MONITORING COMPLIANCE WITH PROCEDURAL DOCUMENTS This document will be monitored to ensure it is effective and to assurance compliance. Minimum Lead Tool Frequency of Report Reporting arrangements Lead(s) for acting on requirement to be of Compliance Recommendations monitored Saving Lives CVC Dr Caroline CVC Insertion Quarterly as part of Policy report to: Medical Director Ongoing Care Care Mitchell and ongoing device audits Infection Prevention and Director of Nursing Bundle Management Control Management Heads of Nursing tool (see Committee CSC Governance Leads appendices)
MONITORING COMPLIANCE WITH PROCEDURAL DOCUMENTS This document will be monitored to ensure it is effective and to assurance compliance. Minimum requirement to be monitored Lead Tool Frequency of Report of Compliance Reporting arrangements Lead(s) for acting on Recommendations Saving Lives CVC Ongoing Care Care Bundle Dr Caroline Mitchell CVC Insertion and Management tool (see appendices) Quarterly as part of ongoing device audits Policy report to: Infection Prevention and Control Management Committee Medical Director Director of Nursing Heads of Nursing CSC Governance Leads
Central%20Venous%20Catheters%20Care%20and%20Management%20Policy.docx