The medication policy does not include stocktake requirements for controlled drugs. The restraint policy does not include the full definition of restraints and enablers; or processes required in the event restraint is used. This includes the ongoing monitoring requirements for the client. Criterion 1.2.7.3 PA Low Policies detail the process that is required related Records to evidence that Ensure records to human resources practices. The policy aligns reference checks or are maintained to The appointment of appropriate with current accepted practice and includes staff interviews are conducted demonstrate that service providers to safely meet the completing an application form, interviews, are not present in all staff files the recruitment of consumers. verifying qualifications and experience, conducting sampled. This included the process has been police and reference checks. However records are three staff employed since followed. not consistently available to evidence that June 2014. reference checks and interviews are conducted. These documents are missing in the four staff files 180 days sampled where the employee was employed between October 2010 and May 2015. Three of the staff whose files were reviewed were employed since June 2014. Completed police checks were present in the sampled files. Criterion 1.2.7.4 PA Nurses interviewed, including a midwife who no While staff confirm a detailed Ensure records longer holds a practising certificate, have variable orientation is provided are available to New service providers receive an to no previous experience in maternity services. relevant to the staff role and verify that staff orientation/induction programme that Nurses and managers interviewed and clinical responsibilities, records are have completed covers the essential components of records reviewed show that orientation and training not present in some staff files any the service provided. for care in the maternity setting relates reviewed to demonstrate that department/role predominantly to breastfeeding and resuscitation. the service/department specific orientation The RNs advised they have not received specific component has been in a timely orientation and training for their responsibilities for completed. For example, the manner. evaluation and other aspects of maternity care. workbooks that are to be Ensure the Staff interviewed advised that, with this exception, completed by medical and orientation and the orientation programme is comprehensive. nursing staff. ongoing Staff complete the generic orientation to Hokianga The orientation/ongoing programme is Health. Department/role specific orientation is education programme is not sufficiently
The medication policy does not include stocktake requirements for controlled drugs. The restraint policy does not include the full definition of restraints and enablers; or processes required in the event restraint is used. This includes the ongoing monitoring requirements for the client. Criterion 1.2.7.3 The appointment of appropriate service providers to safely meet the of consumers. PA Low Policies detail the process that is required related to human resources practices. The policy aligns with current accepted practice and includes staff completing an application form, interviews, verifying qualifications and experience, conducting police and reference checks. However records are not consistently available to evidence that reference checks and interviews are conducted. These documents are missing in the four staff files sampled where the employee was employed between October 2010 and May 2015. Three of the staff whose files were reviewed were employed since June 2014. Completed police checks were present in the sampled files. Records to evidence that reference checks or interviews are conducted are not present in all staff files sampled. This included the three staff employed since June 2014. Ensure records are maintained to demonstrate that the recruitment process has been followed. 180 days Criterion 1.2.7.4 New service providers receive an orientation/induction programme that covers the essential components of the service provided. PA Nurses interviewed, including a midwife who no longer holds a practising certificate, have variable to no previous experience in maternity services. Nurses and managers interviewed and clinical records reviewed show that orientation and training for care in the maternity setting relates predominantly to breastfeeding and resuscitation. The RNs advised they have not received orientation and training for their responsibilities for evaluation and other aspects of maternity care. Staff interviewed advised that, with this exception, the orientation programme is comprehensive. Staff complete the generic orientation to Hokianga Health. Department/role specific orientation is While staff confirm a detailed orientation is provided relevant to the staff role and responsibilities, records are not present in some staff files reviewed to demonstrate that the service/department specific component has been completed. For example, the workbooks that are to be completed by medical and nursing staff. The orientation/ongoing education programme is not Ensure records are available to verify that staff have completed any department/role specific orientation in a timely manner. Ensure the orientation and ongoing programme is sufficiently
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