POLICIES AND PROCEDURES Current Listing as at 16 January 2020 - Copies available upon request DOCUMENT ID DOCUMENT TITLE NBMT-POLY010096 Motor Vehicle Policy NBMT-POLY010767 Liability Claims Policy and Procedures NBMT-POLY010769 Miscellaneous Claims Policy and Procedures NBMT-POLY011214 Care and Handling of Specimens NBMT-POLY100002 Organ and Tissue Donation after Death - For the Purpose of Transplantation into the Body of a Living Person and/or for Research or Other Scientific Purposes NBMT-POLY100021 Electronic Rostering System and Sign Off NBMT-POLY100137 Medical Imaging Network - Electronic Notification of Significant Findings-SWAHS NBMT-POLY100238 Volunteer Policy SWAHS NBMT-POLY100306 Strategic Procurement: Installation of Alarms and Security Systems-swahs NBMT-POLY100651 Peripheral Intravenous Cannula Insertion and Management NBMT-POLY100655 Medication Administration Policy for Nurses and Midwives NBMT-POLY100656 Secondary Employment NBMT-POLY100704 Records Management NBMT-POLY100714 Mobile Rehabilitation Team (MRT) Operational Policy NBMT-POLY100752 Managing Annual Leave NBMT-POLY100785 Handling Cytotoxic Drugs and Related Waste NBMT-POLY100805 Calcium: Treatment of Hypocalcemia; Hypercalcaemia and Electrolyte Supplementation NBMT-POLY100807 A Protocol for Potassium andTreatment of Hypokalaemia and Hyperkalaemia NBMT-POLY100808 Magnesium: Treatment of Hypomagnesaemia; Hypermagnesaemia and Electrolyte Supplementation NBMT-POLY100825 Reportable Incident Brief (RIB) NBMT-POLY100849 Consumer Representative Engagement NBMT-POLY100850 Safe Introduction of New/Altered Interventional Procedures; Technologies or Treatments into Clinical Practice NBMT-POLY100852 Anti-Fungal Prophylaxis in Patients on Peritoneal Dialysis NBMT-POLY100870 Hybrid Medical Record NBMT-POLY100871 Administrative Management of Admitted Patients NBMT-POLY100879 Media Policy NBMT-POLY100915 Somerset Cottage Early Childhood Education and Care Information and Record Keeping NBMT-POLY100964 Workers Compensation and Injury Management NBMT-POLY100978 Dress Code and Uniform Policy NBMT-POLY100985 Hazardous Manual Tasks NBMT-POLY100987 Work Health and Safety NBMT-POLY100991 Recruitment and Appointment of Junior Medical Staff NBMT-POLY100994 NBMLHD Flexible Work Practices NBMT-POLY101117 Somerset Cottage Education and Care Medical Conditions NBMT-POLY101119 Somerset Cottage Education and Care Medication NBMT-POLY101127 Antimicrobial Formulary Restrictions NBMT-POLY101149 Events Policy NBMT-POLY101161 Recruitment and Appointment of Postgraduate Fellows Remunerated Under Award Conditions NBMT-POLY101163 Medical Appointments Framework NBMT-POLY101229 Somerset Cottage Early Childhood Education and Care Relationships with Children NBMT-POLY101232 Clinical Supervision - Allied Health NBMT-POLY101299 Somerset Cottage Early Childhood Education and Care Enrolled Child Incidents; Trauma & Injury Including Serious and Potentially Fatal Incidents NBMT-POLY101354 Database Backup (for Locally Managed & Implemented Databases) NBMT-POLY101409 Pastoral Care NBMT-POLY101416 Human Immunodeficiency Virus (HIV): Antiretroviral Post-Exposure Prophylaxis NBMT-POLY101435 Somerset Cottage Early Childhood Education and Care Acceptance and Refusal of Authorisations NBMT-POLY101628 Guardianship and Financial Management within Aged Care Wards at Nepean Hospital NBMT-POLY101637 Somerset Cottage Early Childhood Education and Care Water Safety NBMT-POLY101640 Patient Handling (No Lift) NBMT-POLY101647 Somerset Cottage Early Childhood Education and Care Sun Protection NBMT-POLY101652 Wireless LAN Access and Security NBMT-POLY101662 Photography and Video Recording by Patients and their Families NBMT-POLY101663 Access Arrangements to the Children's Ward Across NBMLHD by Companies/Individuals who are Donating Raised Funds/Gifts NBMT-POLY101673 Emergency Department Nurse Initiated X-rays for Isolated Limb Injuries NBMT-POLY101953 Grading; Regrading and Reclassification NBMT-POLY102003 Somerset Cottage Early Childhood Education and Care - Delivery of Children to and Safe Collection of Children NBMT-POLY102010 The Dispensing and Administration of Intravenous Vincristine - Classified as a High Risk Medication NBMT-POLY102013 Fraud and Corruption Strategy NBMT-POLY102107 NBMLHD Employee Reward and Recognition Program NBMT-POLY102108 Performance Development and Management NBMT-POLY102125 Management of Non-Work Related Injuries or Health Conditions NBMT-POLY102136 Somerset Cottage Early Childhood Education and Care Governance NBMT-POLY102138 Somerset Cottage Management of Infectious Diseases and Immunisation NBMT-POLY102149 Somerset Cottage Early Childhood Education and Care Information and Communication Technology NBMT-POLY102178 Somerset Cottage Early Childhood Education and Care Nutrition NBMT-POLY102292 Safeguarding Adults at Risk from Abuse NBMT-POLY102314 Consumer and Community Participation Framework NBMT-POLY102352 Criteria for Surgery and General Anaesthesia at BMDAMH and Springwood Hospitals NBMT-POLY102377 Clinical Item Management (includes clinical equipment) NBMT-POLY102378 Corporate Items Management NBMT-POLY102382 Normal Vaginal Birth NBMT-POLY102455 Radiographer's Practice NBMT-POLY102468 Admission Criteria and Transfer - Blue Mountains District ANZAC Memorial Hospital and Springwood Hospital NBMT-POLY102471 Career Break Scheme for Nurses and Midwives NBMT-POLY102542 Separation of Employment NBMT-POLY102543 NBMLHD Recognition of Service Awards - All Staff NBMT-POLY102576 Somerset Cottage Food Safety Plan NBMT-POLY102577 Somerset Cottage Early Childhood Education and Care Sleep; Rest and Relaxation NBMT-POLY102578 Somerset Cottage Early Childhood Education and Care Educational Program and Practice NBMT-POLY102579 Somerset Cottage Early Childhood Education and Care Management and Storage of Chemicals NBMT-POLY102585 Paediatric Hospital in the Home (HITH) NBMT-POLY102588 Somerset Cottage Early Childhood Education and Care Fee NBMT-POLY102590 Somerset Cottage Early Childhood Education and Care Clothing and Comfort NBMT-POLY102591 Somerset Cottage Early Childhood Education and Care Access; Enrolment and Orientation NBMT-POLY102602 Somerset Cottage Early Childhood Education and Care Environmental Sustainability NBMT-POLY102650 Formulary Management NBMT-PROC010159 Weapons in SWAHS Facilities NBMT-PROC010594 Management of Missed Doses of Buprenorphine or Buprenorphine/Naloxone in NBMLHD Opioid Treatment Program Clinics NBMT-PROC010601 Management of Missed Doses of Methadone NBMT-PROC010931 Rehabilitation Medicine Inpatient Referral and Transfer Procedure NBMT-PROC100004 Acute Management of Croup in Paediatric Patients NBMT-PROC100008 Nurse Initiated Oral Paracetamol For Paediatric Patients NBMT-PROC100013 Clinical Coding Procedure NBMT-PROC100022 Suctioning Infants and Children NBMT-PROC100024 Hospital management of Paediatric Patients with Multiple Disabilities NBMT-PROC100025 Procedure - Processing Subpoenas for Health Care Records NBMT-PROC100026 Application for Access to Health Care Records by Patients or Clients NBMT-PROC100029 Management of Women with a Delay in the Onset of Lactation and/or a Low Milk Supply NBMT-PROC100030 Issuing of Sickness Certificates by Physiotherapists NBMT-PROC100034 Complementary feeding of a breastfeeding infant up to six months of age NBMT-PROC100036 Infant Feeding: Maintenance of Lactation and Management of Common Breastfeeding Challenges NBMT-PROC100038 Product Recalls; Safety Alerts and Notices NBMT-PROC100041 Infant Feeding: Feeding More than One Infant NBMT-PROC100042 Infant Feeding: Supporting Parents Breastfeeding their Premature or Sick Infant NBMT-PROC100047 Medical Assessment and Care of Sexual Assault Complainants who Present to the ED NBMT-PROC100049 Paediatric Lumbar Puncture NBMT-PROC100050 Intraosseous Access in Paediatric Patients Using the EZ-IO NBMT-PROC100051 Preparation of Inpatient Infants and Children for CT Scan (Under NBMT-PROC100052 Management of Sudden Unexpected Death in Infancy (SUDI) NBMT-PROC100053 Surveillance of the Newborn following Instrumental Delivery NBMT-PROC100054 Immunisation: Neonatal NBMT-PROC100055 Peripheral Intravenous Cannula in the Neonate: Insertion, NBMT-PROC100060 Nurse/Midwife Practitioner Authorisation NBMT-PROC100061 Gentamicin Administration in Paediatrics NBMT-PROC100062 Management of IV Therapy and Cannula Care in Paediatrics NBMT-PROC100071 Organ and Tissue Donation after Death Confirmed by Irreversible Cessation of the Circulation of Blood in the Person's Body (DCD) (For the purpose of transplantation into the body of a living person and or for research or other scientific purposes) NBMT-PROC100073 Management of Authority to Practice Registration for Allied Health Professionals NBMT-PROC100078 Cleaning and Reprocessing of Reusable Infant Feeding Equipment NBMT-PROC100080 Nepean Imaging Department: Intravenous Administration of Contrast Media in CT NBMT-PROC100083 Nurse Initiated Lignocaine/Prilocaine (EMLA®) For Paediatric Patients NBMT-PROC100170 Lithgow Hospital Sterilising Department Traceability System - SWAHS NBMT-PROC100179 Procedure on Approved Abbreviations for Use in the Health Care Record - SWAHS NBMT-PROC100195 Pre-Discharge X-Rays and Discharge Pending X-Rays-SWAHS NBMT-PROC100222 Lost and Found Property- SWAHS NBMT-PROC100312 Safe Handling of Glutaraldehyde - SWAHS NBMT-PROC100332 Allocation arrangements for SWAHS vehicles - SWAHS NBMT-PROC100376 Tube Care - Gastrostomy/Jejunostomy Replacement NBMT-PROC100378 Nasogastric Tube Insertion/Removal: Adults NBMT-PROC100383 Management of Health