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S4R and S8 Medications in DRKs, Parry Pack Retrieval Kits and Bunbury Hospital Retrieval Kits Procedure
Hospitals and nursing posts across the WACHS - South West region are required to maintain 'Parry Pack' Retrieval Kits and Disaster Response Kits (DRK) as per the relevant state Operational Directive and Information Circular. This procedure guides the handling and recording of S4R and S8 medications within these kits for the WACHS - South West region.
SAC 1 Clinical Incident - Multi-Agency Review Flowchart
This flowchart sets out the actions to be undertaken during the investigation of clinical incidents across health service boundaries.
Safe Driving Guideline
This guideline has been prepared to assist WACHS to meet its duty of care obligations and to assist employees to assess and control risks associated with the operation of fleet vehicles for work-related use.
Safe Driving Guideline Addendum A - Fleet Vehicle Business Case and Risk Assessment Workbook - Addendum
WACHS Fleet Vehicle Business Case and Risk Assessment Workbook.
Safe Driving Guideline Addendum B - Sample Fleet Vehicle Risk Assessment - Form
HCN Pre-Employment Health Assessment E-Form - CAN BE LOCATED VIA THE HCN WEBSITE.
Safe Driving Guideline Addendum C - Remote Area Chart - Addendum
Map defining the 'remote area' of Western Australia.
Safe Driving Policy
The WACHS recognises that the safety and health of its employees is of prime importance and acknowledges its obligations under the Occupational Health and Safety Act (1984).
Safe Driving Procedure
This procedure provides information on safe systems of work for employees driving a WACHS fleet vehicle outside of remote areas and should be read in conjunction with other relevant WA Health and WACHS policy documents.
Safe Driving Procedure - Goldfields
The Safe Driving Procedure Addendum G: Personal Safe Travel Plan Goldfields is to be used by all WACHS-Goldfields staff when undertaking travel by government vehicle in certain circumstances.
Safe Driving Procedure Addendum A - Long Journey Vehicle Inspection Sheet (Remote Area Use) - Checklist
This checklist is to be completed by the driver of a vehicle who will be undertaking a long journey in a remote area.
Safe Driving Procedure Addendum B - Personal Safe Travel Plan - Form
To be completed by the driver prior to undertaking a long journey with travel time of more than five hours continuous driving, for any journey where a journey risk assessment shows high safety risk or for any travel involving remote or isolated work.
Safe Driving Procedure Addendum C - Recovery Pack (Remote Area Use) Inspection - Checklist
A recovery pack is only required for use in remote areas subject to journey risk assessment. It is to be completed by the driver. A recovery pack is not to be used without specific training.
Safe Driving Procedure Addendum D - Journey Risk Assessment - Form
This document forms part of the Personal Safe Travel Plan and is to be submitted with the Personal Safe Travel Plan.
Safe Driving Procedure Addendum E - Survival Pack (Remote Area Use) Inspection - Checklist
The driver is to tick all items that are satisfactory. List items that are NOT satisfactory, report unsatisfactory items , and do NOT proceed on journey until all matters are satisfactory.
Safe Transport and Transfer of Care of Country Mental Health Patients Flowchart
Flowchart for the safe transport and transfer of care of country Mental Health patients
Safe Use of Medication Refrigerator Procedure
This procedure provides practical guidance for WACHS facilities to meet the requirements outlined in the The recently published Operational Directive OD 0587/15 WA Health Safe Use of Medication Refrigerators Policy
Safe Working Procedure for Interviewing Clients - Pilbara Mental Health and Drug Service
The Pilbara Mental Health and Drug Service (PMHDS) provides an assessment and treatment service to people within the Pilbara region who have a psychiatric disorder. This procedure relates to safety when interviewing clients at the interviewing rooms at the Port Hedland Health Campus (HHC) and the Nickol Bay, Newman and Tom Price hospitals.
Safety Risk Report Form
This is the form to be used for reporting safety risks.
Schedule 8 and Schedule 4 Restricted Medicine Discrepancies Notification Flowchart for Wards
This flowchart is a pathway to allow nomination of roles as required to facilitate involvement of appropriate staff in this process as per Operational Directive OD0377/12 .
Script Tracker - Medication Chart and Prescription Tracking Program Information Sheet - Bunbury Hospital
The information provided here is for guidance around the use of the software program, Script Tracker, which is a Pharmacy IT application that provides real time information on the progress of medication supply at the Bunbury Hospital.
Search and Seizure Procedure - Broome Mental Health Inpatient Unit
In the interest of patient, staff and visitor safety, there may be times when it is necessary to conduct a personal search of a patient, search a patient's belongings and /or a patient's room. This procedure outlines how this process is to take place.
Secure Access of Medication - Clean Utility Rooms via Medication Keys and Electronic Swipe Key Cards Procedure
This procedure relates to the safe working practices surrounding secure access of medication rooms including allocation of medication keys and swipe cards.
Secure Access of Medications via Medication Keys and Electronic Swipe Cards Procedure - Midwest
This procedure relates to safe working practices surrounding secure access of medication rooms including allocation of medication keys and swipe cards.
Security - Use of Handcuffs Procedure - Bunbury Hospital
This procedure has been developed to ensure staff and patients are protected from persons committing a breach of the WA Criminal Code where the perpetrator of the crime can be easily controlled with the application of handcuffs. Mechanical restraint, other than the use of a medical or surgical appliance for the proper treatment of a physical disease or injury (Section 230 Mental Health Act 2014) will not be operated in any guise for the control of health patients.
Security - Use of Oleoresin Capsicum Foam Procedure - Bunbury Hospital
This document defines the process for the use of Oleoresin Capsicum Foam (Pepper Foam) by Security Officers at the Bunbury Hospital.
Security Personnel - Patient Guarding and Surveillance Procedure
This document is intended as a guide for security including WA Country Health Service (WACHS) South West employees and external providers undertaking guarding or surveillance duties.
Security Personnel Duty Procedure - Goldfields Mental Health Service
This procedure is intended as a guide for nursing and medical staff when a security officer is undertaking security, guarding, or surveillance duties.
Security Procedure - Albany Hospital Acute Psychiatric Unit
The aim of this procedure is to ensure that patients receive optimal care and that services are provided in an environment that is appropriate and safe for both patients and staff.
Security Procedures Manual - Albany Health Campus
Albany Health Campus Security Department's primary role is to provide an effective and efficient Security Service to meet the needs of all health care providers.
Security Risk Management Policy
The purpose of the this policy is to outline the key aspects of personal and property security, and to assist health facilities to maintain an effective security program that is based on a security risk assessment of the facility and the introduction of protective security measures.
Sedation for Mental Health Patients Awaiting Aeromedical Transfer Guideline
This guideline has been developed to minimise the risk of adverse events related to the use of prolonged sedation for adult mental health patients in the WA Country Health Service (WACHS) who are awaiting transfer for specialist treatment. The medication options are designed to be simple to improve practicality of use and likely availability of medications within WACHS sites. It is designed for adults and should not be used for children. For paediatric patients, it is recommended to contact the consulting emergency department physician at Princess Margaret Hospital or Acute Response Team (ART).
Sedation Process for Mental Health Patients Flowchart
Flowchart for the sedation process of mental health patients. This process is subject to alteration dependent on clinical circumstances, reasons for which should be documented.
Service Continuity by Clinical and Support Staff in Cyclones and Other Emergencies Policy
The WACHS is committed to supporting the WA Department of Health in its designated functions as a Hazard Management and Support Agency under the Emergency Management Act 2005. These responsibilities include the provision of health disaster management services during any emergency. WACHS has a legislated requirement to instigate procedures to guide a structured response to emergencies at local and regional levels.
Shared Care of Mental Health Clients in Remote Area Settings Procedure - Kimberley
This procedure aims to ensure that services to mental health clients in remote settings in the Kimberley is a cooperative, coordinated and collaborative shared care approach between Primary Health Care services, Kimberley hospitals and the KMHDS.
Shared Care Relationships with Primary Care and Non-Government Providers - Ambulatory Care Setting Procedure
This procedure sets out the Mental Health Shared Care within the ambulatory care setting and refers to the philosophy of and arrangements for managing a client's journey as they enter and exit both public health and non-government services.
Shift Coordinator Procedure
This procedure sets out the roles and responsibilities of the Shift Coordinator.
Short Stay Observation Unit - Emergency Department Procedure - Busselton Health Campus
This procedure has been produced to facilitate patient flow through the Emergency Department (ED) and guide the operation of the Busselton Health Campus (BHC) ED Short Stay Observation Unit (SSOU) to reflect a 'good practice model' of care that meets BHC's local context.
Short Stay Unit Admission Criteria Procedure - Broome Hospital
This procedure sets out how early comprehensive multidisciplinary assessment and care of selected patients is provided, and how to optimise patient flow from the emergency department through the admission, to discharge and ongoing community care.
Short Stay Unit Procedure - Broome Hospital
The Short Stay Unit (SSU) is a four bed unit located on the Medical / Surgical Ward that aims to provide comprehensive, multidisciplinary patient-centred care and treatment over a designated period of up to 24 hours before discharge.
Short Stay Unit Procedure - Geraldton Hospital
The Geraldton Hospital Short Stay Unit provides short stay admission for the assessment and care of selected patients who no longer require active ED care. This procedure aims to optimise patient flow and bed utilisation by reducing the length of patient stay in ED.
Smoke Free WA Health System Policy Implementation Procedure
The WA Country Health Service (WACHS) is committed to reducing tobacco consumption and acknowledges it has a duty of care to provide smoke free environments that minimise exposure of patients, staff and visitors to the harmful effects of second hand smoke. This Smoke Free Procedure sets a positive example to the wider community, complimenting other health promotion messages.
Smokers Clinic Guideline - Great Southern Mental Health Service
The purpose of this document is to provide guidance for staff caring for patients accessing the Smokers' Clinic from their initial assessment to discharge, in order to effectively continue to address nicotine dependence in a supportive and evidence based manner.
Smoking and Nicotine Replacement Therapy Procedure - Broome Mental Health Inpatient Unit
Mabu Liyan /Broome Mental Health Unit (BMHU) supports the Smoke Free WA Health Policy and this document outlines the process in place around the partial exemption to the smoke free policy to allow involuntary patients the option to smoke tobacco in the grounds of the inpatient unit.
Smoking Care Guideline - Albany Hospital Acute Psychiatric Unit
The purpose of this document is to provide guidance for staff caring for patients on the Albany Acute Psychiatric Unit from their initial assessment to discharge and beyond, in order to effectively address nicotine dependence in a supportive and evidence based manner. All staff have a responsibility for their own health and the health of others on the ward by supporting compliance with this procedure.
Smoking Exemption Procedure - Goldfields Mental Health Inpatient Service
This procedure outlines how and where the partial exemption to the Smoke Free WA Health System Policy is to be managed at Goldfields Mental Health Inpatient unit.
Snakebite Management Guideline
This guideline provides direction to WA Country Health Service (WACHS) staff regarding best practice management of all snakebite cases. This document provides a general approach to snakebite management. Snakebite management with signs of envenomation should occur in conjunction with advice from Clinical Toxicologists via the Poisons Information Centre. The nation-wide number is 131126.
Social Media Policy
Social media is the term that describes web-based applications that enable the creation and exchange of user-generated online content. Examples of social media include Facebook, LinkedIn, Google+, Pinterest, YouTube, Tumblr and Twitter. This policy provides the standards for staff within WACHS to engage in communication using public-facing social media channels.
Special Referrals to Child Health Services Policy
This policy defines the roles and responsibilities of staff working across maternity, neonatal and child health services in relation to Special Referrals to Child Health Services (Special Referrals), to facilitate timely and effective transfer of information for families with known risk factors for the newborn or family.
Specialised Medication - Abatacept for ADULT Patients Guideline
Provides guidance for prescription and administration of Abatacept. This guideline must be used in conjunction with the associated mandatory MR173e Specialised Medication - Abatacept Pre-Infusion Checklist.
Specialised Medication - Ferric Carboxymaltose Guideline
This document provides guidance for the prescription and administration of ferric carboxymaltose (Ferinject) only, at sites which have been approved for its use. For pregnant or breast feeding patients, refer to the King Edward Memorial Hospital (KEMH) O&G Clinical Guidelines - Pharmacy and Medications - Adult Iron Polymaltose Guideline.
Specialised Medication - Infliximab Guideline
Provides guidance for the prescription and administration of infliximab for adult patients. It must be used in conjunction with the associated mandatory Pre-Infusion Checklist for Infliximab. Information in this guideline is applicable to Remicade and the biosimilar product Inflectra.
Specialised Medication - Intravenous Aminoglycosides for ADULT Non-pregnant Patients Guideline
This guideline outlines the process for the use of intravenous aminoglycosides in non-pregnant adults. For obstetric patients, refer to the Women and Newborn Health Service (KEMH) Guidelines. For Paediatric patients, refer to the Perth Children Hospital ChAMP Monographs
Specialised Medication - Intravenous Glyceryl Trinitrate in Critical Care Areas Guideline
This document provides guidance for the prescription and administration of glyceryl trinitrate for adult patients via the intravenous route for use within Critical Care Areas (only).
Specialised Medication - Intravenous Phosphate Supplementation in Adults Guideline
This document provides guidance for the prescription and administration of phosphate supplementation in adults via the intravenous route.
Specialised Medication - Intravenous Vancomycin in Adults Guideline
Vancomycin is a restricted antibiotic on the Statewide Medicine Formulary - Formulary One. Expert opinion should be sought where recommended on the formulary and include a documented plan for review of the antibiotic. The use in Febrile Neutropenia should be in accordance with EVIQ guidelines as per WACHS Cancer Institute NSW - Standard Cancer Treatments - eviQ - EUCP Policy.
Specialised Medication - Iron Polymaltose Guideline
Provides guidance for the prescription and administration of iron polymaltose. It must be used in conjunction with the associated MR173c WACHS Specialised Medication - Iron Pre Infusion-Consent Checklist
Specialised Medication - Lithium (Adult Patients) Guideline
This document provides guidance for the prescription and administration of lithium in adult patients, and should be used in conjunction with appropriate references e.g. Therapeutic Guidelines, Australian Medicines Handbook.
Specialised Medication - Natalizumab Guideline
This document provides guidance for the prescription and administration of natalizumab for adults. It must be used in conjunction with the associated mandatory Pre-Infusion Checklist for Natalizumab. Information in this guideline is specific to (Tysabri).
Specialised Medication - Phenytoin (Injectable) for Adult Patients Guideline
Provides guidance for the prescription and administration of phenytoin via the intravenous route for adult patients. For Paediatric Patients, refer to the Perth Children's Hospital - Phenytoin - Paediatric (accessible via HealthPoint).
Specialised Medication - Potassium Supplementation Policy
This policy describes the distribution, prescribing and administration of potassium formulations in the WA Country Health Service (WACHS).
Specialised Medication - Rituximab Guideline
Provides guidance for the prescription and administration of rituximab when being used for rheumatoid arthritis only. If rituximab is being used as an anti-neoplastic agent, please refer to the appropriate guideline for that specific indication. Information in this guideline is specific to Mabthera.
Specialised Medication - Tocilizumab Guideline
This guideline provides guidance for the prescription and administration of Tocilizumab for adult patients by infusion or subcutaneous injection. This guideline must be used in conjunction with the associated mandatory MR173F WACHS Specialised Medication - Tocilizumab Pre-Infusion Checklist.
Specialist Obstetrician Services Procedure - Albany Health Campus
The aim of this document is to serve as the blueprint that sets out the pathway identifying the conditions and situations that require the input of a Specialist Obstetrician. This will assist GPOs and other health care providers in determining when the input of a Specialist Obstetrician is required in the Albany Hospital, as a level 3 Neonatal and a level 4 Obstetrics Service provider.
Specimen Collection (including Phlebotomy) and Pathology Results - WACHS Clinical Practice Standard
The purpose of this policy is to establish minimum practice standards for specimen collection (including phlebotomy) and pathology results throughout the WA Country Health Service (WACHS).
Spinal Immobilisation Clinical Practice Standard
This CPS has been endorsed for use by WACHS and should be applied to the WACHS clinical practice context until it is transitioned completely to a WACHS CPS.
Split Thickness Skin Grafts Clinical Practice Standard
This CPS has been endorsed for use by WACHS and should be applied to the WACHS clinical practice context until it is transitioned completely to a WACHS CPS.
Staff Identification Procedure
The purpose of this procedure is to establish a system that provides constant and immediate identification of WACHS employees to patients, visitors and other employees.
Staff Immunisation Procedure - Wheatbelt
Management of a staff immunisation strategy is a requirement under the WA Health Health Care Worker Immunisation Policy, the National Safety and Quality Health Care Standards, and the National Health and Medical Research Council through the Australian Immunisation Handbook. This procedure aims to provide additional information to support the implementation of a comprehensive staff immunisation strategy in the Wheatbelt.
Staff Rent Recoveries Reconciliation Procedure
This procedure outlines the reconciliation process to be performed in order to determine that all deductions from employee salaries for rental recovery have been made and accurately reconciled.
Standard of Nursing Practice Guideline - Psychiatric Intensive Care Unit - Albany Hospital Acute Psychiatric Unit
Psychiatric Intensive Care Units (PICU's) are a mental health setting for individuals requiring higher levels of acute care. These individuals require intensive nursing support and interventions to contain and manage risk issues associated with acute presentations.
Statutory Health Professional Registration Policy
All WA Country Health Service (WACHS) health professionals engaged or intended to be engaged in professional practice, which requires statutory registration in Western Australia, are to demonstrate that they possess a license to practice having satisfied the requirements of the relevant statutory registration board.
Statutory Registration Monitoring Procedure
All WA Country Health Service (WACHS) nurses, midwives and allied health and health science professionals engaged or intended to be engaged in professional practice which requires statutory registration in Western Australia are to demonstrate that they possess a license to practice having satisfied the requirements of the relevant statutory registration board.
Sterile Water Skin Injections for Relieving Back Pain in Labour - Consumer Information Sheet
This information sheet provides information to the patient about the Intradermal Sterile Water Injections technique.
Stoma Management Clinical Practice Standard
The purpose of this policy is to establish minimum practice standards for faecal and urinary stoma management throughout the WA Country Health Service (WACHS).
Storage and Handling of Gas in Cylinders Procedure
This procedure relates to the safe use, handling and storage of portable gas cylinders and the training of employees who are required to work with such materials.
Storage and Spills of Anaesthetic Volatile Agents Procedure - Geraldton and Carnarvon Hospitals
This procedure relates to correct storage of anaesthetic volatile liquids and the minimisation of intoxication due to volatile spillage.
Storage of Sterile and Non-Sterile Supply within Clinical Areas Guideline
This guideline applies to storage environments where purchased sterile supplies, reprocessed sterile items and non-sterile stock are stored within clinical areas in healthcare facilities throughout WACHS. It outlines storage environments, imprest systems and transportation systems. See separate editable version of Appendix 2 (on the righ-hand side of the screen under Related Documents / Forms).
Strategy, Planning and Service Development Guideline
This guideline supports the WA Country Health Service (WACHS) Strategy, Planning and Service Development Policy, effective April 2017. It documents in more detail, the WACHS approach to developing integrated strategic, operational, business plans and clinical/health services plans which align with each other, including monitoring and evaluation requirements.
Strategy, Planning and Service Development Policy
This policy documents the WA Country Health Service (WACHS) approach to developing integrated strategic, operational and clinical services plans, including monitoring and evaluation requirements, and aims to demonstrate the governance and linkage between high level WACHS wide strategy development and levels of planning and service development.
Subcutaneous Medications and Palliative Care - Frequently Asked Questions and Trouble Shooting Information Sheet
Information for palliative carers caring for people in their homes.
Summary of Infection Prevention Personal Protective Equipment Requirements Information Sheet - Wheatbelt
Infection Prevention Person Protective Equipment Requirements
Supply and Management of Potassium Ampoules Procedure Midwest
The purpose of this procedure is to enhance the safe use, storage and distribution of intravenous potassium chloride.
Supply of Non-PBS Pharmaceutical or Other Medical Supplies to WACHS Outpatients Policy
This policy outlines the circumstances in which non-PBS drugs and other medical items are to be supplied either at cost, or at a subsidised cost to the patient. Medical items could include continence aids, food supplements, gloves, dressings etc.
Supply of Nutritional Supplements and Enteral Feeds Scheme
This procedure applies to all staff in the WACHS Kimberley region involved in the provision of care for patients requiring nutritional supplements and/or enteral feeds at home.
Supply of Pharmaceuticals or Other Medical Supplies Procedure - Great Southern Mental Health Service
This procedure outlines the criteria and approval processes required to authorise Southern Country Health Service Great Southern Mental Health meet the co payments for PBS pharmaceuticals, or pay for other medical supplies for patients of the service.
Supply of Welfare Assistance Procedure - Great Southern Mental Health Service
NSQHS 1.3.1 (v1); NSQHS 1.5.2 (v1); NSQHS 1.8.1 (v1); NSQHS 1.8.2 (v1); NSQHS 1.14.2 (v1); NSQHS 1.17.2 (v1); NSQHS 4.4.2 (v1); NSQHS 1.1 (v2); NSQHS 1.2 (v2); NSQHS 1.3 (v2); NSQHS 1.4 (v2); NSQHS 1.8 (v2); NSQHS 1.9 (v2); NSQHS 1.17 (v2); NSQHS 2.1 (v2); NSQHS 2.13 (v2); NSQHS 6.5 (v2); NSQHS 8.7 (v2); NSQHS 8.10 (v2);
Surgical Safety Checklist Policy
The WA Country Health Service (WACHS) supports the use of the WHO Checklist. It is designed to improve safety by focussing on anaesthetic safety practice, ensuring correct site surgery, avoiding surgical site infection and venous thromboembolism.
Surgical Services - Controlling Exposure to Surgical Plume Procedure - Geraldton and Carnarvon Hospitals
Surgical plume presents a potential hazard to all staff who are present within the operating room when energy-based devices are operating and releasing plume into the environment. All theatre staff must be familiar with the smoke evacuation equipment; Smoke collection devices and high filtration masks for high risk procedures.
Surgical Services - Theatre Booking Procedure - Geraldton and Carnarvon Hospitals
This procedure sets out the theatre booking process to ensure that the relevant staff are aware of the correct booking procedure both during and after hours.
Surgical Ward Lift Contingency Procedure - Bunbury Hospital
This procedure sets out the actions to be taken when a patient of the surgical ward needs to be transported to theatre for non-elective surgery in the event that both lifts at the Bunbury Hospital have become inoperable.

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