MONITORING COMPLIANCE WITH PROCEDURAL DOCUMENTS This document will be monitored to ensure it is effective and to assure compliance. Minimum requirement Lead Tool Frequency of Reporting Lead(s) for acting on to be monitored Report of arrangements Recommendations Compliance Process for ensuring that Head of Audit of Clinical Annually Policy audit report to: Chair of Medical Devices all reusable medical Clinical Engineering Management Committee Medical Devices devices and equipment Engineering Dashboard Management Committee are maintained: 95% maintained within designated timescales Process for ensuring that Head of Audit of Clinical Annually Policy audit report to: Chair of Medical Devices all reusable medical Clinical Engineering Management Committee Medical Devices devices and equipment Engineering Dashboard Management Committee are repaired: 95% repaired within designated timescales Process for identifying Medical Medical Devices Annually Policy audit report to: Chair of Medical Devices permanent staff are Devices Training Management Committee Medical Devices authorized to use the Training Database Management Committee equipment identified on Team the inventory: 95% of staff identified Process for determining Medical Medical Devices Annually Policy audit report to: Chair of Medical Devices the training required to Devices Training Management Committee Medical Devices use the equipment Training Database Management Committee identified on the Team inventory and the frequency of updates required: 100% Process for ensuring that Medical ESR Annually Policy audit report to: Chair of Medical Devices the identified training Devices Management Committee Medical Devices needs of all permanent Training Management Committee staff are met: 85% Team
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 Process for ensuring that all reusable medical devices and equipment are maintained: 95% maintained within designated timescales Head of Clinical Engineering Audit of Clinical Engineering Dashboard Annually Policy audit report to: Medical Devices Management Committee Chair of Medical Devices Management Committee Process for ensuring that all reusable medical devices and equipment are repaired: 95% repaired within designated timescales Head of Clinical Engineering Audit of Clinical Engineering Dashboard Annually Policy audit report to: Medical Devices Management Committee Chair of Medical Devices Management Committee Process for identifying permanent staff are authorized to use the equipment identified on the inventory: 95% of staff identified Medical Devices Training Team Medical Devices Training Database Annually Policy audit report to: Medical Devices Management Committee Chair of Medical Devices Management Committee Process for determining the training required to use the equipment identified on the inventory and the frequency of updates required: 100% Medical Devices Training Team Medical Devices Training Database Annually Policy audit report to: Medical Devices Management Committee Chair of Medical Devices Management Committee Process for ensuring that the identified training needs of all permanent staff are met: 85% Medical Devices Training Team ESR Annually Policy audit report to: Medical Devices Management Committee Chair of Medical Devices Management Committee This document will be monitored to ensure it is effective and to assure compliance.