A NSW Government website
SCHN Policies
A
Policy and Procedure for Admitting and Treating an Overseas and/or Medical Ineligible Patient to SCHN
To provide instructions on how a patient/ parent and other parties can be given access to their health information
Policy/Procedure that will govern access to PowerChart given to those involved in Improvement Activities or Case Studies across SCHN.
This document outlines the accommodation procedures staff should follow for parents and carers.
Documented Procedure for Audit of Controlled Medicines
Describes the purpose, operational details and referral pathways for the acute review clinic
To describe processes for gate leave for patients that are admitted
nursing responsibilities in orientating families to ward
To manage the use, content and distribution of all user emails
This policy directive outlines the framework for credentialing and defining scope of practice for allied health professionals employed by the Sydney Children’s Hospitals Network, SCHN.
Antimicrobial stewardship is defined as processes to assist and support clinicians with decisions regarding the optimal selection, dose and duration of an antimicrobial agent. The objective is to ensure the best clinical outcome for the treatment or prevention of infection, with minimal toxicity to the patient and minimal impact on subsequent resistance development.
Contains the authorised list of abbreviations to be used at The Sydney Children's Hospital Network
To inform staff about the philosophy behind our Hospital's art collection and the acquisition, location and care of artworks.
B
To establish a protocol for the approval and development of business cards for SCHN staff.
To provide guidance when conducting business with the Sydney Children's Hospitals Network (SCHN) in order to maintain high standards of integrity and ethical conduct.
C
Overview of Child Safe Standards, from the Office of the Children's Guardian. The Royal Commission into Institutional Responses to Child Sexual Abuse recommended 10 child safe standards, drawing on its findings, research and consultation about what makes organisations child safe. this document will out line the 10 child safe standards and provide information for staff on how SCHN meet these standards with links to other documents and webpages. A child safe culture is a set of values and practices that guide the attitudes and behavior of all staff.
Explains the policy expectations related to clinical incident management and responsibilities of local managers, Clinical Program Directors and CGU. Where to find additional information to clinical incident management as stated by NSW Health policy.
To provide guidance in relation to the Clinical Manual Handling Program and provide responsibilities and practical assistance to staff, i.e. Mentors, Managers etc
The purpose of this procedure is to describe the process by which access to the electronic medical record for the purposes of inspection for clinical research is managed at SCHN.
The purpose of this procedure is to ensure that bio specimens for clinical research are collected in compliance with NSW Health, SCHN, regulatory and Protocol requirements. Adherence to this procedure will ensure that: * Bio specimens for clinical research are collected and processed in a safe and compliant manner by appropriately qualified and trained personnel to whom the Investigator has delegated responsibility; * The integrity of bio specimens for clinical research is preserved by ensuring that the bio specimens are maintained under suitable conditions during collection and processing; and * Appropriate records detailing the chain of custody for the bio specimens are maintained in compliance with the SCHN Procedure - Record Keeping [DRAFT]
The purpose is to outline the procedure for accessing user support, notification of planned and unplanned downtime and obtaining access to electronic documents stored in the SCHN Clinical Trial Management System (CTMS) in the event of unplanned downtime.
The purpose of this procedure is to ensure that close-out and archiving is performed in accordance with NSW Health, SCHN and regulatory and protocol requirements.
To provide clear guidance on what is required when obtaining consent to participate in human research conducted across SCHN.
The purpose is to outline the procedure for the creation of certified copies of original records for clinical research, in compliance with NSW Health, SCHN and regulatory requirements.
The purpose of this procedure is to ensure that deliveries of equipment and/or supplies (excluding IMP) for clinical research are received, processed, evaluated and stored in compliance with NSW Health, SCHN, regulatory and Protocol requirements. Adherence to this procedure will ensure that: * Investigators or Delegates receiving deliveries promptly identify that the delivery contains equipment/supplies for clinical research purposes; * Deliveries of equipment and/or supplies are promptly processed, evaluated and stored by the Investigator or Delegate.
The purpose of this procedure is to ensure that equipment/supplies for clinical research are appropriately maintained and calibrated (if applicable) in accordance with NSW Health, SCHN, regulatory, Protocol requirements and manufacturers guidelines. It is acknowledged that there may be some variations in the procedure for the maintenance and calibration of equipment/supplies depending upon the protocol-specific arrangements dictated by the Sponsor or Delegate. Adherence to this procedure will ensure that: * Responsibilities for the maintenance, calibration (if applicable) and inventory management are clearly defined and enacted; and * Equipment and supplies for clinical research are in good working order and available for use by Investigators or Delegates for their intended purpose;
The purpose of this procedure is to ensure the appropriate financial management of clinical research, in compliance with NSW Health, SCHN, regulatory and Protocol requirements. Adherence to this procedure will ensure that: * Financial and operational risk to SCHN is reduced by ensuring that resources and funds are adequate to conduct the clinical research to a high standard of quality and safety and the Supporting Departments involved in the delivery of the research are reimbursed for costs incurred; * There is appropriate stewardship of public and other resources whereby funding is used ‘for purpose’ and the receipt, investment and expenditure of funds complies with NSW Accounts and Audit Determinations for Public Health Organisations; and * A high quality, efficient, sustainable and competitive service, delivered by experienced clinical and research personnel, is available to Investigators and Sponsors or Delegates, now and in the future.
The purpose of this procedure is to ensure consistency in the performance of accountability tasks for IMP for clinical research, in compliance with NSW Health, SCHN, regulatory and Protocol requirements. Adherence to this procedure will ensure that: * Detailed records for IMP for clinical research are maintained providing details of all occasions of receipt, dispensing, transit/transfer, quarantine, return and/or destruction; and * IMP for clinical research is managed in accordance with the protocol-specific instructions of the Sponsor or Delegate and only used in accordance with, and for the purposes of the approved clinical research for which it has been provided.
The purpose of this procedure is to ensure that unused or unfit IMP that are authorised for disposal by the Sponsor or Delegate are processed in accordance with NSW Health, SCHN and regulatory and Protocol requirements.
The purpose of this procedure is to ensure that unused or unfit IMP identified by the manufacturer, Investigator, Sponsor or Delegate(s), as requiring quarantine is managed in compliance with NSW Health, SCHN, regulatory and Protocol requirements.
The purpose of this procedure is to ensure that deliveries of IMP for clinical research are appropriately received, processed and stored in compliance with NSW Health, SCHN, regulatory and Protocol requirements. It is acknowledged that there may be some variations in the procedure for the receipt and storage of IMP depending upon the protocol-specific requirements dictated by the Sponsor or Delegate, and in accordance with risk-assessments made by Pharmacy, as applicable. Adherence to this procedure will ensure that: * Pharmacy personnel receiving deliveries promptly identify that the delivery contains IMP for clinical research; * IMP deliveries are promptly acknowledged, processed and appropriately stored by the Senior Clinical Trials Pharmacist or Delegate.
The purpose of this procedure is to ensure that the quality and integrity of IMP is maintained in compliance with NSW Health, SCHN, regulatory and Protocol requirements through the monitoring of temperature in locations used for the storage IMP for clinical research. Adherence to this procedure will ensure that: * A valid, continuous record of temperature is available for all locations used for the storage of IMP for clinical research; and * Temperature deviations are promptly identified, escalated and acted upon, as appropriate, in consultation with the Sponsor or Delegate.
The purpose is to outline the procedure for the reimbursement of out of pocket or other expenses incurred by clinical research participants during their involvement in clinical research.
The purpose of this procedure is to ensure that the qualifications and training of clinical research personnel are documented and maintained to ensure compliance with NSW Health, SCHN, regulatory and Protocol requirements. Adherence to this procedure will ensure that: * Accurate records are maintained of the qualifications and training of clinical research personnel delegated to perform duties or tasks by the Investigator, under their supervision.
The purpose of this procedure is to ensure that a consistent approach is taken by SCHN Investigators with regards to the appropriate delegation of tasks and duties for clinical research, in compliance with NSW Health, SCHN, regulatory and Protocol requirements. Adherence to this procedure will ensure that: * Investigators or Delegates appropriately assign duties or tasks to qualified and trained clinical research personnel operating under their supervision; * The delegation of duties or tasks by the Investigator is appropriately documented through completion and maintenance of a Signature and Delegation Log.
The purpose is to outline the procedure for the creation and management of records used as part of clinical research.
The purpose of this procedure is to ensure that all medical tests conducted for clinical research purposes are reviewed by the Investigator to ensure the safety of clinical research participants, adherence with the protocol and compliance with applicable NSW Health, SCHN and regulatory regulations. This procedure applies to all clinical research conducted within SCHN where the Investigator is responsible for reviewing medical test results to ensure clinical research participant safety and care, as per the protocol. This procedure applies regardless of whether such tests are performed at SCHN or by external agencies, such as central laboratories. Adherence to this procedure will ensure that: * Investigators promptly receive and review medical test results for clinical research participants under their care; * Investigators promptly act to review, escalate, respond and document any decisions made or actions taken, as a result of the review of medical tests to ensure the safety of clinical research participant under their care (as appropriate); and * Investigators respond in compliance with the requirements of the protocol (as applicable) and regulatory approvals, except when necessary to eliminate immediate hazards to the participant as per ICH GCP Section 3.3.7.
The purpose is to outline is to ensure that statistical analysis for clinical research sponsored by SCHN are developed, performed and reported, as applicable, in compliance with NSW Health, SCHN, regulatory and Protocol requirements. Adherence to this procedure will ensure the accuracy, validity and integrity of results drawn from the analysis of data for clinical research through use of appropriate statistical methodology and practices.
The purpose of this procedure is to outline requirements for the safe storage of chemicals, including flammable and/or corrosive agents for clinical research. It is acknowledged that there may be some variations in the procedure depending upon the recommendations and/or specifications for handling a specific chemical agent, with consideration of requirements as stated in its SDS, and in accordance with risk-assessments made by the responsible laboratory facility Head or Delegate.
The purpose is to outline the procedure for the maintenance of essential documents as part of the TMF for clinical research, in compliance with NSW Health, SCHN and regulatory requirements
The purpose of this procedure is to ensure the standardised and safe use of BSCs by clinical research personnel.
The purpose of this procedure is to ensure the standardised and safe use centrifuges by clinical research personnel.
The purpose of this procedure is to ensure the safe use of dry ice by clinical research personnel.
The purpose is to outline the procedure for the use of electronic signatures on records for clinical research, in compliance with NSW Health, SCHN and regulatory requirements. Adherence to this procedure will ensure: * Quality control systems and procedures are enacted to ensure the appropriate use of electronic signatures; * Improved consistency and efficiencies in workflow processes for clinical research personnel; and * Appropriate records detailing the chain of custody for original documents involving electronic signatures are maintained at all times;
The purpose of this procedure is to ensure the standardised and safe use of fridges and freezers by clinical research personnel.
The purpose of this procedure is to ensure the standardised and safe use of Fume Hoods by clinical research personnel.
The purpose of this procedure is to enable equitable access to, and effective communication with, people who require the use of interpreter services in order to consider and/or participate in clinical research. Adherence to this procedure will ensure that: * An inclusive and equitable approach to the opportunity for involvement in clinical research is taken; * Effective communication and/or support is provided to individuals prior to, and during, participation in clinical research; and * Appropriate records of the use of interpreter services are maintained in compliance with the SCHN Procedure - Record Keeping
The purpose of this policy is to ensure that laboratory facilities for clinical research are used in compliance with best practice guidelines as well as NSW Health, SCHN, regulatory and Protocol requirements. Adherence to this policy will ensure that: * Investigators or Delegates use laboratory facilities that are fit for purpose with consideration of protocol-specific requirements dictated by the Sponsor or Delegate, and in accordance with risk-assessments; * Laboratory facilities and equipment are used in a safe, equitable and compliant manner; and * Any data garnered from the performance of laboratory tasks is reliable and credible for analysis.
The purpose of this procedure is to ensure the safe handling of liquid nitrogen by clinical research personnel.
Governance of nursing clinical skill standards of assessment throughout SCHN
The purpose of this procedure is to ensure that Investigator’s Brochures (IB) developed or used by SCHN Investigators for clinical trials comply with NSW Health, SCHN and regulatory requirements.
The purpose of this procedure is to ensure that protocols being developed by SCHN Investigators comply with NSW Health, SCHN and regulatory as well as best practice recommendations.
This policy outlines the application and review process for SCHN staff who wish to have SCHN take on Clinical Trial Sponsorship responsibilities.
Provides safety reporting process for all staff conducting research at SCHN.
To provide a guideline for hospital staff wishing to access data involving neonatal patients in Grace Centre for Newborn Care
This document provides background information regarding the processes required to develop a new Committee (and any associated working or project groups). The document clarifies the approval processes for the development of new committees and information on the administration of all committees within the Network. The document provides staff with templates to be used for all committee proposals, terms of reference, agenda and minutes.
Policy and procedures for visiting Company Representatives at CHW
The Sydney Children’s Hospitals Network (the Network) compliance management framework ensures the Network’s operations are conducted in accordance with legislative requirements and NSW Health Policy Directives.
To put in place a procedure for repairs to natural compressed air lines for plant & equipment for the maintenance department.
To promote promote personal health and well being by minimising the risk associated with alcohol consumption during events and functions and to provide information to staff on their responsibilities regarding the service of alcohol and related procedures.
This document outlines the process for consumer feedback (complaints, compliments, suggestions or observation) management at SCHN. The procedure specifically provides strategies for dealing with complaints at the first point of contact, assessing the severity of complaints, investigating complaints and resolving complaints. The procedure also outlines the process for management of compliments, suggestions and observations.
The purpose of the Corporate Records Management policy is to ensure that full and accurate records of appropriate activities and decisions of the Sydney Children's Hospitals Network are created, managed and disposed of in accordance with the State Records Act 1998.
• Maintain the safety and quality of care that patients receive from Health Practitioners and employees. • Support best practice, ensure compliance with professional standards and meet accreditation requirements. • Sustain the confidence of the public and the professions. • Ensure the qualifications, experience, skills and other relevant attributes to fulfil the Scope of Practice are accurately described in the selection criteria of position descriptions. • Ensure credentialing and defining the Scope of Practice occurs at the point of consideration for employment and on an ongoing basis via the appraisal/performance review process or as required.
D
Records the details of delegations of responsibility and authority.
To provide governance and ability to destroy health care records post scanning.
To ensure that all CHW Staff and contractors shall follow a procedure for disposal of used fluorescent tubes, starters and high intensity discharge lamps.
The purpose of this document is to assist clinicians in determining when an intervention required by a person with a disability, or child with a developmental delay, falls within SCHN's scope of service and when it is more appropriately provided by the Disability Sector. A Guideline has already been developed by Hunter New England LHD which will be utilised as a template/base document to localise to meet SCHN's needs. This document requires development in response to the introduction of the National Disability Insurance Scheme.
To assist staff in identifying and responding to Domestic and Family Violence in a way that is safe and supportive for victims of violence.
The Chief Executive of the Network is bound by the Trustee Act to act as Trustees for the numerous trusts funds into which donations are deposited. • The Trustee has a responsibility to ensure that the donors’ funds are spent in accordance with donors' wishes and the Trustee Act. • To ensure that the fund controllers have a clear idea of their responsibilities, the following policy has been developed.
E
To provide a guideline for the scope of practice for Enrolled Nurses working within SCHN
To advise staff about the process of having something published in Bandaged Bear Bulletin or SCH Pulse.
To inform Workforce Services staff of their responsibility in relation to the creation, maintenance and storage of staff personnel files.
F
To support and guide network staff wishing to write or review network factsheets.
To provide staff, especially non-clinical staff, with first aider(s), access to first aid and equipment.
The Procedure should be read in conjunction with the Fixed Asset Policy and is intended to provide guidance on the procedures for fixed assets acquisition, transfer, disposal, stocktake and related matters.
This document describes the procedures involved in the employment of temporary employees in accordance with the Health Industry Status of Employment's (State) Award. These procedures should avoid the situation of temporary employees working on expired contracts. Ensure a consistent approach to the management of temporary appointments
Policy document to establish the framework and process for considering and approving requests for flexible work practices • Significant policy review to ensure alignment with best practice principles..
Povide direction to staff and volunteers holding a food stall in a SCHN facility.
The strategy communicates the Department's position of not tolerating any act of fraud or corruption and emphasises that fraud prevention and control is the responsibility of all staff.
Top Comply with FBT Act and NSW Ministry of Health Policy
G
To Ensure compliance with GST Act
The purpose of the Sydney Children's Hospitals Network (SCHN) Grading, Regrading and Reclassification Policy is to ensure that requests for grading, regrading or reclassification are assessed against relevant industrial instruments, comparable positions within the NSW Public Health Industry and other relevant factors such as work value.
H
Procedure to direct the maintenance and management of HEPA filters at SCHN
To provide procedure which meets the new legislation for Hazardous Chemicals and improves compliance with the MoH Policy
To provide governance and processes to follow with regards to Health Care Records Management, Storage and Access
The purpose of the Sydney Children’s Hospitals Network (SCHN) Attendance Finalisation Policy is to ensure that SCHN provides accurate and authorised rostering information for payroll processing. It is a mandatory audit requirement for Roster Managers (delegated officers) to ensure verification of employee attendance when authorising attendance records prior to submission for payroll processing.
Outline the timeframes for health care records to be returned to Health Information Units for scanning and access into the eMR
To outline a procedure for home visiting and risk management prior and during community or home visiting
A policy for Hospital tour groups -from of a single VIP, through to a large number (eg. new staff, community group, overseas visitors etc) on a tour of the Hospital.
I
To provide a guide to CGU staff on the process to follow when ethically reviewing improvement activities submitted via CHARLI
This document will outline the process to be undertaken by the Clinical Governance Unit when preparing the paperwork required to have ethically approved Quality Improvement activities endorsed by the Human Research Ethics Committee (HREC).
To provide information and direction regarding insurance coverage and claims for the Network.
To standardise and streamline the process of organising Trauma inter-hospital transfers.
K
Guideline for staff employed within Kids GPS for orientation and ongoing work practice Information source for SCHN clinicians - about the service; how to refer
L
Procedure for testing safety showers
To enable bookings of Group Study Rooms in the library in accordance with their purpose and also to meet grant funding requirements.
Policy and procedure for treating and admitting Patients who are participants of Lifetime Care and Support across the Network
How to get a person out of a lift that is broken down between floors.
The purpose of this document is to detail procedures for linen management for the network.
M
Criteria that must be met in order to include a mandatory training requirement in a Policy Directive. The SCHN information outlines the mandatory training requirements for SCHN staff.
Provides information on the management and responsibilities of Manual Handling incidents and the processes involved in identifying, assessing and controlling manual handling risks. Provides guidance regarding ergonomics and the control of risks in the workplace.
To guide staff in the process of dealing with media.
Guide Medicine Recalls for the Network
This document describes the activities to be undertaken at the ward or department level when Medtasker is unavailable.
To provide clear guidance in relation to acceptance,maintenance and management of memorial and thank you gifts for display in ward or department areas,
This policy exists to ensure beneficial, cost effective, safe and ethical use of Mobile Devices by staff of the Sydney Children’s SCHNs Network (SCHN), keeping within the guidelines of NSW Health and the NSW Government
To provide guidance to staff who wish to commission and install murals in public and patient areas across SCHN facilities.
Facility document at this stage however with the integration program SCH will have access to this app soon so will need to become a SCHN document.
N
Guideline for Emergency Staff for neurology consultations
Legislative requirement - WHS Improved staff safety
• provide managers with procedural support to manage workers who have a non-work related injury or health condition.
O
• Ensure the safety of all users. • Ensure the equipment and natural landscape is maintained. • Promote understanding of the outdoor and play spaces and how they can meet patient and family needs. • Inform users of the purpose of the outdoor and play spaces - providing an alternate setting free from procedures, which can motivate rehabilitation, enhance relaxation and stimulate the senses.
To guide outpatient clinic users of the correct process for cancelling or rescheduling outpatient clinics
P
The information contained within the policy outlines roles, responsibilities and boundaries of SCHN Palliative Care offsite volunteers who will be supporting families primarily in their homes.
Administration of Paracetamol to children presenting to ED
To outline the requirements for consumer engagement and partnerships across SCHN To outline the onboarding and remuneration processes for patient, family and community representatives.
Statement of hospital policy on requirements for consultation with pathology laboratories prior to initiating some investigations
To provide information regarding the food and nutrition policy for the Patient Meal Service.
This policy sets out the minimum compliance requirements for the Sydney Children's Hospitals Network (SCHN) in regards to photography, film and video recordings
To inform hospital staff of provision of after hours physiotherapy services and how to access these.
To define the procedures for children presenting to the emergency department with injuries potentially requiring plastic surgery intervention
Procedure for staff when police wish to make enquiries or need to have access to patients.
To provide SCHN staff with a standardised approval process and document development / review framework. This framework is to be used only for the development and review of Policies, Procedures, Practice guidelines, Homecare guidelines, Standing orders, Nurse Initiated Medications and Drug Protocols and Disaster/Emergency Response Plans at SCHN.
Procurement within the network
• This document provides guidance to project teams and project stakeholders on the application of the risk management process to the Sydney Children’s Hospitals Network (SCHN) projects. • This guideline is aligned with SCHN’s Risk Management Policy and Framework. • This guideline does not provide details of the specific actions to be taken regarding risk management for a project, as these will vary according to the project and other organisational circumstances. • The guideline describes how to manage risks that are associated with a project and the project lifecycle – from concept to eventual disposal or implementation.
To provide essential information for the use of protective eyewear, cleaning, disnfection and safety rules
To inform staff the correct ways to submit a request for a publication to be created.
Q
To outline the process for initiating, documenting and approving Quality Improvement activities.
R
This plan is a guide for workers involved, directly or indirectly, with the use of ionising radiation apparatus and / or radioactive materials.
To provide information to managers and supervisors about recruitment, selection and appointment of non medical staff in line with the NSW Health Policy Directive: PD2017_040 Recruitment and Selection of Staff to the NSW Health Service.
This document will make clear how SCHN sees & situates Reflective Clinical Supervision (RCS) as it applies to all staff. It will also specify the optimal conditions under which RCS will operate within the Network, how to access the RCS service and who are the people to approach in case of challenges or questions.
To provide information on Rehabilitation, Recovery and Return to Work
Define cleaning and sterilisation processes for Complex and difficult to clean Reusable Medical devices.
The purpose of this procedure is to outline the process for the pre- and post-award management of research grants submitted by and/or awarded to, SCHN affiliated Investigators . The management of grants submitted and/or awarded for the conduct of commercially sponsored research, for the purposes of service provision, and/or the provision of funds from philanthropic trusts and foundations not related to research, is outside the scope of this procedure. Adherence to this procedure will ensure: * The competitiveness of grant applications via expert review of content , and verification of compliance with the funding rules and/or application guidelines for the relevant funding scheme; * An accurate and complete record of applications submitted and/or awarded is maintained by the Research Office to enable the generation of performance metrics, as well as leverage capacity building opportunities and other funding opportunities ; and * Appropriate stewardship of public and other resources whereby funding is used ‘for purpose’ and the receipt, investment and expenditure of funds complies with NSW Accounts and Audit Determinations for Public Health Organisations.
To outline the processes to be undertaken in the case of potential breaches of the Australian Code for the Responsible Conduct of Research
Provide standardised steps to address Work Health and Safety issues internally, and then externally where appropriate.
The policy adopts the Australian Charter of Healthcare Rights, second edition and the Rights of Children and Young People in Healthcare Services in Australia. These charters provide a framework to help empower children and young people, and their families and carers to understand what they can expect from us, and the staff caring for them.
Establishes the Board's appetite for risk.
S
To provide guidance and instruction on how to develop a safe work practice and responsibilities with regard to safe work practices
To provide guidance to staff for the safety and well being of paediatric patients in SCHN hospitals.
To provide clear instructions for WHS incident management documentation (via Iims+) and the requirements to notify SafeWork NSW
• Understand the procedure for when employees are separating from Sydney Children’s Hospitals Network (SCHN). • Ensure employees and managers are aware of the documentation required, notice periods, and responsibilities when facilitating the separation of an employee from SCHN. • Aware of the various types of ‘separation’ and associated NSW Health Policies.
• Provide managers and employees with information about sick leave entitlements. • Provide managers and employees with the process for managing unsatisfactory sick leave. • Provide managers with sick leave management procedures to be applied consistently, fairly and in a supportive way to all employees. • Provide templates to support managers when managing unsatisfactory sick leave. • This document should be read in conjunction with the NSW Health Policy Directive PD2018_036 Leave Matters for the NSW Health Service and relevant industrial instruments and legislation.
To implement the NSW Health Department Smoke Free Workplace Policy, limit exposure to staff, visitors and patients and promote the Hospitals as being smoke-free facilities.
To provide guidance in the use of social media platforms
To provide information about the OnCall service provided by the Social Work Department including the criteria for call backs.
To assist managers in the maintenance of the staff establishment for the Sydney Children’s Hospitals Network (SCHN) and to outline the required approval process to alter a department’s staffing profile in accordance with the processes, business guidelines and decision points for different scenarios
Allocation of staff parking
Guide clinicians in the appropriate use of developmental assessments
To provide a procedure for the safe storage, handling and transportation of medical gases
To provide an overview of the governance and processes for undergraduate and postgraduate students undertaking a clinical placement within an SCHN facility. This policy reflects the local implementation of the Clinical Placements in NSW Health PD 2022_049
This document provides definitions of legal words and phrases, outlines legal processes and proceedings that can involve the Hospital, explains what staff should do when faced with a Summons, a Subpoena or a Statement of Claim, explains Indemnity, and outlines support and counselling mechanisms for staff who become involved in legal proceedings.
To outline the support available to staff who are carers
This document will provide a framework for considering fundraising requests and initiatives of other charities within the Hospital. This will enable staff assess the appropriateness of supporting other charities in their department or area of work and also the appropriate level of support.
T
Contacting Maintenance Dept. to assist with access for tenant contractors.
To provide a governance framework for Third Party individuals/organisiations accessing Hospitals in SCHN and therefore patients and families. The framework includes approval processes and conduct expectations.
To outline all aspects of transfer and transport of children within the SCHN
This document provides an overview of the policies and procedures for the participants of SCHN Transition to Professional Practice programs. The document provides guidelines for the standardised approaches for participants, Nurse Managers and Nurse Educators across the SCHN
To provide information to staff that produces high quality translations for the Network.
To standardise and streamline the process of trauma admission to CHW and the process for transfer of care from trauma to sub-specialty teams.
U
Provides details for the provision of uniforms for staff that are required to wear a uniform, detail requirements for ID badges and to promote code of dress and appearance that is consistent with SCHN professional standards.
V
This Procedure defines the processes within SCHN for engaging, supporting and managing volunteers, maintaining compliance with NSW Health policy.
W
Policy on Waste Management through the reduction of waste, recycling, safe handling and environmental sound practice.
To provide policy and processes for authroisation of SCHN owned web pages and the review of web pages plus associated responsibilities.
New policy is required to reflect NSW Government changes digital, brand and cyber security.
To ensure compliance with WHS Legislation and give procedural guidance for Contractors
Describes the risk management process of identification, assessment, treatment, monitoring and review for WHS issues
To identify those areas that require maintenance services at an acknowledged height as per Australian Standards that work can be carried out as a safe work practice.