Tami Photinos, Executive Director
In the lead up to the start of short notice accreditation, we are focussing each week on some of the standards. This week we’re looking at Standard 1 (clinical governance) and Standard 7 (blood management).
Standard 1: Clinical Governance
Intention of the standard
- To ensure that a clinical governance framework is implemented to ensure that patients and consumers receive safe and high-quality health care.
- To ensure that there are systems in place within health service organisations to maintain and improve the reliability, safety and quality of health care.
- This standard, together with the Partnering with Consumers Standard, sets the overarching requirements for the effective implementation of all other standards.
TPCH Priorities
- Documenting the TPCH Safety and Quality Operational Plan
- Ensuring all procedures, guidelines, work instructions and pathways are current
- Embedding the Clinical Care Standards into business as usual
- Boosting mandatory training and PDP compliance
- Improving way finding signage for our patients and consumers
What can you do?
- Make an appointment with your line manager to complete your PDP if it is due
- Log onto TMS and complete any outstanding mandatory training
- Watch this video Preparing for SNAAP: Standard 1
Standard 7: Blood Management
Intention of the standard
- To improve outcomes for patients by identifying risks and using strategies that optimise and conserve a patient’s own blood, as well as ensuring that any blood and blood products that patients receive are safe and appropriate.
TPCH Priorities
- Supporting patients to be involved in shared decision making around the administration of blood and blood products
- Improve documentation in the healthcare record that the patient has been involved in shared decision making regarding their blood management
- Develop Patient Blood Management brochures/ fact sheets that are culturally appropriate and available in different languages
- Boosting BloodSafe eLearning Clinical Transfusion Practice Course compliance
- Improve knowledge around processes including cold storage, patient preparation for transfusion to minimise the risk of product wastage
- Improve documentation of minimum observations for transfusion
- Increase awareness of blood management quality initiatives
What can you do?
- Update your Quality Board with local blood management data using the CWA audit results and data provided at Blood Management meetings
- Discuss your local blood management data with your team and consider any quality initiatives that could be implemented
- Attend Blood Management Standard 7 nurses meetings and disseminate information to colleagues
- Complete the BloodSafe eLearning course in TMS
- Support staff to attend education sessions and meetings
- Watch this video Preparing for SNAAP: Standard 7
For more information
Please contact Zachary Sheldrick, Manager Safety and Quality, via phone 3139 4191 or email: Zachary.Sheldrick@health.qld.gov.au
Tami.