This document will be monitored to ensure it is effective and to assure compliance. Minimum Lead Tool Frequency of Report Reporting arrangements Lead(s) for acting on requirement to be of Compliance Recommendations monitored 100% of transfers Operations Random Annually Policy audit report to: General Manager meet the Centre audit of 30 Operations / CSC Heads Professional Nursing requirements Manager sets of of Nursing and Midwifery specific to each medical patient records 100% of Operations Random Annually Policy audit report to: General Manager documentation that Centre audit of 30 Operations / CSC Heads Professional Nursing accompanies a Manager sets of of Nursing and Midwifery Forum. patient when medical transferred is notes accurately completed 100% of out of Operations Random Annually Policy audit report to: General Manager transfers comply Centre audit of 30 Operations / CSC of Professional Nursing and with the Manager sets of Nursing Midwifery Forum. requirements of this medical policy notes for patients transferred out of hours
Minimum requirement to be monitored Lead Tool Frequency of Report of Compliance Reporting arrangements Lead(s) for acting on Recommendations 100% of transfers meet the requirements specific to each patient Operations Centre Manager Random audit of 30 sets of medical records Annually Policy audit report to: Professional Nursing and Midwifery General Manager Operations / CSC Heads of Nursing 100% of documentation that accompanies a patient when transferred is accurately completed Operations Centre Manager Random audit of 30 sets of medical notes Annually Policy audit report to: Professional Nursing and Midwifery Forum. General Manager Operations / CSC Heads of Nursing 100% of out of transfers comply with the requirements of this policy Operations Centre Manager Random audit of 30 sets of medical notes for patients transferred out of hours Annually Policy audit report to: Professional Nursing and Midwifery Forum. General Manager Operations / CSC of Nursing This document will be monitored to ensure it is effective and to assure compliance.
Transfer%20Policy%20Adults.docx