Find policy documents
|Mental Health Services Plan 2009 - 2014|
The Mental Health Services Plan articulates a clear vision for an integrated mental health sector in the ACT and for establishing a coordinated approach to achieving and maintaining mental health. The Plan outlines the initial steps for achieving a vision for the delivery of mental health services in 2020.
|Mental Health Services Plan 2009 -2014 (PDF File 1078k)|
|Modified Early Warning Scores Policy|
All staff are to apply the Modified Early Warning Scores (MEWS) system when taking patient observations. The purpose of this policy is to improve patient outcomes by detecting and acting upon early signs of deterioration in patients. This will be achieved in part through the implementation of the Modified Early Warning Scores (MEWS) system that identifies trends in patient observations; ensures that timely patient review and appropriate treatment occurs; and improves the documentation of patient observations.
|Modified Early Warning Scores Policy (PDF File 77k)|
|Multicultural Strategy 2006-2009|
The document presents the outcomes of broad consultation with the ACT community. The Strategy sets out the key principles for the whole-of-government approach to fostering, promoting and sustaining cultural diversity in the ACT. Ten key themes form the basis to the Strategy. All areas of ACT Health should be aware of this document and give consideration to the application of its relevant components to ACT Health services and workforce when undertaking policy and planning work.
|Multicultural Strategy 2006-2009 (PDF File 1589k)|
|Multiple Chemical Sensitivities - Care Of Patients|
To minimise discomfort, promote wellbeing and provide a safe environment for patients with Multiple Chemical Sensitivities (MCS). The Health Directorate recognises the significant distress and impairment that is caused by MCS and is committed to providing an environment that reduces exposure to incitants (common triggers that produce clinical symptoms) and improving the health outcomes of people who require hospital based or non hospital based treatment.
|Multiple Chemical Sensitivities - Care Of Patients (PDF File 268k)|
|Nurse Practitioners In The Act – The Framework, 2nd Edition July 2008|
The introduction of the nurse practitioner role in the ACT was underpinned by a solid framework to support and integrate necessary policies, practices and documentation for the establishment of new positions. It provided information regarding nurse practitioner authorisation and ongoing support of practicing nurse practitioners. This revised, second edition, includes all the essential information for nurse practioners in the ACT in an ‘easy-to-use’ and ‘easy-to-access’ framework document. The second edition utilises up to date information, legislation and policies from within the ACT. It outlines processes required for nurse practitioner authorisation, for the establishment of new nurse practitioner positions and for the ongoing development of practicing nurse practitioners. The‘frequently asked questions’ section allows for rapid access to the information most often requested. It applies to nurse practitioners working in the public health sector, private sector or in individual practice.
|Nurse Practitioners In The Act – The Framework, 2nd Edition July 2008 (PDF File 553k)|
|Nursing And Midwifery Continuing Competence Policy|
This policy brings together a number of local policies and guidelines to support this requirement. It has been compiled with input from various agencies within the ACT including the Australian Nursing Federation (ACT Branch), ACT Nursing and Midwifery Board, Australian Nursing and Midwifery Council, Canberra Hospital, Calvary Health Care (Public) and consumer groups. Implementation of an ACT Health policy framework for nursing and midwifery competence would reduce duplication within each division, therefore leading to clearer governance and direction for all clinicians and administrators in relation to professional competency requirements.
| Nursing And Midwifery Continuing Competence Policy (PDF File 179k)|
Nursing And Midwifery Continuing Competence Policy - Sop (PDF File 178k)
|Nursing And Midwifery Re-Entry Program Policy|
The ACT Government Health Directorate (the Health Directorate) provides nursing and midwifery re-entry programs for Registered Nurses and Midwives of the Australian Capital Territory (ACT) and region to return to nursing or midwifery practice after an absence from practice of up to ten years. These programs are accredited by the Nursing and Midwifery Board of Australia (NMBA) and are designed to facilitate the return to work of suitably qualified nurses and midwives into the workforce of the Health Directorate.
|Nursing And Midwifery Re-Entry Program Policy (PDF File 149k)|
This policy aims to provide direction for the development of organisational systems and processes to support staff, patients and families. Standard Operating Procedures (SOPs) support staff in implementing the policy
|Open Discloure Policy (Word Doc 73k)|
|Opioid Maintenance Treatment Guidelines|
The ACT Opioid Maintenance Treatment Guidelines has been produced by ACT Health to assist ACT Health employees and other practitioners including medical practitioners, pharmacists, alcohol and other drug workers, nurses and health professionals working in community settings, hospitals, mental health services, correctional environments and the police watchhouse. A key focus of the Guidelines is maximising the numbers of practitioners and workers effectively able to treat and support those on opioid maintenance treatment. These Guidelines have been produced by ACT Health in collaboration with the ACT Division of General Practice, the Pharmacy Guild of Australia, ACT Branch and the Canberra Alliance for Harm Minimisation and Advocacy (CAHMA). These partners are integral to the care provided to clients requiring opioid maintenance treatment in the ACT.
|Opioid Maintenance Treatment Guidelines (PDF File 164k)|
|Palliative Care Strategy 2007-2011|
The ACT Palliative Care Strategy 2007-2011 aims to provide overarching direction for the delivery of palliative care services across ACT Health. The aim is to improve community education, awareness and participation; strengthen specialist palliative care services; develop a skilled workforce, and improve information management and data collection.
|Palliative Care Strategy 2007-2011 (PDF File 223k)|
|Patient Controlled Insulin Pumps In Hospital Use Of |
ACT Health endorses and supports patients to continue to use and self-manage their Continuous Subcutaneous Insulin Infusion (CSII) 'insulin pump' as an inpatient.This policy and standard operating procedure (SOP) have been developed to: 1) Establish a common process for all ACT Health staff to follow for patients admitted with an insulin pump in situ, 2) Outline the assessment and decision making process to ascertain competency of the patient to self-manage, 3) Ensure the safety of patients using an insulin pump and 4) Help staff understand and meet their responsibilities in ensuring patients with insulin pumps are managed according to relevant policy, legislation and quality and safety standards.
| Use Of Insulin Pumps Policy (PDF File 85k)|
Use Of Insulin Pumps - Sop (PDF File 104k)
|Patient Identification - Correct Patient, Correct Site, Correct Procedure|
This policy and SOP provide information for use by all ACT Health staff and apply to establishing patient identity prior to all clinical activities (including those performed in settings other than the operating room) that have the potential to cause unintended harm to the patient.SOPs include national standards for Patient Identification Bands and the Surgical Safety Checklist.Patient identification should be confirmed at each point of transfer of responsibility of care and prior to each intervention/treatment. Patient identification checks should be done with the active participation of the patient and patients should be encouraged to ask questions about the correctness of their care in accordance with the Australian Charter of Healthcare Rights (2008).
| Patient Identification - Correct Patient, Correct Site, Correct Procedure - Policy (PDF File 85k)|
Patient Identification - Correct Patient, Correct Site, Correct Procedure - Sop (PDF File 104k)
Patient Identification - Patient Identification Bands Sop (PDF File 85k)
Patient Identification - Surgical Safety Checklist Sop (Microsoft Word XML Document 680k)
Patient Identification - Pathology Specimen Labelling Sop (PDF File 259k)