Accreditation Bulletin: 16 July

Accreditation Bulletin: 16 July

Our rescheduled accreditation assessment (13-17 September) is nine weeks away.

COVID-safe restrictions meant we didn’t get the opportunity to showcase our health service in June, but thanks to your hard work and commitment and the great work you do every day, we will be just as prepared for our rescheduled assessment in September.

In the lead up to September, we will continue to support you with regular updates on maintaining best practice in your day-to-day work, and to ensure you feel confident and comfortable when you meet with the assessors.

Focus of the week:

Here are the things to focus on this week.

  • Log in to Latte and check your mandatory and targeted training is up to date, and if not, please complete it.
    • All employees must complete their mandatory ‘Privacy Training’ (more information below) and have had a performance appraisal discussion within the last 12 months.
    • Clinicians, there are a number of targeted training courses that require your attention, including: ‘Deteriorating Patient;, ‘Delerium: Suspect it, spot it, stop it’, ‘Patient ID Procedure Matching’, ‘Intro to high-risk Medicines’,  Medication safety and administration for Nurses and Midwives’ and ‘Blood Safe Clinical Transfusion’ training.
  • Create or update your accreditation brag list (information and examples below)

Key Messages

Take 15 minutes to complete your mandatory Privacy training on Latte

Protecting the privacy of others is a vital part of our roles from an ethical and legal perspective.

We have a mandatory privacy e-learning module which helps employees better understand their legal responsibilities about access, disclosure, and handling of personal information.

Even if you’ve done privacy training before, this is an important refresher that will take just 15 minutes to complete, so please make sure you log on to Latte and complete the course as a priority.

Now is the time for a Give me Five or performance appraisal discussion

As we enter the new financial year, it is a great time to stop and reflect on your achievements at work over the last six months and plan for the next six months ahead.

Give Me Five or Annual Performance discussions is Monash Health’s tool to help guide these conversations and allow you the opportunity to talk about your experiences, clarify expectations, set your goals and provide feedback to your manager.

What you need to do…

  • If you have not had a recent Give Me Five or performance appraisal, please book one in with your manager.
  • Book in a convenient time with your manager for your Give Me Five conversation (top tip: ensure it is clear of other meetings so you can have a relaxed conversation without looking at the clock).
  • Visit the Give Me Five page of the COVID-19 employee website for some useful resources, guides for these conversations
  • Download the Give Me Five template and complete it ahead of your conversation. Don’t worry if there are gaps; the conversation is what’s important, not the piece of paper!  Please note: support services and security employees should download the Give Me Five template for support services and security.
  • Once agreed with your manager, a record of a completed Give Me Five/Performance appraisal conversation can be added directly to HR 21/Employee Self Service by individual employees.
  • Book in a follow-up Give Me Five or performance appraisal within the next 12 months so that you are always up to date.

 Employees can check when they last had this conversation by logging into their HR 21/Employee Self Service > 1. My Details > “Performance Enhancement [APR]”.

Managers can find helpful resources for completing these conversations on the Give Me Five page of the COVID-19 employee website and check their team’s status via the ‘Mandatory training’ tab in the BI Portal.

Mobility charts and falls prevention

Communication boards have not replaced mobility charts. Please ensure all patients have a mobility chart placed by (and separate to) their bedside communication board as per the Falls prevention mobility chart implementation tool on PROMPT.

Mobility charts are an important falls prevention tool to provide you, your team members and other clinicians associated with your patient’s care with specific information on your patient’s mobility status (as per their risk rating).

In addition to identifying if the falls risk is appropriate, the mobility chart will also give a detailed picture of the patient’s ability to move around the bed, ambulation, any aides required, transfers, and determining supervision/assistance needs.

Communications boards are to complement verbal communication and facilitate information sharing between clinicians, patients and their families. They are not for clinical information.

Clinical cleaning schedules

Please ensure that you are in the habit of cleaning your ward devices regularly and that Workstations on Wheels (WOWs) are free of clutter.

A helpful factsheet for cleaning your electronic devices has been created to show how and when they are to be cleaned.

Templates for daily and weekly cleaning schedules for (WOWs) have also been created so that you can regularly record your WOW cleaning.

For more information, please refer to the Clinical Equipment Cleaning Procedure on PROMPT.

Accreditation brag lists

Remember, assessors are not trying to test or trick you. They genuinely want to know how you provide great patient care and your efforts to improve your work continually.

To ensure you feel comfortable talking with the assessors, create a brag list so that you can talk about all the great work you do! Your brag list should be specific to your team, but can also include your team’s involvement with projects that Monash Health has rolled out. Here are just some examples:

  • COVID-19
  • EMR
  • Vaccination project
  • Monash Health Experience surveys
  • Smart pumps
  • Resuscitation trolley standardisation
  • ED emotional experience workshop
  • Patient experience week
  • Pressure injury projects in community and ICU
  • Falls champion program
  • Patient Clinical Alerts improvements
  • Bedside communication boards
  • Children’s admission activity book
  • Telehealth
  • Staggered admission times
  • Welcome to ward videos
  • Online exercise program – Aged and community care

All managers are requested to share these updates with their teams and discuss them at meetings and handovers. Please print a copy and display it in communication books and on employee noticeboards.

If you have any questions or concerns, please contact us. For accreditation information and resources, please visit the Monash Health employee Accreditation website.



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