MONITORING COMPLIANCE WITH PROCEDURAL DOCUMENTS This document will be monitored to ensure it is effective and to ensure compliance Minimum Lead Tool Frequency of Report Reporting arrangements Lead(s) for acting on requirement to be of Compliance Recommendations monitored Infection Prevention Infection Prevention Caroline Infection Annually CSC leads Management Committee and control Mitchell Prevention protocols and Control report Infection Prevention Incidents reported, Caroline Data Quarterly CSC leads Management Committee documented and Mitchell collection escalated appropriately Infection Prevention Appropriate use of Darren Annually CSC leads Management Committee medical devices Carter Audits and adequate tracking and tracing
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 Infection Prevention and control protocols Caroline Mitchell Infection Prevention and Control report Annually Infection Prevention Management Committee CSC leads Incidents reported, documented and escalated appropriately Caroline Mitchell Data collection Quarterly Infection Prevention Management Committee CSC leads Appropriate use of medical devices and adequate tracking and tracing Darren Carter Audits Annually Infection Prevention Management Committee CSC leads This document will be monitored to ensure it is effective and to ensure compliance