Document ID: chunk:federal_register_of_legislation:F2020L00351:schedule:1:p5
Version: federal_register_of_legislation:F2020L00351
Segment Type: schedule
Provision Reference: sch 1 (pt 5/7)
Character Range: 38518–41984

'time-out' technique for high risk procedures, including confirming the patient's allergy status; and

    d)      reporting, investigating, and responding to patient care mismatching events when they occur and implementing changes, where relevant, to reduce the risk of future incidents.

Required Evidence

A documented policy and procedure for matching patients to their intended diagnostic imaging procedure including the report for that procedure, through all stages of the service and when transferring responsibility of care. (Standard 1.1)

A sample of appropriately de-identified records documenting the use of three patient identifiers.

A documented policy and procedure which sets out the process for reporting, investigating and responding to patient care mismatching events when they occur.

Where relevant, documented quality improvement activities, which describe the actions taken in response to patient care mismatching events.

Standard 2.4   Medication Management Standard

The diagnostic imaging practice must ensure that medication risks are managed by:

    a)      correctly and safely storing, preparing and disposing of medications in accordance with manufacturer's guidelines and relevant Commonwealth, State or Territory requirements;

    b)      identifying patients at risk from adverse reactions;

    c)      administering medication safely, actively monitoring the effects of medication, and all relevant details recorded in the patient's records;

    d)      personnel capable of providing timely and appropriate care in the event of an adverse reaction to medication; and

    e)      reporting, investigating and responding to incidents arising from adverse reactions or medication mismanagement.

Required Evidence

A documented policy and procedure describing the procedures for:
    -          storing, preparing and disposing of medications;
    -          identifying at risk patients;
    -          administering medications safely;
    -          monitoring and recording the effects of medication; and
    -          reporting, investigating, and responding to adverse reactions or medication mismanagement incidents when they occur.

A documented management plan which identifies the procedures for managing adverse reactions at the time they occur;
    •          the type and location of resuscitation equipment and associated drugs at the practice; and
    •          the personnel certified in basic life support and qualified to use resuscitation equipment and drugs. (Standard 1.1)

Where a practice performs examinations using contrast, a documented protocol which ensures the appropriate use and administration of contrast.

A sample of de-identified records for relevant diagnostic imaging procedures documenting the information collected about the patient's medication use and/or history regarding previous reactions to medications.

Example of records demonstrating managing adverse reactions at the time they occur.

Where relevant, documented quality improvement activities, which describe the actions taken in response to incidents related to medication management.

NOTE:
A 'medication' in this context refers to anything administered to a patient:
    •          to create or enhance a diagnostic quality image; and/or
    •          where imaging is used as part of an interventional procedure.

Part 3—Procedure standards

Standard 3.1   Diagnostic Imaging Protocol Standard

The diagnostic imaging