WORKFORCE New staff receive The Service/Unit has orientation Service/Unit orientation procedures, guidelines, Staff interview Offsite/Onsite IA appropriate guidelines, procedures, checklists and checklists orientation to the logs to ensure comprehensive Document review Service/Unit orientation for the clinical workforce in Sample of staff have orientation to Service/Unit recorded key areas identified through a risk based in appropriate documentation/log approach (*record evidence in worksheet) Individual scope of The scope of practice of individual staff Log of scope of practice or Document review IA + Onsite practice is defined and in Service/Unit is documented and there addendum to position description documenting approved Clinical periodically reviewed is evidence of regular review after scope of practice such as: Expert recredentialling (list procedures specfic to service/unit that require approval and credentialling check prioir to being included in indivdiual scope of practice e.g. procedural sedation) New staff have New staff undergo initial credentialling Credentialling policy/procedure Document review Onsite IA and appropriate skills and to ensure skills and knowledge are Audit of new staff personnel files for initial credentialling Clinical knowledge of current and approriate to the individual including: Expert maternity services scope of practice
WORKFORCE New staff receive appropriate orientation to the Service/Unit The Service/Unit has orientation guidelines, procedures, checklists and logs to ensure comprehensive orientation for the clinical workforce in key areas identified through a risk based approach Service/Unit orientation procedures, guidelines, checklists Sample of staff have orientation to Service/Unit recorded in appropriate documentation/log (*record evidence in worksheet) Staff interview Document review Offsite/Onsite IA Individual scope of practice is defined and periodically reviewed The scope of practice of individual staff in Service/Unit is documented and there is evidence of regular review after recredentialling Log of scope of practice or addendum to position description documenting approved scope of practice such as: (list procedures specfic to service/unit that require approval and credentialling check prioir to being included in indivdiual scope of practice e.g. procedural sedation) Document review Onsite IA + Clinical Expert New staff have appropriate skills and knowledge of maternity services New staff undergo initial credentialling to ensure skills and knowledge are current and approriate to the individual scope of practice Credentialling policy/procedure Audit of new staff personnel files for initial credentialling including: Document review Onsite IA and Clinical Expert
vmia-generic-internal-clinical-audit-tool-iact-d17-46220.docx