA 13.05 Healthscope Paediatric
Paediatric patients in Day Surgery. NBH-11-07
NBH Paediatric
Paediatric Patients in PARU NBH-11-09
NBH Paediatric
Paediatric Patients, Care of 13.01 Healthscope Paediatric
Pain Assessment - Paediatric 13.02 Healthscope Paediatric
SCAN _ Suspected Child Abuse and Neglect NSW PD NBH-11-32
NBH Paediatric
SCHN (Sydney Children Hospital Network) Available at: https://www.schn.health.nsw.gov.au/our-policies/index/clinical:
SCHN Paediatric
Security - Newborn and Paediatric (prev under Obstetrics)
13.07 Healthscope Paediatric
Seizure Management Acute in Children & Infants ≥ 28days NSW GL
NBH-11-10
NBH Paediatric
Sore Ear -Otitis Media Acute Management of - Infants & Children
NBH-11-36
NBH Paediatric
Sudden Infant Death Syndrome (SIDS) and safe sleeping for infants
NBH-11-40
NBH Paediatric
Sudden Unexpected Death in Infancy - Mgt of NSW GL2008_070
NBH-11-31
NBH Paediatric
Unsettled and crying Infant - Acute Management of NBH-11-43
NBH Paediatric
Visitor policy - paediatrics NBH-11-06
NBH Paediatrics
Wet Dressing for eczema in children NBH-11-11
NBH Paediatric
All Healthscope Corporate Perioperative Policies
Accountable Items - Counting of 12.05 Healthscope Perioperative
Administration of Analgesia NBH-10-07
NBH Perioperative
Admission procedure for ward patients. NBH-10-08
NBH Perioperative
Air / Water pistols Operation of Compressed NBH-10-09
NBH Perioperative
Allograft Bone/Tissue and Tissue Storage/Frozen Bone
NBH-10-11
NBH Perioperative
Anaesthesia Services During Routine Hours NBH-10-28
NBH Perioperative
Anaesthetic Machine – Checking of NBH-10-18
NBH Perioperative
Antiembolic Measures - mechanical prophylaxis NBH-10-12
NBH Perioperative
Aseptic Technique NBH-10-13
NBH Perioperative
Borrowing/Lending Equipment NBH-10-06
NBH Perioperative
Brachytheraphy Safety in OT NBH-10-15
NBH Perioperative
Bronchoscope Tracking Sheet NBH-10-16
NBH Perioperative
Care of the Patient in the Interventional Suite NBH-10-17
NBH Perioperative
Cleaning & Disinfection of Flexible Endoscopes NBH-10-19
NBH Perioperative
Cleaning and Maintenance of Operating Tables NBH-10-20
NBH Perioperative
Cleaning of Cannulated Instruments 12.06 Healthscope Perioperative
Cleaning of Respronic Total Face Mask NBH-10-21
NBH Perioperative
Corrective Warming Therapy, use of NBH-10-22
NBH Perioperative
CSSD computer down time Procedure NBH-10-80
NBH Perioperative
Decontamination of Anaesthetic & PARU Equipment NBH-10-03
NBH Perioperative
Decontamination of Instruments for repair NBH-10-23
NBH Perioperative
Discharging patients from the Post Anaesthetic Recovery Unit (PARU)
NBH-10-49
NBH Perioperative
Disposal of Explanted Items and Human Tissue Not Required for Pathological Examination
NBH-10-25
NBH Perioperative
Donor Parts - Organs, Bone and Skin NBH-10-93
NBH Perioperative
Electrosurgical Equipment NBH-10-26
NBH Perioperative
Emergency Surgery 12.01 Healthscope Perioperative
Emergency surgery theatre access NBH-10-27
NBH Perioperative
Fasting Guidelines 12.02 Healthscope Perioperative
Fire and Evacuation Procedure in Interventional Suite NBH-10-29
NBH Perioperative
Fire Risk Minimisation and Management - Surgical 12.04 Healthscope Perioperative
Food and Beverages in the Operating Room 12.08 Healthscope Perioperative
Fresenius Agila PK Infusion Pumps NBH-10-10
NBH Perioperative
Heat Sealers - Dust Covers - use of NBH-10-31
NBH Perioperative
Hip instruments - checking of NBH-10-33
NBH Perioperative
Hydrogen Peroxide Boosters - checking of NBH-10-34
NBH Perioperative
Inhalation Anaesthetic Agents NBH-10-35
NBH Perioperative
Instrument Tray List NBH-10-36
NBH Perioperative
Laser Safety in the Operating Theatre NBH-10-37
NBH Perioperative
Loan Lifter Operating Procedures NBH-10-38
NBH Perioperative
Loan Sets - Operating Room 12.03 Healthscope Perioperative
Local Anaesthetic Toxicity Management NBH-10-39
NBH Perioperative
Malignant Hyperthermia NBH-10-02
NBH Perioperative
Management of Patients and Employees with Latex Allergies
NBH-10-40
NBH Perioperative
Mechanical Equipment NBH-10-92
NBH Perioperative
Microbiological monitoring of flexible endoscopes and automated Flexible endoscope reprocessors (AFER'S)
NBH-10-41
NBH Perioperative
MRI under general anaesthesia NBH-10-30
NBH Perioperative
Newborn Resuscitaire Governance and Functionality within the Operating Theatre
NBH-10-32
NBH Perioperative
Observers in the Interventional Suites NBH-10-42
NBH Perioperative
Operating the Monitor in PARU NBH-10-43
NBH Perioperative
Packing of Anaesthetic Equipment NBH-10-45
NBH Perioperative
Pathology Specimens in the Interventional Suite - care & handling of
NBH-10-48
NBH Perioperative
Patient Admission to Interventional Suite from the ward
NBH-10-49
NBH Perioperative
Patient belongings and valuables in Day Surgery. NBH-10-50
NBH Perioperative
Patient care in the Post Anaesthesia Recovery Unit (PARU)
NBH-10-46
NBH Perioperative
Patient Controlled Epidural Infusion or Continuous (CEA)
NBH-10-47
NBH Perioperative
Perioperative Attire NBH-10-53
NBH Perioperative
Pharyngeal Packs- Insertion and removal of NBH-10-54
NBH Perioperative
Philosophy of Interventional Suite Services NBH-10-51
NBH Perioperative
Physeptone (Methadone Hydrochloride) Administration of
NBH-10-52
NBH Perioperative
Positioning the Patient NBBH-10-55
NBH Perioperative
Pre admission and Discharge Planning procedure for Day Surgery and ward patients.
NBH-10-85
NBH Perioperative
Preparation of the Operating Room for Surgery NBH-10-57
NBH Perioperative
Preparation of the Skin for Surgery NBH-10-58
NBH Perioperative
Preventing and managing pressure injuries when using Tourniquet
NBH-10-59
NBH Perioperative
Prosthetic and patient rebatable items - Handling and documentation of
NBH-10-60
NBH Perioperative
Recording / receiving & dispatch of loan equipment NBH-10-61
NBH Perioperative
Role of the Interventional Suite Staff NBH-10-76
NBH Perioperative
Safe use of Chemicals in CSSD NBH-10-62
NBH Perioperative
Scheduling of Admissions to Day of Surgery Centre NBH-10-64
NBH Perioperative
Scheduling of procedures in Interventional Suites NBH-10-63
NBH Perioperative
Scrubbing, Gowning & Gloving NBH-10-65
NBH Perioperative
Sharps Management NBH-10-66
NBH Perioperative
SSD Index Washer NBH-10-89
NBH Perioperative
SSD - Operation of Trolley washer NBH-10-91
NBH Perioperative
SSD - Steriliser Operation Belimed NBH-10-88
NBH Perioperative
SSD -Sterrad - Loading 100NX Plasma Steriliser NBH-10-87
NBH Perioperative
SSD - Sterrad Steriliser- Unloading 100NX NBH-10-86
NBH Perioperative
SSD Ultrasonic Cleaner - Operation of Bandelin NBH-10-90
NBH Perioperative
Staffing NBH-10-67
NBH Perioperative
Staffing for Endoscopy NBH-10-71
NBH Perioperative
Standards of Professional Nursing Practice NBH-10-68
NBH Perioperative
Sterile Field - Medication Management In 12.07 Healthscope Perioperative
Sterilisation Service Department Attire NBH-10-72
NBH Perioperative
Steriliser breakdown NBH-10-70
NBH Perioperative
Storage of Autologous Skin for Future Grafting NBH-10-05
NBH Perioperative
Storage of Sterile Items NBH-10-73
NBH Perioperative
Sugammadex Sodium - Administration of NBH-10--74
NBH Perioperative
Surgical Draping NBH-10-75
NBH Perioperative
Transfer of Patient to the Intensive Care Unit NBH-10-77
NBH Perioperative
Urine Testing – prior to Gynaecological Surgery NBH-10-78
NBH Perioperative
Visitor access restrictions to Endoscopy and Day Surgery unit
NBH-10-79
NBH Perioperative
Visitors in the Interventional Suite NBH-10-04
NBH Perioperative
Weighing of Sponges for Blood Loss During Surgical Procedures
NBH-10-84
NBH Perioperative
All Healthscope Corporate Work Health & Safety Policies
Aggression Incident Management 6.15 Healthscope WHS
Aggression Management for Staff in the Community 6.15 Healthscope WHS
Allergy Management for Workers - Latex 6.19 Healthscope WHS
Asbestos Management 6.12 Healthscope WHS
Bariatric Patients - Management of 6.22 Healthscope WHS
Blood & Body Fluid Exposure Incidents (BBFEI) - Management of
NBH-03-05
NBH WHS
Bullying in the Workplace 6.16 Healthscope WHS
Chemical Management 6.07 Healthscope WHS
Code of Conduct for Visitors and Patients 6.15 Healthscope WHS
Communication - WHS 6.5 Healthscope WHS
Consultation - WHS 6.5 Healthscope WHS
Contractor Safety 6.11 Healthscope WHS
Cyotoxic Spill NBH-03-02
NBH WHS
Cytotoxic Drugs and Related Waste, Safe Handling of 6.17 Healthscope WHS
Cytotoxic Waste and Linen - Management and Disposal of
NBH-03-03
NBH WHS
Debriefing of Critical Incidents - Employees (formerly under HR)
6.28 Healthscope WHS
Disaster Management and Recovery Plan 6.25 Healthscope WHS
Documentation - WHS (prev Health and Safety Documentation)
6.4 Healthscope WHS
Drugs and Alcohol (formerly numbered 1.23) 6.03 Healthscope WHS
Electrical Equipment Safety - Portable Devices 6.2 Healthscope WHS
First Aid Management in the Workplace 6.24 Healthscope WHS
Formalin - Safe Use of 6.26 Healthscope WHS
Hazard Management and Risk Assessment 6.08 Healthscope WHS
Immunisation for Vaccine Preventable Diseases for Healthcare Workers
6.29 Healthscope WHS
Incident Reporting and Investigation 6.09 Healthscope WHS
Injury Management 6.02 Healthscope WHS
Injury Management Policy - Single Page Display Version
6.02 Healthscope WHS
Internal Auditing Program - WHS 6.27 Healthscope WHS
Manual Handling, Safer 6.06 Healthscope WHS
Medical Assessment, Pre-Employment 6.14 Healthscope WHS
Mercury - Safe Use and Disposal 6.21 Healthscope WHS
Personal Protective Equipment (PPE) 6.23 Healthscope WHS
Pregnancy - Staff 6.04 Healthscope WHS
Purchase, Hire and Lease (WHS Requirements) 6.1 Healthscope WHS
Radiation Safety 6.18 Healthscope WHS
Records Management - WHS 6.4 Healthscope WHS
Return to Work after a Non-Work-Related Injury or Illness
6.13 Healthscope WHS
Smoking at Healthscope Facilities 6.05 Healthscope WHS
Staff Health - Cytotoxic Monitoring for staff NBH-03-04
NBH WHS
WHS Policy - Single Page Display Version 6.01 Healthscope WHS
Work Health and Safety 6.01 Healthscope WHS
Workplace Aggression and Violence Management - Principles and Prevention (prev. Aggression Management - Principles and Prevention)
6.15 Healthscope WHS