MONITORING COMPLIANCE WITH PROCEDURAL DOCUMENTS Minimum Lead Tool Frequency of Report Reporting arrangements Lead(s) for acting on requirement to be of Compliance Recommendations monitored Staff have received Senior Audit Monthly - review 09/09 ECO operational group CSC representative appropriate training tool Nurse Competence is reviewed Senior PDP Annual N/A Senior Sister/Charge annually as part of the Nurse personal review process Nurse That all relevant ECO operational Senior Monthly- review 09/09 CSC representative Audit group documentation has been tool correctly completed, the Nurse care evaluated per duty period by the delegated nurse and that they agree the level of ECO required for individual patients That a formal review of ECO operational Senior Audit Monthly- review 09/09 CSC representative group the patient and their care tool plan is undertaken every Nurse 24 hours Review of safety learning ECO operational Trust Datix datix monthly CSC representative group events lead This document will be monitored to ensure it is effective and to assurance compliance.
MONITORING COMPLIANCE WITH PROCEDURAL DOCUMENTS Minimum requirement to be monitored Lead Tool Frequency of Report of Compliance Reporting arrangements Lead(s) for acting on Recommendations Staff have received appropriate training Senior Nurse Audit tool Monthly - review 09/09 ECO operational group CSC representative Competence is reviewed annually as part of the personal review process Senior Nurse PDP Annual N/A Senior Sister/Charge Nurse That all relevant documentation has been correctly completed, the care evaluated per duty period by the delegated nurse and that they agree the level of ECO required for individual patients Senior Nurse Audit tool Monthly- review 09/09 ECO operational group CSC representative That a formal review of the patient and their care plan is undertaken every 24 hours Senior Nurse Audit tool Monthly- review 09/09 ECO operational group CSC representative Review of safety learning events Trust Datix lead datix monthly ECO operational group CSC representative This document will be monitored to ensure it is effective and to assurance compliance.