DOCUMENT ID DOCUMENT TITLENBMT-POLY010096 Motor Vehicle PolicyNBMT-POLY010767 Liability Claims Policy and ProceduresNBMT-POLY010769 Miscellaneous Claims Policy and ProceduresNBMT-POLY011214 Care and Handling of SpecimensNBMT-POLY100021 Electronic Rostering System - Sign OffNBMT-POLY100137 Medical Imaging Network - Electronic Notification of Significant Findings-SWAHSNBMT-POLY100238 Volunteer Policy SWAHSNBMT-POLY100306 Strategic Procurement: Installation of Alarms and Security Systems-swahsNBMT-POLY100655 Medication Administration Policy for Nurses and MidwivesNBMT-POLY100656 Secondary EmploymentNBMT-POLY100704 Records ManagementNBMT-POLY100714 Mobile Rehabilitation Team (MRT) Operational PolicyNBMT-POLY100752 Managing Annual LeaveNBMT-POLY100785 Handling Cytotoxic Drugs and Related WasteNBMT-POLY100805 Calcium: Treatment of Hypocalcemia, Hypercalcaemia and Electrolyte NBMT-POLY100807 A Protocol for Potassium - Treatment of Hypokalaemia and HyperkalaemiaNBMT-POLY100808 Magnesium: Treatment of Hypomagnesaemia, Hypermagnesaemia and Electrolyte

SupplementationNBMT-POLY100825 Reportable Incident Brief (RIB)NBMT-POLY100849 Consumer Representative EngagementNBMT-POLY100852 Anti-Fungal Prophylaxis in Patients on Peritoneal DialysisNBMT-POLY100870 Hybrid Medical RecordNBMT-POLY100871 Administrative Management of Admitted PatientsNBMT-POLY100879 Media PolicyNBMT-POLY100915 Somerset Cottage Early Childhood Education and Care Information and Record NBMT-POLY100964 Workers Compensation and Injury ManagementNBMT-POLY100978 Dress Code and Uniform Policy NBMT-POLY100985 Hazardous Manual Tasks NBMT-POLY100987 Work Health and SafetyNBMT-POLY100994 NBMLHD Flexible Work PracticesNBMT-POLY101127 Antimicrobial Formulary Restrictions NBMT-POLY101149 Events PolicyNBMT-POLY101161 Recruitment and Appointment of Postgraduate Fellows Remunerated Under Award

ConditionsNBMT-POLY101163 Medical Appointments FrameworkNBMT-POLY101229 Somerset Cottage Early Childhood Education and Care Relationships with Children NBMT-POLY101232 Clinical Supervision - Allied HealthNBMT-POLY101299 Somerset Cottage Early Childhood Education and Care Enrolled Child Related

Incidents, Trauma & Injury Including Serious & Potentially Fatal IncidentsNBMT-POLY101332 Statewide Standing Orders for the Supply or Administration of Medication for Public

Health ResponseNBMT-POLY101354 Database Backup (for Locally Managed & Implemented Databases)NBMT-POLY101409 Pastoral Care

POLICIES AND PROCEDURESCurrent Listing as at 15 July 2021 - Copies Available on Request

DOCUMENT ID DOCUMENT TITLENBMT-POLY101416 Human Immunodeficiency Virus (HIV): Antiretroviral Post-Exposure Prophylaxis NBMT-POLY101435 Somerset Cottage Early Childhood Education and Care Acceptance and Refusal of

AuthorisationsNBMT-POLY101628 Guardianship and Financial Management within Aged Care Wards at Nepean

HospitalNBMT-POLY101637 Somerset Cottage Early Childhood Education and Care Water SafetyNBMT-POLY101640 Patient Handling (No Lift)NBMT-POLY101647 Somerset Cottage Early Childhood Education and Care Sun ProtectionNBMT-POLY101652 Wireless LAN Access and SecurityNBMT-POLY101662 Photography and Video Recording by Patients and their FamiliesNBMT-POLY101663 Access Arrangements to the Children's Ward Across NBMLHD by

Companies/Individuals who are Donating Raised Funds/GiftsNBMT-POLY101673 Emergency Department Nurse Initiated X-rays for Isolated Limb InjuriesNBMT-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 ProgramNBMT-POLY102108 Performance Development and Management NBMT-POLY102125 Management of Non-Work Related Injuries or Health ConditionsNBMT-POLY102136 Somerset Cottage Early Childhood Education and Care Governance NBMT-POLY102138 Somerset Cottage Early Childhood Education and Care Management of Infectious

Diseases and ImmunisationNBMT-POLY102149 Somerset Cottage Early Childhood Education and Care Information and

Communication TechnologyNBMT-POLY102178 Somerset Cottage Early Childhood Education and Care Nutrition NBMT-POLY102292 Safeguarding Adults at Risk from AbuseNBMT-POLY102314 Consumer and Community Participation FrameworkNBMT-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 BirthNBMT-POLY102455 Radiographer's PracticeNBMT-POLY102468 Admission Criteria and Transfer - Blue Mountains District ANZAC Memorial Hospital

and Springwood HospitalNBMT-POLY102471 Career Break Scheme for Nurses and Midwives NBMT-POLY102542 Separation of EmploymentNBMT-POLY102543 NBMLHD Recognition of Service Awards - All StaffNBMT-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

DOCUMENT ID DOCUMENT TITLENBMT-POLY102579 Somerset Cottage Early Childhood Education and Care Management and Storage of

Dangerous ChemicalsNBMT-POLY102585 Paediatric Hospital in the Home (HITH)NBMT-POLY102588 Somerset Cottage Early Childhood Education and Care FeeNBMT-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-POLY102796 Nepean Adult Hospital in the Home (HITH) NBMT-POLY102805 ICT Access Control NBMT-POLY102824 Somerset Cottage Early Education and Care: Participation of Volunteers and

Students NBMT-POLY102826 Somerset Cottage Early Education and Care Administration of First Aid NBMT-POLY102830 Somerset Cottage Early Childhood Education and Care Providing a Child Safe

EnvironmentNBMT-POLY102861 Information Communication Technology: Patch ManagementNBMT-POLY102862 Information Communication Technology: Backup NBMT-POLY102888 Somerset Cottage Early Childhood Education and Care: Administration of

Medication and Dealing with Medical Conditions NBMT-POLY102942 ICT Cryptographic Policy NBMT-POLY102944 ICT Acceptable Use PolicyNBMT-POLY102945 ICT Information Security PolicyNBMT-POLY102964 ICT Mobile Device and Teleworking NBMT-POLY102966 ICT Malware StandardsNBMT-POLY102967 ICT Change Enablement NBMT-PROC010159 Weapons in SWAHS FacilitiesNBMT-PROC010594 Management of Missed Doses of Buprenorphine or Buprenorphine/Naloxone in

NBMLHD Opioid Treatment Program ClinicsNBMT-PROC010601 Management of Missed Doses of Methadone in NBMLHD Opioid Treatment

Program ClinicsNBMT-PROC010931 Rehabilitation Medicine Inpatient Referral and Transfer ProcedureNBMT-PROC100004 Acute Management of Croup in Paediatric PatientsNBMT-PROC100008 Nurse Initiated Oral Paracetamol For Paediatric PatientsNBMT-PROC100013 Clinical Coding ProcedureNBMT-PROC100024 Hospital management of Paediatric Patients with Multiple DisabilitiesNBMT-PROC100025 Procedure - Processing Subpoenas for Health Care RecordsNBMT-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

SupplyNBMT-PROC100030 Issuing of Sickness Certificates by PhysiotherapistsNBMT-PROC100034 Complementary feeding of a breastfeeding infant up to six months of ageNBMT-PROC100036 Infant Feeding: Maintenance of Lactation and Management of Common

Breastfeeding ChallengesNBMT-PROC100038 Safety Alert Broadcast System (SABS), Product Recalls, and Safety Notices

DOCUMENT ID DOCUMENT TITLENBMT-PROC100041 Infant Feeding: Feeding More than One InfantNBMT-PROC100042 Infant Feeding: Supporting Parents Breastfeeding their Premature or Sick InfantNBMT-PROC100047 Medical Assessment and Care of Sexual Assault Complainants who Present to the

EDNBMT-PROC100049 Paediatric Lumbar PunctureNBMT-PROC100050 Intraosseous Access in Paediatric Patients Using the EZ-IONBMT-PROC100051 Preparation of Inpatient Infants and Children for CT Scan (UnderNBMT-PROC100052 Management of Sudden Unexpected Death in Infancy (SUDI)NBMT-PROC100053 Surveillance of the Newborn following Instrumental DeliveryNBMT-PROC100054 Immunisation: NeonatalNBMT-PROC100055 Peripheral Intravenous Cannula in the Neonate: Insertion, Management and

Removal ofNBMT-PROC100061 Gentamicin Administration in PaediatricsNBMT-PROC100062 Management of IV Therapy and Cannula Care in PaediatricsNBMT-PROC100071 Organ and Tissue Donation after Death - Confirmed by Irreversible Cessation of the

Circulation of blood in the Person's Body (DCDD) (For the purpose of transplantation into the body of a living person and or for research or other scientific purposes)

NBMT-PROC100078 Cleaning and Reprocessing of Infant Feeding EquipmentNBMT-PROC100080 Nepean Imaging Department: Intravenous Administration of Contrast Media in CT

NBMT-PROC100083 Nurse Initiated Lignocaine/Prilocaine (EMLA®) for Paediatric PatientsNBMT-PROC100170 Lithgow Hospital Sterilising Department Traceability System - SWAHSNBMT-PROC100179 Procedure on Approved Abbreviations for Use in the Health Care Record - SWAHS

NBMT-PROC100195 Pre-Discharge X-Rays and Discharge Pending X-Rays-SWAHSNBMT-PROC100222 Lost and Found Property - SWAHSNBMT-PROC100312 Safe Handling of Glutaraldehyde - SWAHSNBMT-PROC100332 Allocation arrangements for SWAHS vehicles - SWAHSNBMT-PROC100376 Tube Care - Gastrostomy/Jejunostomy Replacement NBMT-PROC100378 Nasogastric Tube Insertion/Removal: AdultsNBMT-PROC100383 Management of Health Care RecordsNBMT-PROC100427 Managing Malignant Hyperthermia SWAHSNBMT-PROC100454 Oral Health: Crowns and Bridges and Indirect Restorative Treatment NBMT-PROC100456 Oral Health: Treatment Planning of Removable DenturesNBMT-PROC100457 Oral Health: Endodontic Treatment - Selection CriteriaNBMT-PROC100458 Oral Health: Management of Patients Presenting with Head Lice NBMT-PROC100477 Paracetamol Overdose in ChildrenNBMT-PROC100508 Testing Duress Alarms in SWAHS Facilities - SWAHSNBMT-PROC100515 Rights of Private Practice - Allied Health Professionals in SWAHS Facilities - SWAHS

NBMT-PROC100526 Shunt Patency Study in Nuclear Medicine NBMT-PROC100567 Therapeutic VenesectionNBMT-PROC100590 Procedure for Breath-Hold Carboxyhaemoglobin Measurement - Nepean RFL -

SWAHS

DOCUMENT ID DOCUMENT TITLENBMT-PROC100612 Approach to the patient with suspected Toxic Epidermal Necrolysis (TEN) Stevens

Johnson Syndrome - SWAHSNBMT-PROC100614 National Recommendations for User-applied Labelling of Injectable Medicines,

Fluids and LinesNBMT-PROC100640 Management of Medical Gases (portable cylinders) within SWAHS Facilities

Procedure - SWAHSNBMT-PROC100654 Access to and Release of Patient/Client Health Information NBMT-PROC100657 Nursing Procedure for Administration of Oral Medications to Paediatric Patients

while Fasting NBMT-PROC100658 Nurse Initiated Amethocaine Gel 4% (Local AnGel®) for Paediatric PatientsNBMT-PROC100661 Water testing for Chlorine, Chloramine in Haemodialysis Units NBMT-PROC100664 Hypoglycaemia in Paediatric Patient with Diabetes MellitusNBMT-PROC100665 Nursing and Midwifery Clinical Handover and Internal Patient Transfer and Escort

NBMT-PROC100666 Water Monitoring and Management of Legionella across NBMLHDNBMT-PROC100667 Non-Specialist Locum Medical Officers - Engagement and Management NBMT-PROC100668 Release of Clinical Notes to Insurance Companies and SolicitorsNBMT-PROC100710 Management of Registration Currency of Nurses and MidwivesNBMT-PROC100713 Same Gender AccommodationNBMT-PROC100723 Neonatal Partial Exchange TransfusionNBMT-PROC100724 Kangaroo Care for NeonatesNBMT-PROC100726 Neonatal Apnoea NBMT-PROC100728 Oxytocin ('Syntocinon') Use for Labour NBMT-PROC100729 Career Medical Officers Continuing Medical Education and Professional

Development Leave NBMT-PROC100730 Presentation of Pregnant Women to the Emergency Department at Lithgow Health

Service NBMT-PROC100742 Patient Risk Assessment and Home Visiting Policy for Home Dialysis Nurses in

Western Renal ServiceNBMT-PROC100745 Nepean Emergency AdmissionNBMT-PROC100749 Carer IdentificationNBMT-PROC100753 Sick Leave ManagementNBMT-PROC100754 Pressure Injury Prevention, Identification and ManagementNBMT-PROC100759 Neonatal Resuscitators: Set up and Use of Laerdel® Manual Neonatal Resuscitator

NBMT-PROC100761 Learning and Development LeaveNBMT-PROC100770 Case Management of patients in the Opioid TreatmentNBMT-PROC100771 Management of Victims of Assault who have Suffered StrangulationNBMT-PROC100775 Methadone; Buprenorphine and Buprenorphine - Naloxone Dosing for In-patients

NBMT-PROC100776 Primary Care and Community Health Safety and SecurityNBMT-PROC100779 Continuous Ambulatory Peritoneal Dialysis (CAPD) Exchange - Fresenius Stay Safe

Balance SystemNBMT-PROC100780 Continuous Ambulatory Peritoneal Dialysis (CAPD) Exchange - Baxter Freeline Solo

Twin-Bag System

DOCUMENT ID DOCUMENT TITLENBMT-PROC100788 Clinical Emergency Response System: Blue Mountains ANZAC Memorial Hospital

Recognition and Management of the Deteriorating Patient and Management of REACH

NBMT-PROC100789 Neonatal Resuscitators: Set up and use of NeopuffTM Infant T-piece Resuscitator (Fisher & Paykel®)

NBMT-PROC100790 Safe Use of ParacetamolNBMT-PROC100794 Early Detection and Management of Airway Compromise after Anterior Neck

SurgeryNBMT-PROC100795 Morphine Administration during LabourNBMT-PROC100799 Transfer of Opioid Treatment Patients to Community Pharmacies where Patients are

Prescribed for by NBMLHD Opioid Treatment Program PrescribersNBMT-PROC100800 Renal Perfusion Scan (DTPA)NBMT-PROC100802 12 Lead Electrocardiograph ECG NBMT-PROC100803 Management of Neonatal PneumothoraxNBMT-PROC100804 Paediatric / Adolescent: Education of Long Term Patients at Nepean HospitalNBMT-PROC100810 Blood Glucose Testing Procedure Using Using Nova Stat Strip Express MeterNBMT-PROC100813 Management of Complaints or Concerns about CliniciansNBMT-PROC100814 TAM - Raising an Online Request for Work / Repair (Biomedical & Maintenance).NBMT-PROC100816 Resuscitation of the NewbornNBMT-PROC100819 Nepean Hospital Medical Imaging/Nuclear Medicine: Bone Scan NBMT-PROC100820 Renal Scan (DTPA/MAG3) With/Without LasixNBMT-PROC100821 Cerebral Angiography - Medical Imaging DepartmentNBMT-PROC100822 Thyroid Scan/Uptake Study - Nepean Imaging/Nuclear MedicineNBMT-PROC100823 Renal Cortical Scan (DSMA) Nuclear Medicine DepartmentNBMT-PROC100824 Nerve Root Block - Medical ImagingNBMT-PROC100826 Insertion of Nephrostomy Catheter - Nepean Medical Imaging DepartmentNBMT-PROC100827 Drainage Insertion under CT Guidance NBMT-PROC100828 Nepean Hospital Imaging/Nuclear Medicine Myocardial Perfusion Scan NBMT-PROC100829 Medical Imaging: Insertion of a Chest PortNBMT-PROC100830 Gastrointestinal Bleeding Scan NBMT-PROC100831 Lymphoscintigraphy Scan in the Nuclear Medicine Department NBMT-PROC100832 Gastric Emptying Scan in the Nuclear Medicine Department NBMT-PROC100833 Hepatobiliary Scan in the Nuclear Medicine Department NBMT-PROC100834 Blood Culture Collection - AdultsNBMT-PROC100835 Barium Meal Procedure in the Medical imaging Department NBMT-PROC100836 Barium Swallow in the Medical Imaging DepartmentNBMT-PROC100838 Embolisation - Nepean Medical Imaging Department NBMT-PROC100839 Liver Biopsy under Ultrasound Guidance - Nepean Medical Imaging DepartmentNBMT-PROC100840 Transjugular Liver Biopsy - Nepean Medical Imaging DepartmentBiopsy NBMT-PROC100841 MyelogramNBMT-PROC100842 CT Enterography in the Medical Imaging DepartmentNBMT-PROC100844 CT Guided Fine Needle Aspiration of a Lung Lesion - Nepean Medical Imaging

DepartmentNBMT-PROC100845 Vascath InsertionNBMT-PROC100846 Percutaneous Transhepatic Cholangiogram - Nepean Medical Imaging Department

DOCUMENT ID DOCUMENT TITLENBMT-PROC100848 Open Disclosure NBMT-PROC100851 Peritoneal Dialysis Peritonitis: Acute 48 Hours Treatment Regime NBMT-PROC100853 Peritoneal Dialysis Related Peritonitis: Follow up Treatment Regime NBMT-PROC100854 Iron Infusion for Chronic Kidney Disease (CKD) PatientsNBMT-PROC100855 "Failure to Attend" and "Unable to be Contacted" - Primary Care and Community

HealthNBMT-PROC100858 Management of Naso-Pharyngoscopes - Nepean Cancer Care CentreNBMT-PROC100859 Insulin/Glucose Infusion - Nursing Management in AdultsNBMT-PROC100860 Sepsis in a Neonate (Early & Late onset sepsis) Diagnosis and Management NBMT-PROC100862 Paediatric Urinary CatheterisationNBMT-PROC100864 Central Venous Access Devices (CVAD) Procedures in Paediatrics NBMT-PROC100865 Employing from Allied Health Short Term Staff Pool NBMT-PROC100872 NBMLHD Executive - Escalation Process and Expectations NBMT-PROC100882 Chicken Pox Exposure (Varicella Zoster Virus (VZV)) in PregnancyNBMT-PROC100883 Allied Health Clinical Handover - Acute and Sub-acute CareNBMT-PROC100887 Clinical Emergency Response System - Lithgow Hospital: Recognition and

Management of the DeterioratingNBMT-PROC100888 Exchange Transfusion in the Neonate at Nepean NICU NBMT-PROC100890 Urinary Catheterisation in the NeonateNBMT-PROC100891 Thermoregulation for the Neonate - Small BabyNBMT-PROC100892 Nurse Initiated Supplemental Oxygen Therapy in Paediatric Patients on the

Paediatric WardNBMT-PROC100945 Umbilical Venous Catheter Insertion in NeonatesNBMT-PROC100947 Home Dosing of Patients - Opioid Treatment ProgramNBMT-PROC100948 Management of Cyanotic Episodes in Neonates NBMT-PROC100952 Gate Pass for Inpatients Under the Care of Nepean Cancer ServicesNBMT-PROC100954 Removal of Intra-Aortic Balloon CatheterNBMT-PROC100957 External PacingNBMT-PROC100959 ACT (Hemochron Response) as a Guide to Arterial Sheath RemovalNBMT-PROC100961 Digital Compression for Removal of Femoral Arterial SheathNBMT-PROC100962 Electrical Cardioversion at Nepean HosiptalNBMT-PROC100972 Management of Administrative RecordsNBMT-PROC100974 Fem-o-Stop Application and ManagementNBMT-PROC100975 Day-Only Pacemaker Insertion in the Cardiac Catheter Laboratory at Nepean

Hospital NBMT-PROC100984 Clozapine InitiationNBMT-PROC100986 Clinical HandoverNBMT-PROC100988 Routine Probiotics for Preterm Neonates at Nepean Hospital Intensive UnitNBMT-PROC100997 Care of the Patient Pre and Post Electrophysiological Study (EPS)NBMT-PROC101000 Cardiac Procedure for MET during Transfer of Patients between Nepean Private

Hospital and the Cardiac Cath Lab at NepeanNBMT-PROC101005 Use of Microwave Moist Heat Pack for a Patient with Cancer requiring Peripheral

Intravenous Cannulation (PIVC)NBMT-PROC101007 i.PM Patient Registration ProcedureNBMT-PROC101008 Administration of High Flow Nasal Cannula Oxygen and the Acute Management of

Bronchiolitis in Paediatric Patients

DOCUMENT ID DOCUMENT TITLENBMT-PROC101021 Management of Malignant Ascites Using the Pleurx Drainage SystemNBMT-PROC101022 Management of Topical Negative Pressure TherapyNBMT-PROC101025 NAS - Neonatal Abstinence Syndrome: Diagnosis and Management NBMT-PROC101026 Paracentesis for the Management of Ascites NBMT-PROC101029 Medical Imaging: Interventional Bookings for Angiography, Fluoroscopy, Ultrasound

and CT NBMT-PROC101031 Vascular Stent with or without Angioplasty - Nepean Medical ImagingNBMT-PROC101032 Peripheral Angiography - Nepean Medical Imaging DepartmentNBMT-PROC101033 Administration of Blood and Blood Components - Management of Transfused

PatientsNBMT-PROC101036 Nepean Imaging - Cardiac CTNBMT-PROC101037 Medical Imaging - Correct Patient, Correct Procedure and Correct SiteNBMT-PROC101038 Tube Feeding in Neonates: Gastric and Transpyloric NBMT-PROC101039 CPAP: Continuous Positive Airway Pressure Neonatal Ventilation – via

Drӓger™NBMT-PROC101040 CPAP/BiPAP : Non Invasive Nasal Ventilation Using the Viasys Infant FlowTM SiPAP

Machine - Neonatal VentilationNBMT-PROC101044 Vomiting Neonates - Management NBMT-PROC101045 Ostomy Care: Infant PracticeNBMT-PROC101046 Pulse Oximetry Screening for Congenital Heart Defects in Newborn InfantsNBMT-PROC101048 Nepean Outreach Service Community Staff Safety and SecurityNBMT-PROC101049 Management of Subcutaneous Medications in Palliative Care: Intermittent

Injections and Continuous Subcutaneous Infusion via BD Saf-T Intima, NIKI T34 TM and NIPRO SurefuserTM+ Devices

NBMT-PROC101050 Neonatal Hypoglycaemia Management NBMT-PROC101051 Nappy Rash and Epidermal Stripping in NeonatesNBMT-PROC101052 Transcutaneous Monitoring (TCM) in the NeonateNBMT-PROC101053 Inpatient Telephone Enquiries - Release of InformationNBMT-PROC101057 Newborn Discharge Baby ChecksNBMT-PROC101059 Humidified High Flow Nasal Cannula Oxygen using Fisher & Paykel Delivery System

(Neonatal)NBMT-PROC101060 Weight Management in PregnancyNBMT-PROC101061 Insertion of Central Venous Catheter and Post Insertion Care for NeonatesNBMT-PROC101063 Nursing Care of Adult Vascular Access Devices including: Central Venous Catheter,

Hickmans and PortacathsNBMT-PROC101076 Neonatal Capillary SamplingNBMT-PROC101077 Management of Preterm Premature Rupture of Membranes (PPROM)NBMT-PROC101078 Recognition of a Sick Baby or Child in the Emergency DepartmentNBMT-PROC101080 Fetal Fibronectin (fFN) - A Screening Test for Preterm Labour NBMT-PROC101081 Managing External Organisations Usage of Community Health FacilitiesNBMT-PROC101084 Administration of the Edinburgh Depression Scale (EDS/EPDS) Conducted in the

Antenatal and Postnatal Period (and considerations for referrals with a positive response for Question 10)

NBMT-PROC101116 Management of TuberculosisNBMT-PROC101118 Somerset Cottage Education and Care Management of Fever

DOCUMENT ID DOCUMENT TITLENBMT-PROC101126 Release of Patient/Client Information for Ongoing Care by Health Information and

Records Services, and Community Health CentresNBMT-PROC101133 Bathing a baby - up to 3 months NBMT-PROC101138 Cerebral Perfusion Scan with/without Acetazolamide (Diamox)NBMT-PROC101139 Speculum Examination in ObstetricsNBMT-PROC101145 Administration of Intranasal Fentanyl for Paediatric PatientsNBMT-PROC101146 Initiation and Management of Non-Invasive Ventilation (NIV) NBMT-PROC101147 Urinary Procedures and Collection of Adequate Urine Specimens in Infants and

ChildrenNBMT-PROC101148 Medical Imaging - Reporting of Medical Images Performed in ErrorNBMT-PROC101151 Diabetic Ketoacidosis - DKA - Medical and Nursing Management in the AdultNBMT-PROC101159 Renal Cyst Aspiration and Sclerotherapy-Medical ImagingNBMT-PROC101164 Booking of Elective Caesarean Sections NBMT-PROC101166 Prevention of Falls and Harm from Falls in Adult InpatientsNBMT-PROC101185 Water Immersion for Labour and BirthNBMT-PROC101199 Drug & Alcohol: Duress Alarm Response - Woodlands Clinic, BMDAMH NBMT-PROC101200 Duress Alarm Response - Lithgow Opioid Program (OTP) ClinicNBMT-PROC101201 Duress Alarm - Gateway Opioid Treatment Program (OTP) ClinicNBMT-PROC101202 Duress Alarm Response - Centre for Addiction Medicine, Nepean NBMT-PROC101203 Management of Patients that Vomit after Receiving a Methadone, Buprenorphine

or Buprenorphine/Naloxone Dose in NBMLHD Opioid Treatment Program Clinics

NBMT-PROC101210 Appointment of Medical Observers and Medical VisitorsNBMT-PROC101212 Pathology Specimen Labelling - Acceptance, Rejection and CancellationNBMT-PROC101214 QARS Developing an Audit, Governance and MonitoringNBMT-PROC101223 Passy Muir Speaking Valve for NON-VENTILATED Tracheotomised Patients: Including

Humidification NBMT-PROC101226 Use of Nitrous Oxide (N2O) in PaediatricsNBMT-PROC101228 Management of the Deteriorating Child Requiring a Higher Level of Care NBMT-PROC101233 TOP 5/This is ME Strategies to Support Care and CommunicationNBMT-PROC101241 Information and Referral to the Involuntary Drug and Alcohol Treatment Program

(NSW Drug and Alcohol Treatment Act 2007)NBMT-PROC101242 Intravenous to Oral Antibiotic Step-Down GuideNBMT-PROC101243 Management of Skin TearsNBMT-PROC101244 Accessing and Storing of Schedule 8 Drug Keys at Nepean HospitalNBMT-PROC101274 Muscle Relaxed Neonate - Nursing Care of NBMT-PROC101276 Ongoing Management of the Surgical Patient when Surgeon is Offsite at LithgowNBMT-PROC101277 Humidified High Flow Nasal Cannula Oxygen Therapy for Adult PatientsNBMT-PROC101278 Cooling: Induced Systemic Hypothermia for the Treatment of Neonatal Hypoxic

Ischaemic Encephalopathy (HIE)NBMT-PROC101279 Active Follow-Up and Opportunistic Immunisation of Children and Adolescents in

the Hospital SettingNBMT-PROC101280 3-Lead Electrocardiograph (ECG) Monitoring in Paediatrics and NeonatesNBMT-PROC101282 Management of Shoulder DystociaNBMT-PROC101283 Renal Dialysis Unit: Nursing Management of Complications related to

Haemodialysis:-Air Embolism, Dialyzer Reaction and Anaphalaxis

DOCUMENT ID DOCUMENT TITLENBMT-PROC101284 Oral Health: QARS Clinical Record Audit ProcedureNBMT-PROC101285 QARS Healthcare Record Completeness AuditNBMT-PROC101286 Developing a Telehealth Outpatient Clinic/Ambulatory Care ServiceNBMT-PROC101287 Mifepristone and Misoprostol for Induction of Labour from Second TrimesterNBMT-PROC101288 Work Health and Safety Incident and Hazard ReportingNBMT-PROC101289 QARS Monthly Work Health Safety and Environmental Inspection AuditNBMT-PROC101300 Management of Incorrect Dose (Overdose) of Methadone Administered in NBMLHD

Opioid Treatment Program Clinics NBMT-PROC101302 Work Health and Safety for Construction Work and Construction Contractors NBMT-PROC101307 eQATE Environmental Cleaning Audit NBMT-PROC101311 Proximity to Facilities for Oncall Medical StaffNBMT-PROC101319 Safe Start - From the Antenatal Period to 2 Weeks PostpartumNBMT-PROC101325 Appointment of Nursing and Midwifery ObserversNBMT-PROC101327 Prevention of Contrast Induced NephropathyNBMT-PROC101329 Management of External Service ProvidersNBMT-PROC101333 Pharmaceutical Company RepresentativesNBMT-PROC101335 Conventional Ventilation of the Neonate via Drager Babylog 8000plusNBMT-PROC101336 Management of Late Preterm Babies in Post natal WardNBMT-PROC101337 Patient Identification in the Administration of Medication to Patients Engaged in the

NBMLHD Opioid Treatment ProgramNBMT-PROC101338 Management of Methadone, Buprenorphine and Buprenorphine/Naloxone Dose

Diversion by Patients Engaged in the Opioid Treatment Program NBMT-PROC101339 Drug and Alcohol: QARS - Patient Identification in the Administration of Medication

to Patients Engaged in the Opioid Treatment Program NBMT-PROC101342 Petty Cash and Petty Cash Floats NBMT-PROC101349 Allied Health Honorary AppointmentsNBMT-PROC101351 QARS Drug & Alcohol Clinical Documentation Audit NBMT-PROC101358 Mental Health: Restraint and Mechanical RestraintNBMT-PROC101359 Involuntary Discharge from the Nepean Blue Mountains LHD Opioid Treatment

ProgramNBMT-PROC101365 Management of Patients with Bariatric NeedsNBMT-PROC101367 Oral Health: Management of Patients with a Multi Resistant Organism (MRO) in a

Dental SettingNBMT-PROC101368 Oral Health: Indications of Preformed Metal Crowns (PMC)NBMT-PROC101369 Oral Health: Indications for Space MaintainersNBMT-PROC101370 Oral Health: Use of Dental Imaging NBMT-PROC101371 Oral Health: Prevention of Endocarditis Following Dental Treatment NBMT-PROC101373 Donation after Neurological Determination of Death. Confirmed by Irreversible

Cessation of all Function of a Person's Brain for the Purposes of Transplantation into the Body of a Living Person and/or for Research or Other Scientific Purposes

NBMT-PROC101379 COVID-19: Home Visiting and Community Outreach for D & A Psychosocial Interventions within the Drug and Alcohol Service

NBMT-PROC101381 Rostering Best PracticeNBMT-PROC101385 Oral Health: Management of Dental Postoperative ComplicationsNBMT-PROC101386 Processing Requests for Health Care Records for the Coroner

DOCUMENT ID DOCUMENT TITLENBMT-PROC101390 Prescription and Management of ImmunoglobulinsNBMT-PROC101391 Methotrexate - Safe Use Of Oral Methotrexate For Non-Oncology, Non-

Haematology IndicationsNBMT-PROC101394 Admission to Mental Health Inpatient CareNBMT-PROC101397 Clean Linen Supply Delivery Roll on Roll off System - Nepean Hospital Linen Services

NBMT-PROC101398 Venous Thromboembolism (VTE) Risk Assessment ToolNBMT-PROC101400 QARS: Babies - Sleeping PracticesNBMT-PROC101403 QARS: Pharmacist only S8 and S4D Register AuditNBMT-PROC101413 QARS Patient/Client Privacy Awareness Audit NBMT-PROC101418 Provision of Health Services to Patients from Corrective Services NSWNBMT-PROC101419 Adult Basic Life Support - Recognition and Management of the Deteriorating Patient

NBMT-PROC101420 Clinical Emergency Response System Nepean Hospital - Recognition & Management of the Deteriorating Patient

NBMT-PROC101424 QARS: Administration of Blood and Blood Products Intravenous Immunoglobulins Developing an Audit; Governance and Monitoring

NBMT-PROC101426 Removal of Temporary (Non-Tunnelled/Uncuffed) Vascular Catheter Used for Haemodialysis by a Registered Nurse

NBMT-PROC101427 Finger Cots - Use in Neonatal UnitsNBMT-PROC101430 Adverse Reaction ReportingNBMT-PROC101433 Mental Health: Cleaning Services to Mental Health Inpatient Units at Nepean

CampusNBMT-PROC101434 Mental Health: Catering Services and Meal Deliveries to Inpatient Mental Health

Units at Nepean HospitalNBMT-PROC101436 Completion of Summary of InjuriesNBMT-PROC101439 Ketamine Analgesic Infusions in Adult Patients (>16 years)NBMT-PROC101440 Analgesic Transdermal 'Patch' Medications: Prescribing and AdministrationNBMT-PROC101441 Patient Controlled Analgesia (Intravenously) NBMT-PROC101442 Continuous Epidural AnalgesiaNBMT-PROC101444 Nomination and Appointment of Designated Officers and Designated SpecialistsNBMT-PROC101447 Recognition and Management of Patients who are Clinically Deteriorating NBMT-PROC101451 High Risk Medicines ManagementNBMT-PROC101454 Mental Health: BereavementNBMT-PROC101456 Management of staff who are pregnant, breastfeeding or planning pregnancy whilst

employed in areas where cytotoxic/hazardous drugs are administered or inpatients are cared for following administration

NBMT-PROC101468 Medical Clinical Handover: After Hours Junior Medical Staff Nepean HospitalNBMT-PROC101472 Clinical Documentation in the Health Care Record NBMT-PROC101487 Very Low Energy Diet (VLED) for Inpatients NBMT-PROC101488 Use of Personal Electronic DevicesNBMT-PROC101489 Nurse Initiated Pathology Collection for Multi Resistant Organisms (MRO) Screening

NBMT-PROC101490 Admission and Transfer of Patients on Peritoneal and Haemodialysis in Non-Tertiary Facilities

NBMT-PROC101491 Medpass

DOCUMENT ID DOCUMENT TITLENBMT-PROC101492 Patient Identification and Alert BandsNBMT-PROC101493 Managing Early/Unexpected Inpatient Discharges or Transfers - Dietetics NBMT-PROC101494 Blue Mountains and Lithgow Hospitals: Unfractionated Heparin Infusion - Treatment

of Venous and Arterial Thrombosis, the Management of Acute Coronary Syndrome and Anti-coagulation Post Thrombolytic Therapy

NBMT-PROC101496 Renal Biopsy Under Ultrasound GuidanceNBMT-PROC101498 How to Tattoo Patients Undergoing Radiotherapy at NCCCNBMT-PROC101499 Medication Reconciliation Adapted from the ACSQHC document "National

Medication Management Plan User Guide"NBMT-PROC101507 Trial of Void for Women undergoing Gynaecological Surgery and Postnatal Patients

(where indicated)NBMT-PROC101510 Allied Health Credentialing and Defining Scope of PracticeNBMT-PROC101512 Adult Pain Management in Post Anaesthetic Care UnitNBMT-PROC101514 Completion of Certificates of Expert Evidence for NSW Police ForceNBMT-PROC101520 Medication Management: Gate LeaveNBMT-PROC101521 Medical Outpatient Department - Nepean Hospital NBMT-PROC101527 Screening for Malnutrition of Adult Inpatients in NBMLHD FacilitiesNBMT-PROC101528 Nutritional Management of Inpatients - Dietetics ServicesNBMT-PROC101529 Management of Umbilical Cord ProlapseNBMT-PROC101530 Coroners Case - NeonatalNBMT-PROC101531 Clinical Supervision - Central Referral ServiceNBMT-PROC101532 Management of Neonates with Surfactant AdministrationNBMT-PROC101534 Endotracheal Suctioning of the NeonateNBMT-PROC101539 Transition of Paediatric Patients With Chronic and Complex Health Issues to Adult

Based CareNBMT-PROC101627 Mental Health: Seclusion NBMT-PROC101630 Wayfinding and SignageNBMT-PROC101631 Eye and Tissue Only Donation following DeathNBMT-PROC101633 Mental Health: Accredited PersonsNBMT-PROC101634 Maintenance and/or Visiting Contractor Staff Accessing the Nepean Hospital Mental

Health Unit/s to Carry out WorkNBMT-PROC101635 A Protocol for Phosphate: Treatment of Hypophosphataemia and

Hyperphosphataemia NBMT-PROC101639 Management of Chest Pain on HaemodialysisNBMT-PROC101658 Management of Intradialytic Hypotensive Episodes on HaemodialysisNBMT-PROC101661 Screening for Retinopathy of Prematurity (ROP) by RetCam™ Examination at

Nepean HospitalNBMT-PROC101664 Inpatient Modified Diet and Thickened Fluid Provision and EducationNBMT-PROC101666 Adult Postoperative Nausea and Vomiting TreatmentNBMT-PROC101667 Dobutamine Stress EchocardiogramNBMT-PROC101670 Somerset Cottage Early Childhood Education and Care Environmental Cleaning:

Facility and EquipmentNBMT-PROC101671 Child Care Services Infection Control and Hygiene Procedures - Direct CareNBMT-PROC101672 Acute Management of Abdominal Pain in Infants and ChildrenNBMT-PROC101676 Oral Health: Pulpotomy of Deciduous MolarsNBMT-PROC101681 Mental Health: Lithgow Hospital Emergency Department - Model of Care

DOCUMENT ID DOCUMENT TITLENBMT-PROC101687 SpirometryNBMT-PROC101689 Care of Adult Patients with a TracheostomyNBMT-PROC101696 Intrapartum Management of a Twin Vaginal Birth, Nepean Hospital Birth UnitNBMT-PROC101700 Antenatal; Intrapartum and Early Neonatal Management of HIVNBMT-PROC101701 Continuous Positive Airway Pressure (CPAP) ClinicNBMT-PROC101703 Preparation, Delivery and Administration of Vivonex®NBMT-PROC101705 Smoke Free Health CareNBMT-PROC101708 Octreotide Administration in AdultsNBMT-PROC101709 Processing of Search Warrants for Health Care RecordsNBMT-PROC101711 Escalation Process and Expectations of the Mental Health Executive on CallNBMT-PROC101718 Delivery of Nitrous Oxide to Adult Patients for Procedural Pain ManagementNBMT-PROC101719 Continuous Intravenous Opioid Infusions in Adult Patients (>16 years)NBMT-PROC101720 Anticoagulants: Information for Patients NBMT-PROC101721 Use of “Angel Cot” Cold Cot following Foetal/Neonatal Death within Nepean

HospitalNBMT-PROC101723 Suppression of LactationNBMT-PROC101724 Preparation and Transfer of a Neonate for Procedures and Consultations Outside

NICU (eg Magnetic Resonance Imaging (MRI) & CT Scanning)NBMT-PROC101725 Corticosteroid and Cyclophosphamide Use in Renal DiseaseNBMT-PROC101726 Standard Neonatal Observation Charts (SNOC) use within Nepean Blue Mountains

Local Health District (NBMLHD)NBMT-PROC101730 Mental Health: Children and Adolescents Visiting Inpatient Mental Health Settings

NBMT-PROC101731 Mental Health: Providing a Family Focused Service to Consumers and their Dependent Children

NBMT-PROC101733 Management of Clients of Nepean Chest Clinic with a Positive Tuberculin Skin Test (TST) at Routine Screening

NBMT-PROC101734 Management of Clients with Latent Tuberculosis Infection (LTBI) that are referred to the Nepean Chest Clinic for Preventive Therapy

NBMT-PROC101735 Management of Clients on a Tuberculosis Health Undertaking (TBU) who are Referred to the Nepean Chest Clinic by the Department of Immigration and Border Protection (DI&BP) or a DI&BP Authorised Agency

NBMT-PROC101736 Nepean Chest Clinic: Safe Storage and Transport of Purified Protein Derivative and Bacilli Calmette Guerin Vaccine

NBMT-PROC101738 Postnatal/Neonatal Phone Call Assessment FormNBMT-PROC101739 Care of Adult Patients following Laryngectomy Surgery NBMT-PROC101741 Neonatal Family Discharge Visiting NBMT-PROC101742 Sucrose (Oral) for Procedural Pain Management in the Children's Ward and

Emergency DepartmentNBMT-PROC101743 Antenatal Daily Assessment and CareNBMT-PROC101744 Six Minute Walk Test (6MWT) for Cardiac Rehabilitation Patients NBMT-PROC101745 Peritoneal Dialysis Catheter Trimming and Application of New Luer-Lock Adaptor

(Titanium/Plastic) for a Leaking CatheterNBMT-PROC101749 Inter-hospital Transfers to Nepean HospitalNBMT-PROC101750 Inpatient Diet Ordering NBMT-PROC101751 Adult Nutrition Assessment Documentation by Dietetic Staff

DOCUMENT ID DOCUMENT TITLENBMT-PROC101752 Emergency Department: Management of Known Organophosphate PoisoningNBMT-PROC101759 Continuous Peripheral Nerve Infusion, Acute Pain ServiceNBMT-PROC101760 Infant Feeding: Management of Women with Blocked Ducts; Mastitis and Breast

AbscessNBMT-PROC101761 Peritoneal Equilibration Test (PET) for Peritoneal Dialysis PatientsNBMT-PROC101762 Management and Care of a Neonate in the Postnatal PeriodNBMT-PROC101772 The Viasys™ NicoletOne™ aEEG Monitor: Application and Use in an Infant Patient

NBMT-PROC101776 Transfer of Women and Babies to Blue Mountains District Anzac Memorial Hospital

NBMT-PROC101777 Relative Analgesia (Nitrous Oxide Inhalational Sedation in Dental Procedures)NBMT-PROC101780 Infant Feeding: Antenatal Assessment and Education in Relation to Infant Feeding

NBMT-PROC101783 Intra-Uterine Foetal Blood Sampling and TransfusionNBMT-PROC101784 Medical Management of Ectopic Pregnancy Nepean HospitalNBMT-PROC101785 Nicotine Replacement Therapy for Nicotine Dependent Inpatients, for Initiation only

by Nurses, Midwives, Pharmacists and Medical OfficersNBMT-PROC101786 Accessing Emergency Meals for Patients After HoursNBMT-PROC101788 Height and Weight Measuring Equipment and Measuring for Adult InpatientsNBMT-PROC101790 Nepean Emergency Department Standard Operating ProceduresNBMT-PROC101793 Mental Health: Conducting Home Visits in the Community NBMT-PROC101794 Child and Family Health: Initial Infant/Child Assessment NBMT-PROC101795 Child and Family Health: Initial Maternal AssessmentNBMT-PROC101827 Pacifier Use for Term Babies in the NICUNBMT-PROC101831 Medicine Access Programs (Including Patient Familiarisation Programs,

Compassionate Use and Expanded Access Programs)NBMT-PROC101832 High Frequency Ventilation of the Neonate Sensormedics 3100A™ VentilatorNBMT-PROC101833 Initiation of HaemodialysisNBMT-PROC101834 Intravenous Heparin usage in Haemodialysis Nurse AdministrationNBMT-PROC101835 Immune Supportive Oral Care (ISOC)NBMT-PROC101836 Infants and Children: Acute Management of Altered Consciousness in Emergency

Departments NBMT-PROC101837 Nurse Initiated Pathology Collection For Western Renal ServiceNBMT-PROC101846 QARS: Breast Milk Labelling AuditNBMT-PROC101847 Dietitian Transfer of Care Process of Patients to Springwood HospitalNBMT-PROC101848 Dietitian Transfer of Care Process of Inpatients to Blue Mountains District Anzac

Memorial HospitalNBMT-PROC101849 Dietetic Service to Nepean Hospital Neonatal Intensive Care UnitNBMT-PROC101850 Development, Management and Endorsement of Policies, Procedures, Forms, Drug

Protocols and Standing Orders NBMT-PROC101851 NBMLHD Patient Requiring Increased Nursing HoursNBMT-PROC101853 Massive Transfusion Protocol (MTP) for BMDAMH and Lithgow HospitalsNBMT-PROC101855 Infection ControlNBMT-PROC101856 Blood Ketone Testing with Nova StatStrip Xpress MeterNBMT-PROC101857 Implementation of Policy Directives, Guidelines, Information Bulletins and

Advisories

DOCUMENT ID DOCUMENT TITLENBMT-PROC101860 Initiation of LactationNBMT-PROC101865 High Risk Medicines: Suxamethonium, Rocuronium, And Related Muscle Relaxant

Drugs (Neuromuscular Blockade) NBMT-PROC101867 Neonatal Examination and Daily AssessmentNBMT-PROC101869 Extubation: Extubating Neonates from Mechanical VentilationNBMT-PROC101870 Management of Fetal Heart Rate Monitoring in the Women and Children's Health

Outpatient Department NBMT-PROC101872 Enteral Feeding of Adult Inpatients (Excludes Intensive Care) NBMT-PROC101873 Enteral Feeding for Adults - After Hours and Weekends/Public Holidays (Excluding

Intensive Care)NBMT-PROC101874 Preoperative Nutrition for Patients Undergoing Surgery for Upper Gastrointestinal

CancerNBMT-PROC101875 Acute Surgical Unit Phone Call Assessment Form NBMT-PROC101876 Physiotherapists in the Nepean Hospital Emergency Department - Roles &

Responsibilities in the Management of Patients with Acute Musculoskeletal Conditions

NBMT-PROC101877 Insulin Supply from Nepean Diabetes ServiceNBMT-PROC101879 Oral Health: QARS Patient ID and Procedure Matching: Phase 1 Time OutNBMT-PROC101880 Public Interest DisclosuresNBMT-PROC101883 Orthopaedic External Fixation Pin Site CareNBMT-PROC101884 Death of a NeonateNBMT-PROC101885 Baptism/Naming Ceremony of a Neonate/Still born or Foetal LossNBMT-PROC101886 Nepean Hospital Imaging/Nuclear Medicine: Ventilation and Perfusion Lung Scan

NBMT-PROC101887 Management of Planned Service Disruptions NBMT-PROC101890 Intraosseous Access in Adults Using the EZ-IO Intraosseous Vascular Access System

NBMT-PROC101891 SHIFT Test (NICU)NBMT-PROC101893 Telephone Assessment in Birth Unit (Nepean Hospital)NBMT-PROC101895 Cannulation of the Arterio-Venous Fistula and Aterio-Venous GraftNBMT-PROC101896 Dialyser Blood Leak on HaemodialysisNBMT-PROC101897 Use of Warming Mattress - Supporting Thermoregulation within NICUNBMT-PROC101901 Management of Antenatal Women of Advanced Maternal AgeNBMT-PROC101906 After Hours Access to Nepean HospitalNBMT-PROC101907 Takeaway Methadone Doses From Opioid Treatment Clinics Due to Physical

DisabilityNBMT-PROC101909 Preparation & Transfer of a Neonate for Body Composition (PEAPOD) Measurement

NBMT-PROC101910 Umbilical Arterial Catheter Insertion; Management and Removal (NICU)NBMT-PROC101911 Peripheral Arterial Catheter Insertion, Management and RemovalNBMT-PROC101912 NICU Rooming In Room - Use ofNBMT-PROC101913 Antenatal Clinic: Did not Attend and Unable to be ContactedNBMT-PROC101914 Enterprise Risk Management NBMT-PROC101915 Physical Health Care for Mental Health ConsumersNBMT-PROC101916 "Did not wait" for Mental Health AssessmentNBMT-PROC101917 Administration of Unrostered Overtime & Recall for Junior Medical Staff

DOCUMENT ID DOCUMENT TITLENBMT-PROC101918 Emergency Department Guideline for the Management of Iron Deficiency Anaemia

in AdultsNBMT-PROC101942 Magnesium Sulphate prior to Preterm Birth for Fetal Neuroprotection at Nepean

HospitalNBMT-PROC101944 Intubation in Neonates in NICUNBMT-PROC101945 Amethocaine, Tropicamide, and Phenylephrine Eye Drops for Eye Examination in

the Neonatal Intensive Care UnitNBMT-PROC101946 Administration and Usage of Trisodium Citrate (Duralock-C®) catheter lock solution

NBMT-PROC101948 Transportation of Inpatients throughout Nepean Campus – External (Dental, Drug and Alcohol, Cancer Care)

NBMT-PROC101951 Haematology / Oncology Inpatient Management of Febrile Neutropenia NBMT-PROC101952 Oral Health: Management of Dental Trauma NBMT-PROC101954 Prevention and Management of Constipation for Patients on Peritoneal DialysisNBMT-PROC101955 eMR2: Orientation of New Staff at Blue Mountains District ANZAC Memorial

Hospital & Springwood HospitalNBMT-PROC101956 eMR2: Recovery at Springwood & Blue Mountains District ANZAC Memorial Hospital

NBMT-PROC101960 Prevention of Early Onset Group B Streptococcus (GBS) Disease in NeonatesNBMT-PROC101961 Cervical Collar Application and Care- Philadelphia®NBMT-PROC101962 Cervical collar- VISTA© or ASPEN©:Application and CareNBMT-PROC101963 Management of Postpartum Haemorrhage (PPH)NBMT-PROC101964 Drug and Alcohol: In-Patient Withdrawal Management Unit Daily Patient Case

Conference (Huddle) & Weekend ResponsibilitiesNBMT-PROC101965 Drug and Alcohol: Management of Individuals Self Presenting to the Centre for

Addiction Medicine (Walk Ins) During Usual Business HoursNBMT-PROC101966 After Hours Management of the Drug and Alcohol Central Intake Telephone Service

NBMT-PROC101969 Paediatric Presentations with Behavioural or Mental Health Issues - Nepean Hospital

NBMT-PROC101970 Mental Health: Sexual SafetyNBMT-PROC101973 Booking Long Distance (Aeromedical) Patient TransportNBMT-PROC101974 Blue Mountains and Lithgow Hospitals: After Hours Access to Unmanned Blood

Product Refrigerator and Clinical Management of the Transfused PatientNBMT-PROC101976 Inhaled Nitric Oxide Therapy in Infants with Persistent Pulmonary HypertensionNBMT-PROC101978 eMR Access for Nursing and Midwifery Agency StaffNBMT-PROC101981 eQATE Mental Health Clinical Documentation AuditNBMT-PROC101983 Work Health and Safety - Safe Use of Liquid Nitrogen and Other Non Flammable

Cryogenic Liquids NBMT-PROC101984 Work Health and Safety Incidents Reportable to SafeWork NSWNBMT-PROC101985 Work Health and Safety Plant ManagementNBMT-PROC101986 Work Health & Safety Prevention of Falls from One Level to Another NBMT-PROC101987 Work Health and Safety Confined Spaces NBMT-PROC101988 Work Health and Safety Asbestos Management NBMT-PROC101989 Work Health and Safety for WorkersNBMT-PROC101990 Work Health and Safety Hazardous Chemical Management

DOCUMENT ID DOCUMENT TITLENBMT-PROC101991 Infants and Children - Acute Management of SeizuresNBMT-PROC101994 Management of Biomedical Equipment for Safety and PerformanceNBMT-PROC101997 Orthopaedic Outpatient Telehealth Consultations NBMT-PROC102000 Escalation Process and Expectations of the Drug and Alcohol On Call Department

Manager NBMT-PROC102004 Offering Clear Fluids in RecoveryNBMT-PROC102005 Paediatric Ambulatory Short Stay (PASS)NBMT-PROC102006 Postnatal Care in the Home - Midwifery@Home (M@H) and Caseload/Midwifery

Group NBMT-PROC102007 Documentation Requirements for Electronic Fetal Monitoring (EFM) at Nepean

HospitalNBMT-PROC102008 Assessment and Care of a Woman Following Lower Segment Caesarean Section

(LSCS)NBMT-PROC102011 Blood Borne Virus (BBV) Procedure for Haemodialysis Patients of the Western Renal

ServicesNBMT-PROC102012 Oral Health: Implementation and Governance of the NSW Oral Health Fee for

Service SchemeNBMT-PROC102014 Duress Alarm: Operating instructions and Duress Response for Mental Health

Inpatient UnitsNBMT-PROC102016 Management of suspected or cytotoxic intravenous drug extravasation - Nepean

Cancer ServicesNBMT-PROC102019 Neuraxial Analgesia for Labour: Patient-Controlled Epidural Analgesia (PCEA) with

Programmed Intermittent Epidural Boluses (PIEB)NBMT-PROC102021 Absent Without Leave (AWOL) from a Declared Mental Health FacilityNBMT-PROC102022 Umbilical Cord Blood Collection for Blood Gas Analysis at Birth NBMT-PROC102024 Paediatric Patients Requiring 1:2 Nursing Care - High Dependency PatientsNBMT-PROC102025 The Deteriorating Obstetric Patient - 2222 Nepean HospitalNBMT-PROC102026 Referral Pathway for Maternal Fetal Medicine (MFM) ClinicNBMT-PROC102030 Electronic Medical Record (eMR) Downtime NBMT-PROC102031 Nepean Emergency Department Transfer of Care (ToC) - Ambulance to HospitalNBMT-PROC102032 Post Anaesthetic Care Unit Discharge CriteriaNBMT-PROC102034 Emergency Pagers Nepean HospitalNBMT-PROC102035 Infant Feeding: Dispensing and Checking of Expressed Breast Milk (EBM),

Pasteurised Donor Human Milk (PDHM) and Breastmilk Substitutes (BMS) NBMT-PROC102036 Paediatric Surgical Admissions: Children's Ward Nepean HospitalNBMT-PROC102037 Modified Barium Swallow (Video-fluoroscopic Swallow Study - VFSS) Imaging

Nepean NBMT-PROC102046 JMO Job List - e-ordering of requests for JMOs at Nepean Hospital NBMT-PROC102056 Student Access to eMRNBMT-PROC102059 Prevention of Prohibited Substance Use at the Inpatient Withdrawal Management

UnitNBMT-PROC102060 Screening for Malnutrition of Paediatric Inpatients NBMT-PROC102061 Nutrition Assessment of Adults Using a Validated Tool: Subjective Global

Assessment (SGA)NBMT-PROC102063 Administration of Natalizumab within Nepean HospitalNBMT-PROC102067 Sexual Health Services Standard Operating Procedures Manual

DOCUMENT ID DOCUMENT TITLENBMT-PROC102069 Cardiac Monitoring for CCU, W5B and CCLNBMT-PROC102070 Haemodiafiltration - Procedure and IndicationsNBMT-PROC102071 Clinical Midwifery Consultant - E Order consultation Nepean Hospital NBMT-PROC102074 Dispensing and Administration of Intrathecal (IT) Chemotherapy Drugs NBMT-PROC102075 Dietetics Home Enteral Nutrition (HEN) NBMT-PROC102076 Frequency of Changing Disposable Antimicrobial Impregnated Curtains - Nepean

HospitalNBMT-PROC102077 Adult Parenteral Nutrition (PN)NBMT-PROC102078 Identification, Prevention and Nutritional Management of Refeeding Syndrome in

AdultsNBMT-PROC102080 Treatment of Haemodialysis Catheter-Related SepsisNBMT-PROC102088 Booking an Imaging Procedure that requires Anaesthetic Support NBMT-PROC102096 Nepean Hospital Cardiac Catheterisation Laboratory (CCL) Call Out ProcessNBMT-PROC102097 Nursing Management of Central Line Infusions in NICUNBMT-PROC102098 Adult Peritoneal Dialysis (PD) Catheter Insertion NBMT-PROC102099 Management of malignant pleural effusion using the Pleurx® Drainage SystemNBMT-PROC102100 Adequacy Testing for Peritoneal Dialysis (PD)NBMT-PROC102101 Management and Escalation Plan for Adult and Paediatric Inpatients with Extended

Fasting or Extended Inadequate Oral IntakeNBMT-PROC102102 eMR2 Cleaning of the WOW computersNBMT-PROC102103 Death Certificate ProcessNBMT-PROC102104 Administrative Management of Recommendation for Admission Form NBMT-PROC102105 QARS Aseptic Technique and Standard Precautions Audit ToolNBMT-PROC102112 Hyperosmolar Hyperglycaemic State (HHS) - Management in Adults with Diabetes

NBMT-PROC102123 Collection of Blood Products from Department of Transfusion Medicine (Blood Bank) at Nepean Hospital

NBMT-PROC102127 Mental Health Service Advance Statements NBMT-PROC102130 Adrenaline, Lignocaine and Amethocaine (ALA), Laceraine Topical Solution in

Emergency Departments (Paediatrics) NBMT-PROC102131 Oral Prednisolone in the Treatment of Asthma for Paediatric Patients in the

Emergency DepartmentNBMT-PROC102132 IV Paracetamol Use for Paediatric Patients Admitted on the Children's WardNBMT-PROC102141 Emergency Department Medical Assessment UnitNBMT-PROC102142 Mechanical Chest Compression Device: LUCAS - Recognition and Management of

the Deteriorating Patient NBMT-PROC102144 Patients requiring Residential Aged Care Facility Placement from Nepean Hospital

NBMT-PROC102145 Use of CoolSense for Procedural Pain on Paediatric PatientsNBMT-PROC102146 Hospital Based Subcutaneous Immunoglobulin (SCIg) Program NBMT-PROC102148 Management of the Emergency Department Short Stay Unit - Nepean HospitalNBMT-PROC102152 The Respiratory Care Unit in W4A at Nepean Hospital NBMT-PROC102153 Paediatric Pain Management in the Post Anaesthetic Care UnitNBMT-PROC102154 Contamination of Peritoneal Dialysis Extension Line Western Renal Service PD Unit

DOCUMENT ID DOCUMENT TITLENBMT-PROC102158 Co-administration of Antiviral Medication for Hepatitis C Virus within NBMLHD

Opioid Treatment Program Clinics NBMT-PROC102159 Consultant (Staff Specialist) Approval for MBS Item Numbers Charged in Nepean

Women & Children's Health Outpatient Department (W&CH OPD)NBMT-PROC102160 Work Health and Safety - Managing Noise and Preventing Hearing Loss at WorkNBMT-PROC102162 Patients requiring Emergency Interventional RadiologyNBMT-PROC102165 Drug and Alcohol - Management of Patient Non-AttendanceNBMT-PROC102166 Completing the Drug and Alcohol Global Care PlanNBMT-PROC102179 Drug and Alcohol - Management of Chapter 16A Requests and Responses by

Administration and Clinical StaffNBMT-PROC102180 Adult Urethral CatheterisationNBMT-PROC102182 Sterile Water Injections for Relief of Back Pain in Labour - Procedure for

Administration NBMT-PROC102184 Nepean Campus Parking NBMT-PROC102185 National Adult Inpatient Medication Chart (MR 70/72) (NIMC)NBMT-PROC102186 Purchasing and Use of Gift Cards; Goods or Other Items for Reimbursement of Time

or Incentive Payment NBMT-PROC102187 Medication Administration (Paediatrics and Neonates) - Oral Liquid MedicinesNBMT-PROC102188 Neonatal Resuscitation on S4EP and S4EA Nepean Hospital NBMT-PROC102189 Blood Glucose Monitoring for Diabetic Clients Attending Outpatients Cardiac

Rehabilitation Exercise ProgramsNBMT-PROC102190 Administration of Inhaled Salbutamol for mild to moderate asthma for Paediatric

Patients in the Emergency Department NBMT-PROC102191 Fetal Blood Sampling in LabourNBMT-PROC102192 Medical Clinical Handover: Interventional Radiology Medical Staff Nepean Hospital

NBMT-PROC102193 Visiting Medical Officer Timesheet VerificationNBMT-PROC102194 Clinical Emergency Response System: Springwood Hospital Recognition and

Management of the Deteriorating Patient and Management of REACHNBMT-PROC102195 Patients Visual Observation at the Inpatient Withdrawal Unit - Drug and Alcohol

NBMLHDNBMT-PROC102196 Use of Adaptive Cutlery during Mealtimes at Nepean Hospital NBMT-PROC102198 Community Mental Health Team Referral Process NBMT-PROC102199 Mental Health: 7 Day Follow Up Post Discharge from an Inpatient FacilityNBMT-PROC102200 Phototherapy at Home - Jaundice Management Nepean HospitalNBMT-PROC102201 Readmission to Neonatal Intensive Care Unit (NICU) of an Infant following Discharge

NBMT-PROC102202 Management of Antepartum Haemorrhage (APH)NBMT-PROC102203 Use of Milk Warmers in Nepean Neonatal Intensive Care Unit (NICU)NBMT-PROC102204 Wound Nurse Practitioner Referral Process for Blue Mountains Wound Clinic NBMT-PROC102207 Admitted Absconding Patient Procedure - Not for Mental Health PatientsNBMT-PROC102208 Nepean Hospital Campus Lockdown NBMT-PROC102210 Sexual Safety of Patients within the Inpatient Withdrawal Management Unit, Centre

for Addiction Medicine (CAM) NBMT-PROC102211 Leave Entitlements for Staff Affected by Emergencies NBMT-PROC102212 Aspen Vista® 464 TLSO and 637 LSO: Application and Care

DOCUMENT ID DOCUMENT TITLENBMT-PROC102213 Nepean Anxiety Disorders Clinic (NADC); Mental Health Service Referral ProcessNBMT-PROC102214 Gastrografin Imaging StudiesNBMT-PROC102215 Prescribing Gastrografin® in Adult Adhesive Small Bowel ObstructionNBMT-PROC102216 After Hours Nepean Escalation Process and Expectations of the Nepean Executive

on Call, the After Hours Nurse Manager, Nurse Unit Managers and Team Leaders

NBMT-PROC102217 Code Black - Personal ThreatNBMT-PROC102218 Induction of LabourNBMT-PROC102219 Paediatric ObservationsNBMT-PROC102220 Telehealth Video Consultations between the Heart Failure CNC and Exercise

Physiologist for Heart Failure Patients NBMT-PROC102222 Emergency Department (ED) - Direct Admission to Inpatients Wards NepeanNBMT-PROC102223 Administration and Management of Contracts between Medical Locum Agencies

and NBMLHD NBMT-PROC102225 Iron Infusion Procedure in Adults - Prescribing, Handling, Preparation and

AdministrationNBMT-PROC102232 Managing Domestic and Family Violence Experienced and Disclosed by Members of

StaffNBMT-PROC102236 NBMLHD Clinical Procedure Safety NBMT-PROC102237 Attendance and Leave Entitlement Procedures for Junior Medical StaffNBMT-PROC102238 Contractor Management NBMT-PROC102239 Transfer of Admitted Children from the Emergency Department to the Children's

Ward (Nepean Hospital)NBMT-PROC102240 Methoxyflurane via Penthrox Inhaler for Procedural Pain Management in Adults ( =

16 years )NBMT-PROC102241 Severe to Life Threatening Management of Asthma in Paediatrics NBMT-PROC102242 Management of Unacceptable Behaviours of Patients and Visitors at NBMLHDNBMT-PROC102244 QARS Falls Audit for the Emergency Department (ED)NBMT-PROC102245 Documentation of Vital Signs by Allied Health Professionals or Allied Health

AssistantsNBMT-PROC102246 Protected Mealtimes for Inpatient WardsNBMT-PROC102247 Purchase of Oral Nutritional Supplements for Renal Patients within the NBMLHD

Renal ServiceNBMT-PROC102248 Use of the In Theatre Camera for Obstetric and Gynaecological Surgical Teaching

(Nepean)NBMT-PROC102249 Nepean Family Obesity Service VLCDNBMT-PROC102251 Direct Appointment of Aboriginal Employees to Temporary or Permanent Positions

in Nepean Blue Mountains Local Health District NBMT-PROC102252 Provision for Play Areas for InpatientsNBMT-PROC102253 Nepean Family Obesity Service Outpatient Telehealth Consultations NBMT-PROC102256 QARS: NSQHS Deteriorating Patient: Between the Flags Inpatient Audit NBMT-PROC102257 QARS Emergency Department Deteriorating Patient Audit NBMT-PROC102258 Skin-to-Skin Contact in the Operating Theatre and the Recovery Unit NBMT-PROC102259 Escalation or Prioritisation of Medical Imaging ServicesNBMT-PROC102260 Management of Fasting Peri-operative PatientsNBMT-PROC102262 QARS audit standard 3: Compliance with Transmission Based Precautions

DOCUMENT ID DOCUMENT TITLENBMT-PROC102263 QARS Audit Standard 3 Integrity of Sterile Stock and Clean Items Storage for Patient

Use in Clinical Areas NBMT-PROC102264 QARS audit standard 3: Weekly Inspection of Shared Patient Care EquipmentNBMT-PROC102265 QARS TemplateNBMT-PROC102266 Radiation Therapy: Correct patient, Correct Procedure and Correct SiteNBMT-PROC102267 Clinical Emergency Response Escalation Plan for Neonatal Intensive Care Unit (NICU)

and Special Care Nursery (SCN) – Recognition & Management of the Deteriorating Patient

NBMT-PROC102268 Adult Urgent Start Peritoneal DialysisNBMT-PROC102269 Delayed Cord Clamping For Preterm Infants NBMT-PROC102270 QARS: Maternity - Fetal Heart Rate Monitoring Tool NBMLHD NBMT-PROC102271 Nepean Midwifery Lead Antenatal Clinic for Women with Gestation Diabetes (Diet

Controlled)NBMT-PROC102272 Infant Feeding: Management of Engorged Breasts NBMT-PROC102273 Infant Feeding: Bottle Feeding - Preparation and Administration of Breast Milk

Substitute (BMS)NBMT-PROC102274 Adoptive Breastfeeding and RelactationNBMT-PROC102275 Nepean Hospital Surgical Outpatient Orthopaedic ClinicNBMT-PROC102276 Safe Disposal of a Suspected Prohibited Substance at the Inpatient Withdrawal

Management Unit, Centre for Addiction Medicine (CAM)NBMT-PROC102277 Extreme Heat and Heatwave ProceduresNBMT-PROC102278 Onboarding, Orientation and Mandatory TrainingNBMT-PROC102279 Postnatal Ward Team Leader Responsibilities Nepean HospitalNBMT-PROC102280 E3i Close Observation Beds NBMT-PROC102281 Leech TherapyNBMT-PROC102282 Operative Vaginal Delivery NBMT-PROC102283 Pasteurised Human Donor Milk Bank - Use in NICU NBMT-PROC102284 Venepuncture for the Collection of Blood for Laboratory Analysis NBMT-PROC102285 Medical Air Failure in Nepean NICUNBMT-PROC102286 Use of Air Assisted Transfer Device in the Nepean HospitalNBMT-PROC102288 Recommendation for Admission (RFA) Management and Receipt NBMT-PROC102289 Surveillance of Growth and Wellbeing for Infants in the First 12 months within Child

and Family Health ServicesNBMT-PROC102290 Renal Nutrition Outpatient Services for Patients – Referral & Prioritisation GuideNBMT-PROC102291 Management of Incorrect Dose (Overdose) of Buprenorphine or

Buprenorphine/Naloxone Administered in NBMLHD Opioid Treatment Program Clinics

NBMT-PROC102293 Telepsychiatry Consultation between a Mental Health Medical Officer Located at Nepean Hospital Mental Health Service and Patients in the Emergency Department at Lithgow and Blue Mountains Hospital who Require a Mental Health Assessment

NBMT-PROC102294 Third Door AdmissionsNBMT-PROC102295 Vulnerable PatientsNBMT-PROC102298 Admission to Portland Tabulam Health Centre NBMT-PROC102299 Cervical Screening and Therapeutic Intervention to Prevent Preterm Delivery

(Nepean Hospital)

DOCUMENT ID DOCUMENT TITLENBMT-PROC102300 Management of Acute Severe Hypertension in an Antenatal Patient NBMT-PROC102301 Newborn Hearing Screening - State-Wide Infant Screening Hearing (SWISH)NBMT-PROC102302 Antenatal/Gynaecology Team Leader Responsibilities Nepean HospitalNBMT-PROC102304 Follow-up of Patients who Do Not Attend General Outpatient Clinics NBMT-PROC102305 Nepean Hospital - HealthRoster and the Role of all Nurse Unit Managers and Roster

Office Clerks for Contingency Staffing ReplacementNBMT-PROC102306 Children's Ward Non Patient Load Team Leader ResponsibilitiesNBMT-PROC102308 Preventing, Minimising and Managing Challenging Behaviours in the Inpatient

Withdrawal UnitNBMT-PROC102309 Conducting Mortality and Morbidity Meetings and Reporting of Clinical Reviews NBMT-PROC102310 Management of Intoxicated Presentations in NBMLHD Opioid Treatment Program

ClinicsNBMT-PROC102311 Have You Got Your Pit Crew Ready? Preparation for Procedures/Assessments in

Children's Ward Nepean Hospital NBMT-PROC102312 CSF Leak Testing in the Nuclear Medicine DepartmentNBMT-PROC102313 Inpatient Gate Leave NBMT-PROC102315 QARS: Level Two Procedure - Time Out AuditNBMT-PROC102316 QARS: Level One Procedure - Time Out AuditNBMT-PROC102317 Management of Echogenic Bowel in the FetusNBMT-PROC102318 Management of Chronic Kidney Disease Patients with ParathyroidectomyNBMT-PROC102319 Primary Care and Community Health: AudiometryNBMT-PROC102320 Management of First Year Graduate Nurses and Midwives Undertaking a Transition

to Professional Practice ProgramNBMT-PROC102321 Public Toilet Safety ChecksNBMT-PROC102325 QARS: Level Three Procedure - Time-Out AuditNBMT-PROC102326 QARS: Nursing Patient Safety Handover Checklist AuditNBMT-PROC102330 Transfer of Nepean Cancer Care Centre Patients to and from the Nepean Medical

Imaging Department NBMT-PROC102331 Coordination of Electroconvulsive TherapyNBMT-PROC102332 Searching People and their Property in Inpatient Withdrawal Management Unit NBMT-PROC102333 Co-administration of Additional Medications within NBMLHD Opioid Treatment

Program ClinicsNBMT-PROC102336 QARS Patient Identification and Alert Band AuditNBMT-PROC102345 Transfer of Nepean Mental Health Centre Patients to and from the Nepean Medical

Imaging Department NBMT-PROC102346 Transfer of Nepean Hospital Drug and Alcohol Service Patients to and from Nepean

Hospital Medical Imaging Department NBMT-PROC102347 Oral Health: Tooth Identification Prior To and During Tooth ExtractionNBMT-PROC102348 Managing the Prioritisation of People on the Blue Mountains Access Client List NBMT-PROC102349 Mental Health Inpatient Therapeutic LeaveNBMT-PROC102351 Cardiac Monitoring, East Wing, Blue Mountains Hospital NBMT-PROC102353 Nepean Women's Health Escalation Process and ExpectationsNBMT-PROC102354 Blood Pressure Profile in Nepean Fetal Maternal Assessment Unit (FMAU) Birth Unit

DOCUMENT ID DOCUMENT TITLENBMT-PROC102355 Admission of a Paediatric Patient for Non-Medical Reasons/Social Reasons and

Babies under 10 Days of Age with Maternal Sepsis at Blue Mountains District Anzac Memorial Hospital

NBMT-PROC102356 Borderline Viability - Nepean Maternity UnitNBMT-PROC102357 Neonatal Intensive Care Unit (NICU) and Special Care Nursery (SCN) Infection

Control Procedure at Nepean HospitalNBMT-PROC102359 Overnight Garaging of NBMLHD Fleet Vehicles NBMT-PROC102363 Engagement and Observation in Mental Health Inpatient Units NBMT-PROC102364 QARS Engagement and Observation in Mental Health Inpatient Units AuditNBMT-PROC102365 Receiving Vaccine Deliveries at Blue Mountains District ANZAC Memorial Hospital

(BMDAMH), in Hours and Out of Hours NBMT-PROC102366 QARS Oral Health Referral and Transfer of Care AuditNBMT-PROC102367 QARS Oral Health Sterilisation Audit NBMT-PROC102372 Triage for Adult Referrals to the Healthy Weight Management Clinic, Nepean Blue

Mountains Family Metabolic Health Service NBMT-PROC102374 Oral Health: External Specialist Referrals NBMT-PROC102376 Conducting a Patient Risk Assessment for Harm to Self and Others within

Community Based Drug and Alcohol Treatment Services NBMT-PROC102379 QARS: Oral Health Scanning into Patient Electronic Dental RecordNBMT-PROC102380 White Level InspectionsNBMT-PROC102381 Maternal Assisted Caesarean SectionNBMT-PROC102383 Care Coordination for Adolescent Patients (16-18 years) Admitted to the Nepean

Inpatient Withdrawal Unit NBMT-PROC102384 Oral Health - Management of Patients with Identified Risk of CJD in a Dental Setting

NBMT-PROC102391 Nicotine Replacement Therapy for Inpatient Mental Health ConsumersNBMT-PROC102392 Chemical Handling and PurchaseNBMT-PROC102393 Sterilisation Area Processes in NBMLHDNBMT-PROC102394 QARS: Nursing and Midwifery Clinical Handover AuditNBMT-PROC102395 QARS: Documentation Compliance of Consent for Medical Procedure Treatment for

Adult (SMR020.001) and Paediatric (SMR020.003) FormNBMT-PROC102396 Reprocessing of the Fisher & Paykel AIRVO™ 2 Unit for the Post Anaesthetic Care

UnitNBMT-PROC102397 Appropriate Requesting of Mobile Radiographs at Nepean HospitalNBMT-PROC102398 QARS Audit Standard 3: Central Venous Access Device (CVAD) NBMT-PROC102399 QARS Audit Standard 3 Peripheral Intravenous Cannula (PIVC) NBMT-PROC102400 Oral Health: Clinical Emergency Response System Recognition and Management of

the Deteriorating Patient at the Oral Health Setting NBMT-PROC102401 Sterilising ServicesNBMT-PROC102402 General Movements Assessments in Neonates in the Nepean Neonatal Intensive

Care Unit (NICU) and in the Nepean NICU Developmental Follow up ClinicNBMT-PROC102403 Modified Sleep Study (Trolley Study) for Low Risk Paediatric Patients - Children's

Ward Nepean HospitalNBMT-PROC102404 Surgical Management of Placenta Accreta, Increta, PercretaNBMT-PROC102405 Paediatric Postoperative Nausea and Vomiting

DOCUMENT ID DOCUMENT TITLENBMT-PROC102406 Low Flow Nasal Cannula Oxygen for Neonatal and Paediatric Patients Using

AIRVOTM2 NBMT-PROC102407 Paediatric Diabetes Management for Type 1 NBMT-PROC102408 Loading and Unloading of the Theatre Dirty Instrument TrolleyNBMT-PROC102409 Paediatric Sepsis Management for the Children's Ward NBMT-PROC102410 Criteria for Boarder BabiesNBMT-PROC102411 Referral Of Newborns Identified with Outer Ear Anomalies for Early Ear Moulding

NBMT-PROC102412 Selection and Safe Dosage of Dental Local Anaesthetics Injections at Oral Health Settings

NBMT-PROC102413 Dating of a Recommendation for Admission (RFA)NBMT-PROC102414 Admission of Patients with Cutaneous Abscess to Day Surgery for Surgical Drainage

under General Anaesthesia at Nepean Hospital NBMT-PROC102415 Management of Surgical Sessions - Leave NBMT-PROC102421 Transbronchial Cryobiopsy (TBC) at Nepean Hospital NBMT-PROC102422 Safety Huddles for Inpatient FacilitiesNBMT-PROC102423 Work Health and Safety - Managing Electrical RisksNBMT-PROC102424 Restriction of Children Under the Age of 16 Years to Designated Areas where

Chemotherapy (Cytotoxic) and / or Hazardous Drugs are Dispensed and / or Administered across NBMLHD Cancer Services

NBMT-PROC102425 Transportation of Reusable Medical Devices from Operating Theatres Prior to and Following a Surgical Procedure and Ward Areas

NBMT-PROC102426 Release of Reusable Medical Devices (RMD) after Reprocessing NBMT-PROC102427 Traceability of Reprocessed Semi Critical and Critical Reusable Medical Devices NBMT-PROC102428 Mental Health: Transfer of Care NBMT-PROC102437 QARS: User Applied Labelling of Injectable Medicines, Fluids & LinesNBMT-PROC102438 QARS: Nursing Visual Observations - Drug & Alcohol InpatientNBMT-PROC102445 Cleaning of Reusable Medical Devices Prior to Disinfection and/or Sterilisation NBMT-PROC102446 Handling of Specialised Reusable Medical Devices (RMD) NBMT-PROC102452 Triaging Patients and Managing Radiation Therapy Treatment Appointments and

Waiting List NBMT-PROC102454 Primary Care and Community Health - Toy Selection, Cleaning and Maintenance NBMT-PROC102458 Clinical Handover in Primary Care and Community Health NBMT-PROC102459 Enteral Feeding for Intensive CareNBMT-PROC102460 Falls Injury Prevention and Management of Adults in Primary Care and Community

HealthNBMT-PROC102461 White Level Inspections - Primary Care & Community Health NBMT-PROC102462 Measuring and Interpreting Vascular Access Flow and Recirculation in the Western

Renal Service NBMT-PROC102463 Management of Postpartum HypertensionNBMT-PROC102464 Antenatal Management of Fetal Spina Bifida - NepeanNBMT-PROC102465 Aspirin for the Prevention of Pre-Eclampsia NBMT-PROC102466 Patient Controlled Analgesia (IV) Fentanyl for LabourNBMT-PROC102467 QARS Venous Thromboembolism (VTE) AuditNBMT-PROC102474 Waiting for What; Management and Escalation Process NBMT-PROC102475 QARS: Inpatient Nutrition Care Audit

DOCUMENT ID DOCUMENT TITLENBMT-PROC102477 QARS: After Hours Medical Handover Audit (Nepean & Blue Mountains Hospitals)

NBMT-PROC102479 QARS: Primary Care & Community Health Clinical Documentation Audit NBMT-PROC102480 Approval Process for Publications and Conference Submissions by Nursing and

Midwifery Staff NBMT-PROC102481 Management of Failure to Progress in Labour for Women with Spontaneously

Established LabourNBMT-PROC102483 QARS NSW Vaccine Management and Storage Audit 2020NBMT-PROC102484 Management of Cerebral Spinal Fluid Drainage via External Ventricular Drain or

Lumbar Drain Outside ICU at Nepean Hospital NBMT-PROC102485 Asthma Management - Stretching Inhaled Salbutamol by a Paediatric Registered

Nurse on the Children’s WardNBMT-PROC102486 Haemoglobin Monitoring and Dose Adjustment of Erythropoiesis-Stimulating Agents

(ESAs) in Chronic Dialysis PatientsNBMT-PROC102487 Clinician Performed Ultrasound (CPU) in Neonatal Intensive Care Unit (NICU)

Nepean HospitalNBMT-PROC102489 Mental Health Bed Management and Patient FlowNBMT-PROC102490 Inpatient Withdrawal Management Unit: Team Leader ResponsibilitiesNBMT-PROC102491 Telehealth Video Consultations between the Heart Failure CNC and Community CNS

for Heart Failure PatientsNBMT-PROC102492 Management of S8/S4D Drug Keys and Drug Cupboards within Nepean Hospital

Operating TheatresNBMT-PROC102493 Telehealth Video Consultations between the Chronic Obstructive Pulmonary Disease

(COPD) Leading Better Value Care (LBVC) Clinical Team and a Physiotherapist or Nurse for COPD Patients

NBMT-PROC102494 Intravenous Cannulation and Venepuncture in Paediatric Patients Performed by a Registered Nurse

NBMT-PROC102501 Admission Process of Patients with Cutaneous Abscess for Surgical Drainage under General Anaesthesia at Nepean Hospital under the Care of the Acute Surgical Unit

NBMT-PROC102503 Chlamydia Outreach Screening Operations Manual - HIV and Related Programs (HARP) Team & Nepean and Blue Mountains Sexual Health Clinics

NBMT-PROC102505 Fleet Vehicle Management and Usage in Community Based Motor Vehicle PoolsNBMT-PROC102509 Nepean Hospital Massive Transfusion Protocol (MTP)NBMT-PROC102510 Electronic Patient Journey Board - A Multidisciplinary Team Meeting BMDAMH and

Springwood Hospitals NBMT-PROC102511 Cancellation on Day of Surgery - Operating Suite to BookingsNBMT-PROC102512 Use and Storage of Air Assisted Transfer Device Non Disposable (Hovermats) in the

Blue Mountains and Springwood HospitalsNBMT-PROC102514 Post Assault Analysis NBMT-PROC102515 Vaccine Storage and Cold Chain ManagementNBMT-PROC102516 Registered Nurse as Surgical Assistant at BMDAMHNBMT-PROC102517 Use of Oxygen BMDAMHNBMT-PROC102518 Minimum Requirements for the Deployment of Clinical Staff away from their Usual

Place of Employment

DOCUMENT ID DOCUMENT TITLENBMT-PROC102520 Detecting and Addressing Variations in Growth and Wellbeing for Children 12

Months to 5 Years NBMT-PROC102521 Primary Care and Community Health: Nurse Immunisation Clinics NBMT-PROC102523 QARS Physical Health for Mental Health Consumers Audit - INPATIENT SETTINGSNBMT-PROC102524 QARS Physical Health for Mental Health Consumers Audit - COMMUNITY SETTINGS

NBMT-PROC102525 Deferral of SurgeryNBMT-PROC102526 Car Park Use and Management for the Lemongrove Campus NBMT-PROC102527 Team Leader (In Charge) OTP Clinics (Gateway,Woodlands & Lithgow)NBMT-PROC102528 Manual Cleaning of a 180 Series Olympus Duodenoscope NBMT-PROC102529 Bookings for all Nuclear Medicine and Positron Emission Tomography (PET) Scans

NBMT-PROC102530 Telehealth Video Consultations between the Chest Clinic Nurse and PatientsNBMT-PROC102533 Use and Approval of Overtime within NBMLHD Mental Health ServicesNBMT-PROC102536 Low Flow Oxygen / Air (or combination) Administration (Neonatal)NBMT-PROC102537 Paediatric Height and Weight Measuring Equipment and ProceduresNBMT-PROC102539 Nepean Hospital: IV Hydralazine - Administration for Acute Management of Severe

Hypertension on the Postnatal Ward NBMT-PROC102540 Nepean Hospital: Technical Assistant procedure for transporting patients to/from

the Medical Imaging DepartmentNBMT-PROC102541 Payment of Entitlements Relating to a Deceased EmployeeNBMT-PROC102546 Primary Care and Community Health - No Response to a Scheduled Home VisitNBMT-PROC102547 QARS: Radiation Therapy: Correct Patient, Correct Procedure and Correct SiteNBMT-PROC102549 Oral Health - Management of Patients Presenting with Herpes Simplex InfectionNBMT-PROC102552 Performing an Amniotomy for Women in Labour or for the Purpose of

Augmentation or Induction of LabourNBMT-PROC102553 Perinatal Loss - Management NBMT-PROC102554 Intrapartum Assessment of Fetal Head Positon with Bedside Ultrasound NBMT-PROC102555 Transfer of Labouring Woman >37 Weeks between S4EA and Birth Unit NBMT-PROC102556 Multi-factorial Strategies for Falls Risks in Hospital NBMT-PROC102557 Performing Neonatal X-rays within NBMLHD NBMT-PROC102558 Acute Tocolysis for Fetal Entrapment, Retained Placenta and Uterine Inversion,

using Glyceryltrinitrate (GTN) in Operating TheatreNBMT-PROC102559 3rd Stage of Labour and Management of Retained Placenta NBMT-PROC102560 Admission to the Inpatient Withdrawal Management Unit at Nepean HospitalNBMT-PROC102561 Intravesical Instillation with Bacillus Calmette-Guerin (BCG) Nepean Hospital

Surgical Outpatient Department NBMT-PROC102562 Paediatric Acute Review Clinic (PARC)NBMT-PROC102563 NSW Dried Blood Spot (DBS) Study when screening patients for HIV & Hepatitis C

infections at the Drug and Alcohol Service NBMT-PROC102564 Entry into Pharmacy After Hours and in an EmergencyNBMT-PROC102565 Neonatal Lumbar PunctureNBMT-PROC102566 Transfer of Patients and Medical Records under Collaborative Care Model with

Nepean Private Hospital NBMT-PROC102567 Fever in Infant under 3 MonthsNBMT-PROC102568 QARS: Inpatient Pressure Injury Prevention Audit

DOCUMENT ID DOCUMENT TITLENBMT-PROC102569 Transfer of Patients from Lithgow Hospital NBMT-PROC102571 Management of Instruments, Accountable Items and Other Items Used Surgery or

ProceduresNBMT-PROC102574 Medical Imaging - Nepean Hospital - Imaging Nasogastric Tubes NBMT-PROC102575 Vaginal Examination in Labour NBMT-PROC102586 Paediatric Use of Ondansetron NBMT-PROC102589 Somerset Cottage Early Childhood Education and Care ExcursionNBMT-PROC102601 Somerset Cottage Early Childhood Education and Care Emergency and Evacuation

NBMT-PROC102603 Episiotomy and Infiltration of the PerineumNBMT-PROC102604 Professional Licence RequirementsNBMT-PROC102605 Professional Registration RequirementsNBMT-PROC102607 Nicotine Replacement for Inpatient Withdrawal Management Unit PatientsNBMT-PROC102608 Inpatient Fractured Neck of Femur - Nepean Hospital Dietitian Referral &

Nutrition Assessment PathwayNBMT-PROC102610 Mental Health: Referral to the STAR Clinic for Perinatal Mental Health NBMT-PROC102611 Daily Bed Management allocation of beds for patients ready for discharge from the

Intensive Care Unit to optimise ICU capacity and timely access to Intensive Care

NBMT-PROC102615 Pharmacy Imprest Management and Medication Rooms in Mental Health Facilities

NBMT-PROC102616 Somerset Cottage Early Childhood Education and Care Staffing Arrangements and Supervision

NBMT-PROC102617 Birth Unit Triage (Nepean) NBMT-PROC102618 Paediatric Meningitis Management (confirmed or suspected disease) NBMT-PROC102619 Sweeping the Membranes NBMT-PROC102620 Use of the Pharmacy LamsonNBMT-PROC102622 Radial Access Compression Device use Post Coronary Angiogram and Percutaneous

Coronary Intervention NBMT-PROC102623 Supportive and Palliative Care (S&PC) Volunteers in Inpatient Settings in NBMLHD

NBMT-PROC102627 Evacuation in the Event of a Fire within NBMLHD FacilitiesNBMT-PROC102629 Building Handover NBMT-PROC102631 Incremental Peritoneal Dialysis for Western Renal Service (WRS)NBMT-PROC102632 Admission, Transfer and Escalation for Paediatric Patients at Lithgow Hospital NBMT-PROC102633 Venous Thromboembolism (VTE) Prophylaxis in the Postnatal Patient NBMT-PROC102639 Pilot for Pre-mixed solution Heparin 25;000 units in 50mL Normal SalineNBMT-PROC102640 Provision of Clear Fluid to Paediatric Patients on the Children's Ward awaiting

Elective Surgery at Nepean HospitalNBMT-PROC102641 Patient Controlled Analgesia and Nurse Controlled Analgesia in Paediatric Patients

at Nepean HospitalNBMT-PROC102642 Obstetric Admission Criteria (Lithgow Hospital Only) NBMT-PROC102644 Nepean Anxiety Disorders Clinic: Did Not Attend (DNA): Management of Consumer

Non Attendance at AppointmentsNBMT-PROC102645 Nepean Hospital Surgical Outpatient Urology Clinic (Surgery E)NBMT-PROC102651 Medicinal Cannabis Handling across NBMLHD

DOCUMENT ID DOCUMENT TITLENBMT-PROC102652 Management of the Workforce People and Culture Intranet SiteNBMT-PROC102653 Management of the Human Resources A-Z Enquiries DatabaseNBMT-PROC102655 Neonatal Hepatitis Prevention and Vaccination ProgramNBMT-PROC102656 Targeted Domestic Violence Screening of Women over 16 who Present to Nepean

Hospital Emergency Department with Specific IndicatorsNBMT-PROC102657 Mental Health: Transport and Escort NBMT-PROC102658 Responding to the Needs of People with Disability in NBMLHD Hospitals NBMT-PROC102660 Removal of Chest Port - Nepean Medical Imaging DepartmentNBMT-PROC102661 Hydrotherapy Pool NBMT-PROC102665 Fever and Petechial RashNBMT-PROC102666 Admission to Intensive Care Unit, Nepean HospitalNBMT-PROC102667 Teaching Carers how to Manage Subcutaneous Medications Using the

Caring@Home Resources in Home-Based Palliative Care SettingsNBMT-PROC102671 Opioid Treatment Program: Temporary and Permanent Transfers NBMT-PROC102672 Transport of a Patient who is Clinically Deteriorating from the Drug and Alcohol

Inpatient Withdrawal Management Unit NBMT-PROC102673 BMDAMH Nutrition Outpatient Services NBMT-PROC102675 Clients Applying for NDISNBMT-PROC102676 Drug and Alcohol Service: Transfer of CareNBMT-PROC102677 Use of Electronic Scales to Measure the Balance of Methadone at OTP ClinicsNBMT-PROC102680 Nepean Hospital Nursing Hours Per Patient Day (NHPPD)NBMT-PROC102682 Nepean Hospital Permanent Nurse Pool (PNP)NBMT-PROC102683 Deteriorating Patient: Neonatal Emergency Blue Light Calls within Nepean Hospital

NBMT-PROC102684 Neonatal Intensive Care Unit (NICU) and Special Care Nursery (SCN) Patient Flow and Electronic Patient Journey Board

NBMT-PROC102685 Nepean Postnatal Clinic Referrals NBMT-PROC102686 Group Facilitation across the Drug and Alcohol Service NBMT-PROC102688 NSW Health Pathology ProceduresNBMT-PROC102689 COVID-19 Screening Clinics SwabbingNBMT-PROC102690 Management of Schedule 8 Medication Errors and Other Serious Medication Errors

by Nursing and Midwifery Staff NBMT-PROC102691 Accessing Brokerage Funding for Patients of the Drug and Alcohol Service NBMT-PROC102692 Limiting Cash Payments to Contain the Spread of COVID-19 - Handling of Money

within Nepean Blue Mountains Local Health District (NBMLHD) NBMT-PROC102693 Hospital In The Home (HITH) and Outreach Physiotherapy Service: Nepean Hospital

NBMT-PROC102694 Mobile CXR Imaging for Suspected or Confirmed COVID-19 Patients in NBMLHD NBMT-PROC102695 COVID-19 Personal Protective Equipment: Donning and Doffing PPE within Nepean

Hospital Intensive Care UnitNBMT-PROC102696 QARS: National Standard Medication Chart (NSMC) AuditNBMT-PROC102697 QARS: Pharmacists Only "In-Patient" Ward Medication Storage Audit NBMT-PROC102698 Mental Health: COVID-19 Related Provision of Personal Protective Equipment (PPE)

to External Services Entering Mental Health Inpatient Units within NBMLHD

DOCUMENT ID DOCUMENT TITLENBMT-PROC102699 Personal Protective Equipment (PPE): Sequence for Donning and Doffing of PPE for

Suspected or Confirmed COVID-19 PatientsNBMT-PROC102700 COVID-19 - Booking Emergency Accommodation for Staff and Patients NBMT-PROC102703 Communication Process in Theatres Between Obstetric and NICU Teams - Nepean

NBMT-PROC102705 Communication Media from External Sources in Mental Health Facilities NBMT-PROC102706 Referring Children and Adolescents to the Child and Youth Mental Health Service

(CYMHS) for Eating Disorders TreatmentNBMT-PROC102708 Deployment of the Mental Health Disaster Primary Response TeamNBMT-PROC102709 Administration of NSW Health Grant Funding for Non-Government Organisations

NBMT-PROC102711 QARS: Maternity Continuum Documentation ToolNBMT-PROC102712 Temperature Monitoring and Alerts - Fridges/Freezers in NICU & SCN, Nepean

Hospital NBMT-PROC102713 Suctioning and Performing Nasopharyngeal Aspiration or Nasopharyngeal Swabs for

Infants and ChildrenNBMT-PROC102714 Care and Maintenance of a Peripherally Inserted Central Catheter (PICC) includes:

accessing or de-accessing; line change; weekly dressing; taking bloods / blood cultures

NBMT-PROC102715 Application of Fetal Scalp Electrode (FSE) in Birth Unit NBMT-PROC102716 Use of the Fibroscan Machine within the Drug and Alcohol Service NBMT-PROC102717 COVID-19 Temporary Change to Ministry of Health Policy: Home Dosing for Opioid

Treatment Program / Opioid Assisted Treatment NBMT-PROC102718 Blue Mountains Maternity COVID-19 Admission and CareNBMT-PROC102720 Management of Intoxicated Presentations in Community Based ProgramsNBMT-PROC102721 Mental Health: Physical Health Care for Child and Youth Mental Health Service

(CYMHS) Consumers NBMT-PROC102722 Off-Unit Groups and Activities Involving NBMLHD Inpatient Mental Health

Consumers and StaffNBMT-PROC102724 Midline: Care and Maintenance: Accessing OR De-accessing; Line Change; Weekly

Dressing; Taking Bloods / Blood Cultures NBMT-PROC102726 Roster Office Procedure during COVID-19 NBMT-PROC102727 Management and Care of Woman with Decreased Fetal Movements - Blue

Mountains Maternity Unit NBMT-PROC102728 Haemodialysis Utilising Central Venous Access Device (CVAD) with Luer Access

Device – Commencement, Completion and Dressing ChangeNBMT-PROC102729 Neonatal Pain ManagementNBMT-PROC102730 Blue Mountains Hospital: Escalation for Women’s and Children’s Health PatientsNBMT-PROC102731 TAM Staff- Fatigue Risk Management NBMT-PROC102732 QARS: VMO's Use of Interpreters for Consent in the RFA NBMT-PROC102733 QARS Nursing Directorate S8 & S4D Drug Register AuditNBMT-PROC102734 Patient Flow and Bed Allocation during COVID-19 NBMT-PROC102736 iDose for OTP Clinics - Gateway and Woodlands NBMT-PROC102737 Management of Contract End Dates within StaffLinkNBMT-PROC102738 Nepean Dietitian General Adult Outpatient ServiceNBMT-PROC102739 Postnatal Care in Maternal Acute Respiratory Infection Unit (MARIU)

DOCUMENT ID DOCUMENT TITLENBMT-PROC102740 COVID-19: Telepsychiatry consultation between a Mental Health (MH) Clinician

located at Nepean Hospital Mental Health Centre or Blue Mountains Hospital and patients in the Emergency Department (ED) at Nepean Hospital

NBMT-PROC102741 COVID-19: Tracheostomy and Laryngectomy Management in the Nepean Emergency Department

NBMT-PROC102742 Oral Health: QARS Infection Control AuditNBMT-PROC102743 Management of Undifferentiated and Confirmed COVID-19 Patients for Paediatrics

NBMT-PROC102744 Business Continuity Plan Drug and Alcohol Service; Gateway Clinic - Nepean Hospital

NBMT-PROC102745 Business Continuity Plan - Drug and Alcohol Service; Blue Mountains OTP Clinics - Woodlands and Lithgow

NBMT-PROC102746 Business Continuity Plan: Drug and Alcohol Service; Centre for Addiction Medicine

NBMT-PROC102747 Managing Asset Refurbishment and Replacement Program (ARRP) Projects NBMT-PROC102749 NBMLHD COVID-19 Drive through Screening ClinicsNBMT-PROC102750 Patient Flow for Patients requiring NIV/CPAP/HFNP in COVID (Green) NBMT-PROC102751 Removing Deceased COVID-19 Patients from the Emergency DepartmentNBMT-PROC102754 Disposal of NBMLHD Real Estate (Property)NBMT-PROC102755 Inter-Hospital Transfers (IHT) from Nepean Hospital to Hawkesbury District Health

Service (HDHS) NBMT-PROC102756 ICT - Security Incident ResponseNBMT-PROC102757 Post Fall Huddle after a Fall or Near-Miss Fall NBMT-PROC102773 Community Mental Health Case Review NBMT-PROC102778 Post-operative Nursing Care and Observations for the First 24hrs NBMT-PROC102779 Peritoneal Dialysis Exit Site Management (a) New insertion (b) 6 weeks post

insertion (c) Exit site infection NBMT-PROC102780 Cancer Services COVID-19 Low Risk Febrile Neutropenic Clinic - ED (Nepean Hospital

Only) Avoidance Strategy NBMT-PROC102781 Management of Aerosol Generating Procedures (HHFNP/BiPAP/CPAP) for patients

with Suspected and Confirmed COVID-19 at Nepean HospitalNBMT-PROC102782 Spontaneous Rupture of Membranes (SROM) at TermNBMT-PROC102783 "Treatment commenced" How to commence care for patients who present to

NBMLHD Emergency DepartmentsNBMT-PROC102784 QARS: Audit of Outpatient ServicesNBMT-PROC102785 Maternity Acute Respiratory Infection Unit (MARIU) NBMT-PROC102787 Arterial Blood Gas Sampling (Direct Arterial Puncture): Procedure, Learning Package,

and Competency AssessmentNBMT-PROC102788 Investigation of Possible Health Care Worker Acquisition of COVID-19 in a Health

Care SettingNBMT-PROC102789 Febrile Neutropenic Patients 'Low Risk'Pathway (Nepean Hospital Only) - Early

Discharge with Daily Support NBMT-PROC102790 Maternity - Postnatal Ward Covid19 Isolation Rooms NBMT-PROC102797 Admission to Mother and Baby Unit (MABU) NBMT-PROC102798 Admission for Neonatal Intensive Care Unit (NICU) and Special Care Nursery (SCN)

DOCUMENT ID DOCUMENT TITLENBMT-PROC102800 Postoperative Peritoneal Dialysis (PD) Catheter FlushingNBMT-PROC102801 Management of COVID-19 Patient Paper Records and Forms in Clinical AreasNBMT-PROC102802 Admission of Women to Day Surgery for Dilatation and Curettage (D&C) following

Miscarriage at Nepean HospitalNBMT-PROC102803 Cleaning the CleanSpace Respirators (PAPR) Motor Unit, Mask and Head StrapNBMT-PROC102806 Performance Review Interviews for Visiting Medical OfficersNBMT-PROC102807 ORTHN: Overdose Response With Take Home Naloxone Procedure For South Court

Primary Care NSP (Needle and Syringe Program). Procedure For NSP Setting And Outreach Services Targeting At-Risk Populations

NBMT-PROC102808 QARS: Aboriginal Health Cultural Engagement AuditNBMT-PROC102809 Internet and Intranet Publishing NBMT-PROC102811 QARS: Adult Inpatient Falls Prevention and Management AuditNBMT-PROC102812 Recording of Nurse Allocations in Mental Health UnitsNBMT-PROC102814 Blue Mountains Maternity: Suitability for Pregnancy Care and Birthing for Blue

Mountains District ANZAC Memorial Hospital Maternity ServiceNBMT-PROC102815 Management of Patients requiring Aerosol Generating Procedures including Non-

Invasive Ventilation, Humidified High Flow Nasal Cannula and Nebulisers at Blue Mountains and Lithgow Hospitals during COVID-19 Pandemic

NBMT-PROC102819 Surgical Outpatient Referral Management NBMT-PROC102820 Tenancy ManagementNBMT-PROC102825 Accessing Cardiac Rhythm Information from a Patient's Implanted Medtronic Device

-Nepean Hospital Emergency DepartmentNBMT-PROC102829 Surgical Outpatients Procedure for all Clinics during the COVID-19 Pandemic NBMT-PROC102832 Blue Mountains Maternity: Antenatal Clinic ScheduleNBMT-PROC102838 Resuscitation Trolleys Nepean HospitalNBMT-PROC102852 South Court Primary Care Needle and Syringe program (NSP); Recognition, Response

and Management of Clients who are Deteriorating NBMT-PROC102853 Drug and Alcohol Service - Community Based Programs: CERS (Clinical Emergency

Response System) Recognition and Management of Patients who are Deteriorating

NBMT-PROC102856 Nepean Hospital Physiotherapy: CALM and Musculoskeletal (MS) Gym Outpatient Classes in Context of COVID-19 Infection Prevention and Control

NBMT-PROC102857 Safe Introduction of New Health Interventions into Clinical PracticeNBMT-PROC102858 Nepean Hospital - Medical Recommendation for Admission Process NBMT-PROC102859 Cleaning of Reusable Medical Devices Prior to Thermal Disinfection and/or

Sterilisation within Nepean Centre for Oral Health NBMT-PROC102860 Chemical Handling and Purchase of Chemical Agents within Nepean Centre for Oral

Health Sterilisation Department NBMT-PROC102864 Aboriginal Health Impact StatementNBMT-PROC102865 Prevention, Assessment Management of Delirium (Acute Confusion) in Adult

Patients NBMT-PROC102867 COVID-19 Leave Cancellation and Leave Cancellation Request FormNBMT-PROC102868 Nepean Hospital: Physiotherapy Strength and Balance Class Procedure for Gym

Classes in Context of COVID-19 Infection Prevention and Control NBMT-PROC102869 Nepean Hospital Nursing & Midwifery - AIDET® Five Fundamentals of

Communication

DOCUMENT ID DOCUMENT TITLENBMT-PROC102870 QARS: NSW Safe Work Practice for Health Workers Using Shared Areas - Tea Rooms

and Break Out AreasNBMT-PROC102871 Nepean Hospital Committed to Excellence: Implementation of The Patient Bundle

NBMT-PROC102873 Infant Feeding: Inducing Lactation, Adoptive Breastfeeding and Relactation - Nepean Hospital

NBMT-PROC102874 Referral to the Nepean Blue Mountains Local Health District Mental Health Aged Care Partnership Initiative (MHACPI) Specialist Transition Unit

NBMT-PROC102876 Retrospective HealthRoster Adjustments and Priority Payments NBMT-PROC102877 Nepean Hospital: Falls Prevention Class procedure for Gym Classes in context of

COVID-19 Infection Prevention and Control NBMT-PROC102878 COVID-19 Support to Evacuation CentresNBMT-PROC102879 Management and Donning and Doffing of the CleanSpace Halo PAPRNBMT-PROC102880 Surgical Outpatients Ear, Nose & Throat (ENT) Clinic Referral ProcessNBMT-PROC102882 Nepean Hydrotherapy (70 Derby Street Kingswood) - Aquatic Based Classes in

Context of COVID-19 Infection Prevention and Control NBMT-PROC102883 Escalation of Non-Acceptance of Inter-Hospital Transfers by Patient Flow

Coordination Hub - Documentation NBMT-PROC102884 Ambulance Diversion - Patient Flow Coordination HubNBMT-PROC102885 Graseby Neonatal Respiration MonitorNBMT-PROC102886 Escalation Process for Non-Compliance of Employment Health Assessments by

Senior Medical and Dental OfficersNBMT-PROC102887 Emergency Department: Concerns of Possible Physical Abuse and/or Neglect of

Children NBMT-PROC102889 Fascia Iliac Compartment Block (FIB)NBMT-PROC102897 Multidisciplinary Orthopaedic Clinic (MDOC) Gym Exercise Class - COVID-19

Infection Prevention and Control NBMT-PROC102898 Nitrous Oxide Use in the Nepean Emergency Department: Low Community

Transmission of COVID19 and Procedural SedationNBMT-PROC102899 Criteria Lead Discharge for Paediatric Patients NBMT-PROC102904 Patient Flow Portal Process Update for Nepean Hospital NBMT-PROC102905 Falls Prevention for Adults in NBMLHD Emergency DepartmentsNBMT-PROC102906 Maternity - Decreased Fetal Movement Stickers - for the Identification of Antenatal

Assessment for Decreased Fetal Movements (NBMLHD)NBMT-PROC102907 Primary Care and Community Health COVID-19 Pre-appointment Screening and Risk

management for Registered Clients NBMT-PROC102908 Staff Establishment Management within StaffLinkNBMT-PROC102909 Falls Prevention for Adult, Non-admitted Patients NBMT-PROC102910 HydromorphoneNBMT-PROC102917 Speech Pathology Clinics in Surgical Outpatients NBMT-PROC102918 Reprocessing of Reusable Laryngoscope Devices (including video laryngoscope)NBMT-PROC102920 NBMLHD Application and Use of PCards NBMT-PROC102921 'BAT' Phone information and Response at Nepean Hospital NBMT-PROC102922 Process and Criteria for Organising Pathology Call Backs After Hours at Blue

Mountains District ANZAC Memorial Hospital NBMT-PROC102924 COVID-19 Facility Screening - Visitors and Staff

DOCUMENT ID DOCUMENT TITLENBMT-PROC102929 Primary Care and Community Health COVID-19 - In-home swabbingNBMT-PROC102940 Use Of CADD Pumps to Deliver Chemotherapy for Specific Cancer ProtocolsNBMT-PROC102943 ICT Vulnerability Management NBMT-PROC102946 Mental Health: Telehealth use within the Child and Youth Mental Health Service

(CYMHS)NBMT-PROC102947 Imaging of ARIA Patients within the Nepean Hospital Emergency Department NBMT-PROC102948 Oral Health - Management of Patients Undergoing Chemotherapy TreatmentNBMT-PROC102949 Code Black Security Incidents in Community Health Centres NBMT-PROC102950 Apprehended Personal Violence Orders (APVO's) NBMT-PROC102951 Incident Management: Harm Scores 1-4NBMT-PROC102952 Use of the NBMLHD "Safe Start Operations Spreadsheet"NBMT-PROC102953 Somerset Cottage Early Childhood Education and Care Complaints Procedure for

Clients NBMT-PROC102954 Supply of 50mg vial of Tenecteplase to Ambulance Service NSWNBMT-PROC102955 Keeping Babies SafeNBMT-PROC102956 Management of Heparin Induced Thrombocytopenia (HIT)NBMT-PROC102957 Continuous Bladder Irrigation: Insertion of Three-way Catheter and Management of

Haematuria and Clot Retention via Manual Bladder IrrigationNBMT-PROC102960 Conducting urgent diagnostic imaging on patients still in care of NSW Ambulance

NBMT-PROC102961 Management of Iron Deficiency and Iron Deficiency Anaemia in Pregnancy NBMT-PROC102962 Management of Oral Health Patients taking Oral AnticoagulantsNBMT-PROC102963 Bowie and Dick Test - GKE, Nepean SSD and Nepean Centre for Oral HealthNBMT-PROC102965 ICT Third Party Supplier Security RequirementsNBMT-PROC102968 Cannula: Insertion, Management and Removal of Adult Peripheral Intravenous

Cannula (PIVC)NBMT-PROC102969 Methoxyflurane (Penthrox) Inhaler for Procedural Pain Management in the Nepean

Hospital Emergency DepartmentNBMT-PROC102970 Traceability of Critical and Semi Critical Reprocessed Reusable Medical Devices at

Nepean Centre for Oral Health NBMT-PROC102971 Hypoglycaemia Treatment (Adults) in Patients with Diabetes Mellitus NBMT-PROC102972 Initial Management and Transfer of Used Reusable Medical Devices from Clinical

Areas to the Sterilisation Unit for Processing NBMT-PROC102973 Training and Competency Assessment for Dental Assistants working in the

sterilisation room at Nepean Centre for Oral HealthNBMT-PROC102974 Monitoring and Control of Cleaning Processes within Nepean Centre for Oral Health

Sterilisation UnitNBMT-PROC102975 Administration of Conscious Sedation in Procedural Suites NBMT-PROC102976 Pleural Drain Insertion following Biopsy for either Incidental Finding or Procedural

Complication - Nepean Medical Imaging DepartmentNBMT-PROC102977 Student Education - Allied Health NBMT-PROC102978 Requests for PICC Line Insertion at Nepean HospitalNBMT-PROC102979 Paediatric Fall and Entrapment Prevention Management NBMT-PROC102980 Drug and Alcohol Service: Take Home Naloxone InterventionNBMT-PROC102981 NBMLHD COVID-19 Vaccination Clinic NBMT-PROC102982 NBMLHD Nurse Practitioners

DOCUMENT ID DOCUMENT TITLENBMT-PROC102984 Drug and Alcohol Service - Opioid Treatment Program (OTP) Sites: Gateway,

Woodlands and Lithgow: CERS (Clinical Emergency Response System) Recognition and Management of Patients who are Deteriorating

NBMT-PROC102985 Stressed Ankle Imaging to Evaluate Weber B Fractures NBMT-PROC102986 Nepean Emergency Department Personal Duress AlarmsNBMT-PROC102989 Management of Oral Health Patients Prescribed Opioid AnalgesicsNBMT-PROC102990 Transitional Acute Patient Area (TAPA)NBMT-PROC102991 Processing 'Dead on Arrival' PatientsNBMT-PROC102992 Nepean Hospital: Unfractionated Heparin Intravenous Infusions: Standard-Bleeding

Risk Protocol and Higher-Bleeding Risk Protocol. For the management of arterial or venous thrombosis, the Management of Acute Coronary Syndrome and Anti-coagulation Post Thrombolytic Therapy

NBMT-PROC102993 Searching Consumers and their Property throughout their Admission to an Inpatient Mental Health Unit

NBMT-PROC102994 Patient Assessment and Clinical Decision Making Framework NBMT-PROC102995 Midwifery @ Home/Caseload Group Practice- Postnatal Care in the Home During

the COVID-19 Pandemic (AMBER and RED alert)NBMT-PROC102996 HealthRoster Roster Approval for Publication ProcessNBMT-PROC103000 Maternity: Aromatherapy, using Essential Oils for Pregnant Women in the Birthing

Environment NBMT-PROC103001 Medical Imaging - Nepean and Blue Mountains Hospital Paediatric Skeletal Survey

Imaging for Non Accidental Injury NBMT-PROC103002 Mental Health: Electroconvulsive Therapy (ECT) NBMT-PROC103003 Patient Pathway - Suspected Malignant Spinal Cord Compression NBMT-PROC103004 Trophon High Level Disinfection SystemNBMT-PROC103005 Neonatal bCPAP via the Fisher and Paykel 950 Neonatal Dual Heated Bubble CPAP

CircuitNBMT-PROC103006 Medically Led OTP MDT Clinical Review for 'high risk' Patients at NBMLHD Opioid

Treatment Program ClinicsNBMT-PROC103009 PACU/Recovery Team LeaderNBMT-PROC103012 Portacath 'Port' - Care and Maintenance; including: accessing a 'Port', de-accessing a

'Port', weekly needle and dressing change; taking bloods / blood cultures

NBMT-PROC103013 Blue Mountains District ANZAC Memorial Hospital Direct Access Colonoscopy Service and Process of Referral

NBMT-PROC103014 Rituximab Handling outside the Nepean Cancer Care ServiceNBMT-PROC103015 Accessing Schedule 4D/S8 Disaster DrugsNBMT-PROC103016 Aspirin DesensitisationNBMT-PROC103017 Management of Intercostal Catheters (ICC) in the Inpatient Setting other than

Intensive Care Unit NBMT-PROC103018 Scanning of ECGs to On-Call CardiologistsNBMT-PROC103020 Rapid Sedation: The use of Medications to Support Adult Mental Health Inpatients

(18-65 Years) who present with Acutely Behavioural Disturbance NBMT-PROC103021 Administration of Olanzapine Relprevv Depot within Nepean Blue Mountains

Mental Health Service Facilities

DOCUMENT ID DOCUMENT TITLENBMT-PROC103022 Management and Use of Message Delivery System (MDS) within the Child & Youth

Mental Health Service (CYMHS)NBMT-PROC103023 Completing Performance ReviewsNBMT-PROC103025 Paediatrics: Vitamin D DeficiencyNBMT-PROC103026 Paediatrics: Unsettled or Crying BabiesNBMT-PROC103027 Blue Mountains Maternity: Emergency Pre-Term Birth EscalationNBMT-PROC103028 Antenatal Care during the Next Birth After Caesarean (NBAC)NBMT-PROC103029 Maternity: Discharge of the Well Postnatal Woman NBMT-PROC103030 Midline Catheter Insertion (intermediate length peripheral venous access)NBMT-PROC103032 Management of pregnant women with a history of metabolic and obesity (bariatric)

surgery NBMT-PROC103033 Release of Reusable Medical Device (RMD) after sterilisation at Nepean Centre for

Oral HealthNBMT-PROC103034 Use of Caries Status Disclosing Solution (CSDS) in paediatric patients within Oral

Health Services