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MP 0058/17 - Admission Policy

Effective: 1 July 2017 - 30 June 2020

All HSPs and contracted health entities have an obligation to count, classify and report activity in a correct, meaningful and consistent way.

Source: Department of Health - Policy Frameworks

MP 0003/16 - Procurement and Contract Management Policy

Effective: 5 July 2018

The Procurement and Contract Management Policy assists Health Service Providers to comply with the requirements of the State Supply Commission policies by outlining the minimum process, documentation and governance requirements for procurement, contract development and contract management undertaken by Health Service Providers.

Source: Department of Health - Policy Frameworks

OD 0598/15 - Management of Community Program for Opioid Pharmacotherapy (CPOP) patients in a hospital setting

Effective: 1 May 2015 - 1 May 2025

This Operational Directive outlines the protocol to be followed when a patient participating in the Community Program for Opioid Pharmacotherapy (CPOP) who is receiving opioid pharmacotherapy is admitted to hospital

Source: Department of Health - Policy Frameworks

OD 0529/14 - Storage and recording of propofol

Effective: 1 June 2014 - 1 June 2024

This Operational Directive outlines the storage and recording requirements for propofol

Source: Department of Health - Policy Frameworks

OD 0141/08 - Code of practice for the handling of Schedule 8 medicines (drugs of addiction) in hospitals and nursing posts

Effective: 9 July 2008 - 9 July 2013

To guide hospitals in the control and administration of drugs of addiction (Schedule 8 medicines) in compliance with the Poisons Regulations 1965.

Source: Department of Health - Policy Frameworks

MP 0039/16 - Cannabis-based Products for Medicinal Use

Effective: 1 November 2016 - 1 November 2018

The Cannabis-based Products for Medicinal Use Policy provides regulatory, research and governance guidance to health services and health practitioners in relation to medicinal cannabis.

Source: Department of Health - Policy Frameworks

OD 0142/08 - Administration of Schedule 8 medicines to patients attending for emergencies

Effective: 9 July 2008 - 9 July 2013

Policy on administration of Schedule 8 medicine in Emergency Departments.

Source: Department of Health - Policy Frameworks

OD 0492/14 - Management of Schedule 8 and Restricted Schedule 4 oral liquid medicines

Effective: 1 March 2014 - 1 March 2024

This operational directive outlines the requirements for the management, measurement and reporting of loss of Schedule 8 and Restricted Schedule 4 oral liquid medicines

Source: Department of Health - Policy Frameworks

OD 0528/14 - Storage and recording of Restricted Schedule 4 (S4R) medicines

Effective: 1 June 2014 - 1 June 2024

This Operational Directive outlines the requirements for the storage and recording of Restricted Schedule 4 (S4R) medicines.

Source: Department of Health - Policy Frameworks

MP 0103/19 - Reporting of Schedule 4 Restricted and Schedule 8 Medicines Discrepancies Policy

Effective: 22 February 2019

The purpose of this policy is to set out the obligations of staff and Health Service Providers to identify and investigate discrepancies of Schedule 8 (S8) and Schedule 4 Restricted (S4R) medicines.

Source: Department of Health - Policy Frameworks

OD 0651/16 - Clinical and Related Waste Management Policy

Effective: 1 January 2016 - 31 December 2021

The OD provides the minimum requirements for the management of clinical and related waste generated by WA Health facilities.

Source: Department of Health - Policy Frameworks

OD 0414/13 - Smoke Free WA Health System Policy

Effective: 18 January 2013 - 18 January 2018

This policy replaces Policy No. OD 0182/09 and aims to minimise the exposure of employees, health service consumers and visitors to environmental tobacco smoke, or second hand smoke, across all Western Australian Health System premises and worksites.

Source: Department of Health - Policy Frameworks

OD 0627/15 - Healthy Options WA: Food and Nutrition Policy for WA Health Services and Facilities

Effective: 23 September 2015 - 1 June 2020

The Healthy Options WA: Food and Nutrition Policy for WA Health Services and Facilities aims to improve and maintain the health of staff and the broader community by providing health care establishments that support and model good nutrition and healthy eating options

Source: Department of Health - Policy Frameworks

OD 0465/13 - Guidelines for the Prevention and Management of Gastroenteritis Outbreaks in Residential Care Facilities

Effective: 9 October 2013 - 9 October 2018

Gastroenteritis outbreaks are relatively common in institutional settings including residential care facilities (RCFs), hospitals, childcare centres and schools. Based on reports to the Communicable Disease Control Directorate (CDCD), residential aged care facilities are the most frequently identified institutional setting for outbreaks of gastroenteritis and norovirus is the commonest cause of these outbreaks.

Source: Department of Health - Policy Frameworks

OD 0645/16 - Guidelines for exclusion of people with enteric infections and their contacts from work, school and child care settings

Effective: 16 December 2015 - 16 December 2020

The purpose of this document is to advise health care workers of the recommended action to be undertaken for the exclusion of persons with notifiable and non-notifiable enteric infections and their contacts from work, school and child care settings.

Source: Department of Health - Policy Frameworks

OD 0342/11 - Tuberculosis and Health Care Workers

Effective: 6 July 2011 - 6 July 2016

This document addresses the assessment for TB risk of students and employees in health-related work and recommends minimum precautions that health care facilities (both public and private) in Western Australia should undertake to minimise the risk of TB transmission within the health care system.

Source: Department of Health - Policy Frameworks

OD 0394/12 - Policy for Health Care Workers known to be Infected with Blood-borne Viruses

Effective: 26 September 2012 - 26 September 2017

The purpose of this operational directive is to provide the Western Australian Department of Health’s policy to minimise the risk of transmission of a BBV from a HCW to a patient/client, a framework for managing and supporting HCWs with BBV infections and remind all HCWs of the need to be aware of their BBV status and risk, and to seek voluntary serological testing on a basis relative to their risk.

Source: Department of Health - Policy Frameworks

OD 0641/15 - Management of Occupational Exposure to Blood and Body Fluids in the Healthcare Setting

Effective: 18 December 2015 - 18 December 2020

The purpose of this document is to ensure that WA Health meets it’s legal, ethical and moral obligations relating to the management of Health Care Workers (HCWs) who are exposed to another person’s blood or body fluids in the course of their work. It provides guidance on the management of occupational exposures and describes the mandatory requirements to ensure the HCW is managed appropriately to minimise the risk of blood borne virus (BBV) acquisition and in accordance with current evidence-informed protocols

Source: Department of Health - Policy Frameworks

OD 0632/15 - Mandatory Testing of a Suspected Transferor for an Infectious Disease

Effective: 20 October 2015 - 20 October 2018

To provide health care workers employed by WA Health with guidelines for the management of disease test authorisations and disease test orders presented by WA Police.

Source: Department of Health - Policy Frameworks

OD 0077/07 - Protocol For Non-Occupational Post-Exposure Prophylaxis (NPEP) To Prevent HIV In Western Australia

Effective: 1 October 2007

The purpose of this Operational Directive is to clarify the appropriate use and methods of access to NPEP in Department of Health sites and institutions.

Source: Department of Health - Policy Frameworks

OD 0553/14 - Provision of Sterile Needles and Syringes from Rural and Regional Hospitals to People Who Inject Drugs

Effective: 4 August 2014 - 4 August 2019

This operational directive provides guidance to needle and syringe program health sites which fall under the mandate, as a means to provide access to sterile needles and syringes and support safer injecting practices in rural and regional areas. The intended health outcome is the prevention of blood-borne virus transmission and other injecting-related harms in rural and regional areas.

Source: Department of Health - Policy Frameworks

OD 0554/14 - The Operation and Maintenance of Needle and Syringe Vending Machines (NSVMS)

Effective: 4 August 2014 - 4 August 2019

This operational directive applies to all individual sites invited by the Sexual Health and Blood-borne Virus Program (SHBBVP) to install and operate a needle and syringe vending machine (NSVM).

Source: Department of Health - Policy Frameworks

OD 0296/10 - Interagency Management of Children Under 14 Who are Diagnosed With a Sexually Transmitted Infection (STI)

Effective: 6 August 2010 - 5 July 2015

This protocol has been updated to ensure consistency with Mandatory Reporting of Sexual Abuse in Children under 18 years of age and will continue to operate independently of the Mandatory Reporting of Sexual Abuse in Children under 18 years (OD 0185/09).

Source: Department of Health - Policy Frameworks

OD 0415/13 - Guidelines for Department of Health Vaccination Programs – School and Community Health Immunisation

Effective: 9 January 2013 - 9 January 2013

The purpose of this OD is to advise registered nurses and program managers who have responsibilities for the delivery of immunisation programs in community health immunisation clinics or school-based immunisation programs of the specific WA legislation and DOH policies that must be followed when planning and delivering school-based and community health immunisation programs

Source: Department of Health - Policy Frameworks

OD 0600/15 - Influenza and Pertussis Vaccinations for Pregnant Women

Effective: 14 April 2015 - 3 April 2020

The purpose of this operational directive is to advise Department of Health (DoH) staff that all pregnant women should be offered influenza vaccine and pertussis-containing vaccine (dTpa) as part of routine antenatal care.

Source: Department of Health - Policy Frameworks

OD 0355/11 - Vaccine Cold Chain Guidelines

Effective: 14 November 2011 - 14 November 2011

This document contains policies and guidelines that apply to all Western Australian Public and Community Health Services providing immunisation services in WA. The cold chain is a system of transporting and storing vaccines within a recommended temperature range.

Source: Department of Health - Policy Frameworks

OD 0388/12 - Health Care Worker Immunisation Policy

Effective: 6 August 2012 - 6 August 2017

The WA Health Care Worker Immunisation policy defines the minimum immunisation standards for Public Health Service employers to adopt in their workplace to protect employees and patients from the potential threat of exposure to vaccine preventable diseases.

Source: Department of Health - Policy Frameworks

OD 0490/14 - Public Health Follow-up of Sporadic Enteric Disease Notifications

Effective: 14 January 2014 - 14 January 2019

A revised version of the public health follow-up of sporadic enteric disease notifications which is mainly conducted by population health units and OzFoodNet, Department of Health.

Source: Department of Health - Policy Frameworks

OD 0660/16 - Adoption by WA Health of 'Series of National Guidelines' (SoNGS) produced by the Communicable Diseases Network Australia for public health management of communicable diseases

Effective: 17 February 2016 - 17 February 2021

WA Health staff should, henceforth, use the ‘Series of National Guidelines’ (SoNGs) produced by the Communicable Diseases Network Australia (CDNA) as the operational guidelines for public health management of relevant communicable diseases in WA.

Source: Department of Health - Policy Frameworks

OD 0369/12 - Reprocessing of Infant Feeding Equipment in Western Australian Healthcare Facilities

Effective: 25 September 2011 - 25 September 2016

Updates existing Operational Directive OP1739/04 with current evidence-based research on reprocessing infant feeding equipment that is reused by multiple patients.

Source: Department of Health - Policy Frameworks

MP 0038/16 - Insertion and Management of Peripheral Intravenous Cannulae in Western Australian Healthcare Facilities

Effective: 23 August 2017 - 21 September 2021

his Policy outlines the minimum requirements for the management of Peripheral Intravenous Cannulae (PIVC). This policy applies to all HCFs within the WA health system. These HCFs are to align their policies for the insertion and management of PIVCs with this document to ensure a standardised level of care and to minimise the risk of patients developing infective complications from PIVC.

Source: Department of Health - Policy Frameworks

MP 0108/19 - Healthcare Associated Infection Surveillance in Western Australia Policy

Effective: 10 June 2019

This policy describes the Healthcare Infection Surveillance Western Australia (HISWA) program to monitor healthcare associated infections (HAIs) in Western Australia (WA) and sets the mandatory HAI surveillance and reporting requirements for WA public hospitals.

Source: Department of Health - Policy Frameworks

MP 0120/19 - Creutzfeldt Jakob Disease Policy

Effective: 3 September 2019

The Creutzfeldt-Jakob Disease Policy (CJD) sets out the infection prevention management procedures and the reporting requirements for CJD that are to be implemented to minimise the risk of transmission of CJD in Western Australian (WA) healthcare facilities.

Source: Department of Health - Policy Frameworks

OD 0646/16 - Infection Prevention and Control of Vancomycin-Resistant Enterococci in Western Australian Healthcare Facilities

Effective: 13 November 2015 - 1 December 2020

This Operational Directive (OD) describes the minimum requirements for the routine screening and subsequent management of people identified with vancomycin-resistant enterococci (VRE) in Western Australian (WA) healthcare facilities (HCFs).

Source: Department of Health - Policy Frameworks

OD 0404/12 - Prevention of Cross Infection in Diagnostic Ultrasound

Effective: 7 November 2012 - 7 November 2017

An updated version of this operational directive to ensure alignment with current National standards in cleaning and disinfecting ultrasound transducers in WA.

Source: Department of Health - Policy Frameworks

OD 0610/15 - Microbiological Air Sampling of Operating Rooms in Western Australian Healthcare Facilities

Surgical site infection (SSI) is a major complication following surgery and is associated with increased morbidity and mortality, as well as increased costs. The function of operating room (OR) ventilation is to prevent airborne microbial contaminants from entering surgical wounds.

Source: Department of Health - Policy Frameworks

OD 0478/13 - Infection Prevention and Control of Methicillin Resistant Staphylococcus aureus (MRSA) in Western Australian Healthcare Facilities (HCFs)

Effective: 15 November 2013 - 15 November 2018

Describes the minimum requirements for the screening and managing of MRSA and the prevention of MRSA healthcare associated infections in WA HCFs.

Source: Department of Health - Policy Frameworks

OD 0399/12 - Infection Prevention and Control of Carbapenem-resistant Enterobacteriaceae (CRE) in Western Australian Healthcare Facilities

Effective: 22 October 2017 - 22 October 2017

This operational directive describes the minimum requirements for the routine screening and the subsequent management of patients identified with Carbapenem-resistant Enterobacteriaceae (CRE) in WA healthcare facilities (HCFs).

Source: Department of Health - Policy Frameworks

MP 0073/17 - Emergency Management Policy

Effective: 21 November 2017 - 21 November 2020

The Emergency Management Policy sets the minimum standards to ensure that the WA Health System has suitable arrangements in place to ensure adequate preparation for, responding to, and recovering from emergencies, disasters, and other disruptive events. A number of Operational Directives listed within the policy will be rescinded and replaced by this policy.

Source: Department of Health - Policy Frameworks

OD 0453/13 - Radiation Safety

Effective: 1 April 2013 - 1 April 2018

The aim of this Operational Directive is to ensure that all medical personnel employed by the Department of Health, Metropolitan Health Services, WA Country Health Service & Peel Health Service have completed the radiation safety module and test.

Source: Department of Health - Policy Frameworks

OD 0525/14 - Arrangements for the Provision and Charging for the Department of Veterans’ Affairs (DVA) Entitled Persons

Effective: 9 May 2014 - 9 May 2019

This operational directive outlines the arrangement for the provision of loan equipment for DVA Entitled Persons. This arrangement covers admitted patients on discharge and non-admitted patients.

Source: Department of Health - Policy Frameworks

OD 0398/12 - Release of Human Tissue and Explanted Medical Devices - No Longer Applicable - Superseded by MP 0129/20 - 28 January 2020

Effective: 1 November 2012 - 28 January 2020

Operational Directive and policy setting out the circumstances under which a request for the release of human tissue or an explanted medical device to an individual from a healthcare facility may be considered, and processes for such a release.

Source: Department of Health - Policy Frameworks

MP 0129/20 - Release of Human Tissue and Explanted Medical Devices Policy

Effective: 28 January 2020

This Policy sets out the minimum requirements for responding to requests for the release of human tissue or an implantable medical device that has been removed (explanted) from an individual’s body. Human tissue in the context of this Policy includes a human fetus or placenta. This Policy supersedes OD 0398/12 Release of Human Tissue and Explanted Medical Devices.

Source: Department of Health - Policy Frameworks

MP 0041/16 - Managing Unsatisfactory and Substandard Performance Policy with Explanatory Notes, PIP and Template Letters

Effective: 2 December 2016 - 2 December 2021

The Managing Unsatisfactory and Substandard Performance Policy (Policy) is part of the Employment Policy Framework issued by the Department CEO pursuant to section 26 of the Health Services Act 2016 (HSA).

Source: Department of Health - Policy Frameworks

MP 0025/16 - Industrial Relations Policy

Effective: 1 July 2016 - 1 July 2021

Industrial Relations Policy

Source: Department of Health - Policy Frameworks

OD 0120/08 - Terms of Employment of Interpreters

This Operational Directive applies in circumstances where an interpreter is directly employed by a health service on a full-time, part-time, permanent, fixed term or casual basis. It does not apply in cases where an interpreter is engaged as an independent contractor or through an agency. Where direct employment is the mode of engagement, interpreters are to be engaged as a Hospital Salaried Officer.

Source: Department of Health - Policy Frameworks

IC 0212/15 - Application of WA Health Leave Management Strategy and WA Health Leave Management Policy to Senior Medical Practitioners

Effective: 1 January 2015 - 31 December 2017

Allowances payable to senior medical practitioners when cashing out of excess Annual Leave or excess Long Service Leave under an approved Employee Leave Management Plan.

Source: Department of Health - Policy Frameworks

OP 1858/04 - Nurses – Payment for Patient Escorting Duties

Effective: 1 October 2004 - 1 July 2017

This Operational Circular notifies health services of the payments to apply to nurses required to perform patient escort duties outside the metropolitan area.

Source: Department of Health - Policy Frameworks

IC 0226/15 - Memorandum of Understanding - Clinical Privileges, Conduct and Governance in Western Australian Government Hospitals and Health Services

Effective: 7 July 2015 - 7 July 2018

The 2015 Memorandum of Understanding on Clinical Privileges, Conduct and Governance in Western Australian Government Hospitals and Health Services came into effect from 7 July 2015.

Source: Department of Health - Policy Frameworks