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Paediatric Medical Staff Attendance for At Risk Births Procedure - Kalgoorlie Hospital
This procedure clarifies when paediatric attendance is required at a birth.
Paediatric Team Attendance for 'At Risk' Births Procedure - Bunbury Hospital
This procedure sets out the responsiblities of the obstetric and/or midwifery staff around who is to be called in, and under which circumstances, to attend an 'at risk' birth.
Paediatric-Neonate Not for Cardiopulmonary Resuscitation Policy
Accommodates an interim period for paediatric patients whilst development of a statewide Goals of Care policy and form is completed (being led by PCH). Once the statewide documents are available and implemented in WACHS, this policy and form will be superseded
Palliative Care Telehealth Flowchart
To provide guidance to staff on support available for management of palliative care patients that present to WACHS emergency departments and acute settings
Parenteral Nutrition Procedure - Bunbury Hospital
This procedure aims to outline the process for determining indication for, prescribing and initiating parenteral nutrition (PN) specific to Bunbury Hospital. This document is intended to be used in conjunction with the WACHS Adut Parenteral Nutrition Clinical Practice Standard.
Parking Arrangements at WACHS Central Office Procedure
This procedure sets out the parking entitlements for employees of, and visitors to, WA Country Health Service (WACHS) Central Office metropolitan sites.
Partnering with Consumers Guideline
This guideline supports the WACHS Consumer and Carer Engagement Policy by outlining the engagement and governance processes to be used by all WACHS staff to strengthen and improve the ways that we listen to and work with consumers and carers across our health services.
Patient Administration System PAS and Clinical Systems Business Rules Policy
These business rules have been established to support good practice and data compliance across the clinical systems and provide a single source of information to guide system usage and data entry.
Patient Admission Procedure - Broome Mental Health Unit
This procedure sets out the admission process for patients to the Broome Mental Health Unit
Patient and Property Searches Procedure - Albany Hospital Acute Psychiatric Unit
This procedure sets out how the APU will take all reasonable steps to ensure that admitted patients, detained persons and persons presenting to the mental health service do not present a risk of harm to themselves or others by having inappropriate items in their possession and/or bringing then into mental health inpatient unit.
Patient Assisted Travel Scheme - Exceptional Ruling Guideline
This document covers Exceptional rulings that are made when an applicant meets the intent of the PATS scheme, which is equitable access to specialist medical services for people living in country Western Australia, but does not clearly meet the strict parameters of the PATS policy.
Patient Assisted Travel Scheme Policy
The Patient Assisted Travel Scheme (PATS) is funded by the WA State Government through the Royalties for Regions (RfR) scheme and is administered by the WA Country Health Service (WACHS) Country Health Innovation (CHI) program. The intent of the Patient Assisted Travel Scheme (PATS) is to address variability in health outcomes, service access and equity for country people by providing financial assistance to eligible country residents to access eligible medical services not available locally.
Patient Bed Flow Procedure - Broome Mental Health Unit
The purpose of this procedure is to provide guidance for consistent patient flow processes and equitable bed management practices across the Kimberley and Pilbara regions.
Patient Discharge Procedure - Broome Mental Health Inpatient Unit
This procedure sets out the requirements for, and process of discharging of patients from the Broome Mental Health Inpatient Unit.
Patient Identification Policy
The National Safety and Quality Health Service (NSQHS) Communicating for Safety Standard requires organisations to have correct ID and procedure matching systems in place to maintain the identity of the patient and to ensure that the patient receives the care intended for them. Whilst the term 'patient' is used in the title of this policy, it may be at times used interchangeably with clients or residents, depending on the context of the health setting.
Patient Injury Procedure - Broome Mental Health Unit
This procedure sets out how to ensure that patients are given appropriate medical attention if injured during an accident or incident while an inpatient.
Patient Leave Procedure - Albany Hospital Acute Psychiatric Unit
This procedure sets out how leave is granted to voluntary and involuntary patients of the Albany Hospital Acure Psychiatric Unit.
Patient Leave Procedure - Broome Mental Health Inpatient Unit
This procedure sets out the process to be followed for Involuntary and Voluntary patient leave from inpatient mental health unit.
Patient Observation Procedure - Broome Mental Health Unit
This procedure provides information in relation to mental health risk assessment and observation categories for patients admitted to the Broome Mental Health Unit (Mabu Liyan).
Patient Property and Valuables Procedure - Busselton Health Campus
The purpose of this procedure is to ensure safe management of patients' property and valuables within the Busselton Health Campus.
Patient Property and Valuables Procedure - Midwest
The purpose of this procedure is to ensure safe management of patients' property and valuables within the Midwest region.
Patient Property Procedure - Broome Mental Health Unit
This document sets out the procedure for the responsibility and storage of patient property as required.
Patient Rights and Responsibilities Procedure - Broome Mental Health Unit
This document sets out how the Broome Mental Health Unit (BMHU) / Mabu Liyan upholds the rights of patients to ensure they are treated with respect and dignity in accordance with the Charter of Mental Health Care Principles.
Patient Safety Directive and Patient Safety Update Process Policy
The Patient Safety Directive Process System is a WA Country Health Service area wide risk management and communication strategy, which provides direction and information to regional operational areas commensurate with the extent and evidence of the clinical risk identified.
Patient Support Service Patient Companion Shift Procedure
Patient Support Assistants (PSAs) are not to be required to provide unsupervised patient management. At all times, the PSA is to work under the direction of nursing staff.
Patient Transport Assistance Procedure - Busselton Health Campus
This procedure outlines how eligible patients may be assisted with transport via public transport, community based transport, taxis, or patient transport ambulances.
Patient Transport Escalation Flowchart - Wheatbelt
This flowchart sets out the process for the transport of Wheatbelt patients after the initial decisions to transfer have been made.
Patient Trust Monies Policy
This policy is prescribed to ensure that the patient trust monies received by the WA Country Health Service are recorded and disbursed correctly in accordance with the patient's wishes and procedures and policies set out henceforth.
Patient Vehicle Access Procedure - Albany Hospital Acute Psychiatric Unit
This procedure outlines how to support the right of patients to be treated in a way that balances the need to impose the least restriction on patient rights and freedoms, with the need to protect patient safety and that of others in the community.
Patient Visitors Procedure - Broome Mental Health Unit
This document aims to provide a safe and enjoyable environment for staff and visitors during visiting times.
Patients' Valuables Procedure - Kalgoorlie Health Campus
This document sets out the procedure to be followed with regard to patients' property and valuables.
Peer Review Position Statement
Peer Review is a critical element in any organisational clinical quality system and this statement provides information to support clinicians when conducting peer reviews to assure, maintain or enhance quality of work / performance and improve patient safety and health outcomes. This aim of this document is to assist staff, services and programs to recognise the minimum standards for peer review processes within WACHS.
Perinatal Morbidity and Mortality Policy
Perinatal Morbidity and Mortality Policy
Periodic Reporting on Payment of Invoice Against Credit Term Procedure
Treasurer's Instruction (TI) 323 requires commercial invoices to be paid within 30 days from the date of claim, unless the underlying contract specifies otherwise, or a discount is available. This procedure sets out how all regions are to undertake this process.
Peripheral Intravenous Cannulae (PIVC) Management Clinical Practice Standard
The purpose of this policy is to establish minimum practice standards for the insertion, care and management of peripheral intravenous cannulae (PIVC) throughout the WA Country Health Service (WACHS).
Peripheral Vasopressor Infusion Guideline - Adults
The goal of this guideline is to establish a safe practice for the use of peripheral vasopressor agents in WA Country Health Service sites.
Peripherally Inserted Central Catheter (PICC) Line Consumer Information Sheet
This information sheet will support the care of PICC Line in the home to reduce infection risks.
Personal Protective Equipment (PPE) Procedure
This procedure is to inform all staff, students, volunteers, researchers, contractors and visitors that work or visit WACHS sites of the Personal Protective Equipment (PPE) requirements they need to adhere to when entering WACHS sites or performing their duties. This document supports the Environmental Cleaning Policy, Infection Prevention and Control Policy and Managing Hazardous Chemicals Procedure.
Perth Childrens Hospital (PCH) Guidelines - EUCP Policy
WACHS has endorsed Perth Children's Hospital guidelines for use in clinical practice.
Pharmaceutical Representative Management Across the South West Procedure
This procedure outlines the appropriate process to follow for interaction with pharmaceutical representatives. It considers both the access to the facilities and staff as well as the process required around potential acceptance of pharmaceutical samples.
Photography and Filming - Consumer Information Sheet
Photography and Filming Information Sheet for consumers.
Photography and Filming of Clinical Care by Patients, Carers, Relatives, Visitors or Contractors Policy
This policy governs the requirement that patients, carers, relatives, contractors or visitors do not use cameras, mobile phone cameras, video cameras or other image capture devices on WA Country Health Service premises without prior approval and consent of all persons identifiable in the images.
Physiotherapy - Safe Use of Western Acupuncture and Dry Needling Policy
This policy sets out the requirements for physiotherapists utilising techniques involving skin penetration for the treatment of pain and other symptoms of musculoskeletal disorders, or as a measure to improve functional health status within the current scope of physiotherapy practice.
Pin Site Care 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.
Pneumatic Tube Procedure - Busselton Health Campus
This document sets out the procedure for use of the Pneumatic Tube Conveyor System which is used to convey specified items in the safest, most efficient and most effective way possible between departments.
Police Attendance Procedure - Broome Mental Health Inpatient Unit
This document outlines the procedure to be undertaken in the event of police attendance at the unit.
Police Involvement in the Assessment, Management and Transfer of Aggressive Patients Flowchart
This flowchart sets out the process for the assessment, management and transfer of aggressive patients (in the South West).
Policy Development Flowchart
This flowchart is to be read in conjunction with the WA Country Health Service (WACHS) Policy Development Policy.
Policy Development Policy
This policy enables WACHS to standardise the approach toward the attainment of goals, values and objectives, to ensure the achievement of desired standards of health service delivery, to minimise risk and to meet legislative and governance requirements. All policy documents are to be progressed through the structures and processes outlined in this policy and the supporting Policy Development Flowchart.
Post-Operative Nausea and Vomiting Guideline - Albany and Katanning Hospitals
The aim of this document is to provide staff with a structured approach in the management of post-operative nausea and vomiting (PONV)
Power to Detain a Child Under the Age of Six in Hospital Procedure
Hospitals have legislated power under Part 4, Division 2, Subdivision 4, Section 40 of the Children and Community Services Act WA 2004 (the Act), to detain a child, under the age of six (6) years, in hospital where there is a reasonable belief that the child is at imminent risk of harm. This documents sets out the processes that are to be undertaken in such circumstances.
Pre Admission Process and Criteria Information Sheet Bunbury Hospital
Development of this information sheet was a recommendation following SAC 1 Clinical Incident investigation. The information sheet is intended to provide current guidelines relating to the Elective Surgery Pre Admission Process and criteria for Bunbury Hospital and includes information related to out of district referrals.
Pre and Post Procedural Management Clinical Practice Standard
The purpose of this policy is to establish minimum practice standards for the care and management immediately prior to, and following a procedure throughout the WA Country Health Service (WACHS) and is to be used in conjunction with WACHS Theatres Clinical Practice Standard. Further information relating to specialty areas including Child and Adolescent Health Service (CAHS), Women and Newborn Health Services (WHNS) can be found via HealthPoint if not covered in this policy.
Pre-Anaesthetic Fasting - Paediatric Patients Procedure
This procedure aims to ensure the safest outcome for patients who require general anaesthesia or sedation for surgery and/or interventional procedures.
Pre-Employment Health Assessment Policy
Health screening is provided to new and existing employees to ensure they can safely perform the duties for which they are to be employed, and to allow managers to incorporate reasonable working guidelines if it is medically indicated that a pre-existing injury or health condition may be affected by those duties.
Pre-Employment Health Assessment Procedure - Great Southern
This procedure is to be read in conjunction with the WACHS Pre-employment / Pre-placement Medical Health Screening Policy and the WA Health Health Care Worker Immunisation Policy and is relevant to all appointments, including existing employees who are applying for a new position.
Pre-Employment Pathology Ordering Procedure - Pilbara
The N10 Pre-Employment Health Assessment is used to advise management of an employee's immunisation status and any pre-existing health issues. Infection Control Clinical Nurses reviewing N10 Part B for vaccine preventable disease (VPD) status, methicillin-resistant Staphylococcus aureus (MRSA) status, or baseline assessment of tuberculosis status can complete and sign pathology request forms for routine screening as required by pre-employment assessment. Nurse Managers in Tom Price, Paraburdoo, Newman, Onslow, and Roebourne can complete and sign pathology request forms for routine screening as required by N10 or as recommended by Infection Control Clinical Nurses.
Preoperative Staphylococcus Aureus Screening for High Risk Surgery Procedure - Midwest
WACHS Midwest strive to prevent hospital acquired surgical site infections (HA-SSI) and recommends screening of patients for carriage and/or colonisation with Staphylococcal Aureus (SA) prior to surgery. SA refers to both methicillin-susceptible SA [MSSA] and methicillin-resistant SA [MRSA]. SA is a pathogenic organism that can cause significant infection when it enters the body through broken skin and causes a wide range of clinical disease. Significant morbidity and mortality risks are associated with postoperative SA infection. Preoperative screening of patients is indicated to identify SA carriers to enable targeted decolonisation, and the appropriate choice of prophylaxis in an effort to prevent post-operative SSI's
Prescribing and Accessing Clozapine for Patients Admitted to Bunbury Hospital Outside of Pharmacy Hours Procedure
This procedure outlines the process by which to access clozapine for patients admitted to the Bunbury Hospital after hours.
Prescription and Supply of Slide-In (Not Fixed) Bed Rails Bed Poles for Admitted and Non-Admitted Patients Guideline
This guideline applies to use of slide-in bed rails/bed poles which are prescribed for the purpose of improving bed mobility and assisting in transfers into and out of the bed. It does not include fixed or integral devices that are designed to prevent the user from rolling out of the bed (See Section 4 Definitions). Hospital beds have integral side rails and profiling mattresses as a standard so the use of slide-in devices is generally not appropriate in these settings and may be contraindicated.
Presentation of Information at a Conference Procedure
This document sets out the required approval process for staff wishing to present information at conference.
Pressure Injury Prevention and Management Policy
This policy addresses the requirements for the prevention and management of pressure injuries for adult, maternity, newborn and paediatric inpatients and aged care residents within WA Country Health Service (WACHS) healthcare facilities.
Prevention of Maternal and Newborn Sepsis Policy
WACHS will now adopt the risk-based approach to prevention of EOGBSD and sepsis in the maternal and newborn setting rather than the current KEMH approach of universal GBS screening and risk based management
Prevention of Workplace Aggression Procedure - Goldfields Mental Health Service
This procedure outlines how GMHS staff are to deal with incidents of aggression, intimidation, threatening or violent behaviour.
Primary Postpartum Haemorrhage Guideline
The aim of this guidleline is to minimise the risk of harm to women from primary post partum haemorrhage (PPPH) in WA Country Health Service (WACHS) health care services.
Procedural Sedation - Emergency Department Clinical Practice Standard
The purpose of this policy is to establish minimum practice standards for procedural sedation throughout WA Country Health Service (WACHS) emergency departments
Procurement Handling and Recording of Nitrous Oxide and Medical Gases containing Nitrous Oxide Procedure
This procedure relates specifically to consideration around the procurement and storage of both nitrous oxide and Entonox gas cylinders at a hospital and ward level within WACHS - South West facilities.
Professional Development Requirements for Midwives Policy
The WA Country Health Service (WACHS) is committed to developing and fostering a culture of learning which encourages self-development and the assessment of clinical skills and knowledge to ensure the safe and competent provision of maternity care.
Project Management Policy
The WA Country Health Service (WACHS) undertakes a number of time limited projects that deliver an organisational change. Projects have a defined scope, deliverables, start and end dates, cost and can be conducted in an appropriate quality controlled manner.
Provision of Domiciliary Oxygen for Travel in WA Guideline
This guideline is to ensure the flexible supply of domiciliary oxygen to Western Australians who meet the clinical indications for therapeutic benefit from the provision of domiciliary oxygen.
Provision of Loan Assistive Technology and Home Modifications Guideline
This document provides information on the WA Country Health Service (WACHS) provision of loan equipment to admitted and non-admitted patients, as prescribed by a WACHS allied health professional.
Public Health Management of Acute Post-Streptococcal Glomerulonephritis Guideline
Acute post-streptococcal glomerulonephritis (APSGN) is an immune mediated condition, characterized by glomerular inflammation precipitating kidney dysfunction occurring 7-10 days following streptococcal pharyngitis or 2-4 weeks following streptococcal skin infection. While Group A Streptococcus (GAS) infection is the most common cause, Group C streptococci have also been associated with glomerulonephritis.
Public Health Management of Mumps Outbreaks Guideline
This document provides guidance for regional Public Health Teams to support the management of mumps outbreaks in regional Western Australia.
Public Health Workforce Surge Guideline
During a public health incident/outbreak it is important that the public health workforce has adequate capacity to an effective response. This requires a sufficient number of available staff with the necessary skills and expertise to meet rising demands. This document provides guidance for the surging of staff in WACHS in response to communicable disease outbreak or health protection events that exceed existing capacity.
Purchasing Card Audit Procedure
In line with the WA Country Health Service (WACHS) Purchasing Card (P Card) Guidelines, and to improve the governance and controls associated with the use of Purchasing Cards; WACHS Central Office Finance has implemented a periodic centrally controlled P Card audit check procedure.
Purchasing Card Guideline
This guideilne outlines Purchasing Card use by WACHS employees.
Purchasing Card Spot Check - Checklist Tool
This checklist is to be used for auditing a random sample of WACHS P Card holders in line with the WACHS Purchasing Card Audit Procedure.

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