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 Annual sample Lead nurse Audit Annual Policy audit report to: Mrs Tanya Mapp – audit of for normally Anaesthetics Dr Shirley Lobo preoperative preoperative case note Dr Frances King Preoperative investigations in assessment. review assessment nurses one or more Lead surgical specialties. Relevant surgical anaesthetist specialty. for preoperative assessment. Policy audit report to: Policy audit report to: 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 Annual sample audit of preoperative investigations in one or more surgical specialties. Lead nurse for preoperative assessment. Lead anaesthetist for preoperative assessment. Audit – normally case note review Annual Policy audit report to: Anaesthetics Preoperative assessment nurses Relevant surgical specialty. Mrs Tanya Mapp Dr Shirley Lobo Dr Frances King Policy audit report to: Policy audit report to: This document will be monitored to ensure it is effective and to assurance compliance.
Preoperative%20Investigations%20Policy.docx