Victorian Numbered Regulations

NON-EMERGENCY PATIENT TRANSPORT AMENDMENT REGULATIONS 2021 (SR NO 148 OF 2021) - REG 22

For Part 5 of the Principal Regulations substitute —

" Part 5—Clinical governance

        35     Clinical oversight committee

    (1)     A licence holder must establish and maintain a clinical oversight committee.

    (2)     The clinical oversight committee must have at least—

        (a)     one member who is a representative of the management of the licence holder; and

        (b)     one member who is a registered paramedic, if the licence holder employs registered paramedics as part of providing the service; and

        (c)     one member who is a registered nurse, if the licence holder employs registered nurses as part of providing the service; and

        (d)     one member who is a registered health practitioner, if the licence holder does not employ a registered paramedic or a registered nurse as part of providing the service.

        36     Responsibilities of committee

        The clinical oversight committee has the following responsibilities in relation to the service provided by the licence holder—

        (a)     reviewing each sentinel event;

        (b)     oversight of the process of transporting a patient to a hospital or medical facility to receive care that cannot be provided on site;

        (c)     overseeing processes to set the scope of practice of the service to ensure it does not provide services beyond its competencies and ability;

        (d)     overseeing processes to set the scope of clinical practice of all clinical staff;

        (e)     reviewing the clinical practice protocols, processes and operating procedures of the service;

        (f)     overseeing the verification of the credentials of all registered medical practitioners engaged by the service in any capacity—

              (i)     when their engagement commences; and

              (ii)     subsequently every 3 years;

        (g)     overseeing the auditing of patient care records and reviewing all measures taken as a result of reviews of those records;

        (h)     keeping any staff survey data and reviewing all measures taken as a result of reviews of those surveys;

              (i)     reviewing all complaints that relate to the experience of patients of the service;

        (j)     overseeing processes to continually assess the capacity of the service to provide safe patient-centred care.    

        36A     Meetings of committee

    (1)     The clinical oversight committee must meet at least once in each 3 month period.

    (2)     The clinical oversight committee must maintain records of its meetings including its decisions and the reasons for its decisions.

        36B     Staff surveys

    (1)     A licence holder must conduct a staff survey at least once a year.

    (2)     The primary purpose of a staff survey is to ascertain the views of staff on staff and patient safety.".