Service/Unit procedures Service/Unit clinical procedures and Sample of clinical procedures and protocols have Document Offsite Clinical Expert and protocols are protocols reference current clinical clear references to clinical guidelines upon which Review evidence based and standards and guidelines. This is they are based and evidence that they have been Staff interview reviewed periodically supported by a system to make reviewed periodically e.g. readily available clinical standards and Nurse initiated medication protocols guideline Airways management procedure/protocol Patient transfer procedure/protocol Pneumothorax procedure/protocol (Specificy any condition specific protocols relevant to service/unit e.g. head injured, post surgical ) (record evidence in worksheet) Readily available standards and guidelines include: emergency medicine textbooks, journals, Clinical management guidelines and protocols are available on site. There should also be access to electronic sources of medical information DISCHARGE
Service/Unit procedures and protocols are evidence based and reviewed periodically Service/Unit clinical procedures and protocols reference current clinical standards and guidelines. This is supported by a system to make readily available clinical standards and guideline Sample of clinical procedures and protocols have clear references to clinical guidelines upon which they are based and evidence that they have been reviewed periodically e.g. Nurse initiated medication protocols Airways management procedure/protocol Patient transfer procedure/protocol Pneumothorax procedure/protocol (Specificy any condition specific protocols relevant to service/unit e.g. head injured, post surgical ) (record evidence in worksheet) Readily available standards and guidelines include: emergency medicine textbooks, journals, Clinical management guidelines and protocols are available on site. There should also be access to electronic sources of medical information Document Review Staff interview Offsite Clinical Expert DISCHARGE
vmia-generic-internal-clinical-audit-tool-iact-d17-46220.docx