BUSINESS CONTINUITY PLAN FOR QUEENSLAND HEALTH CENTRAL STERILIZING DEPARTMENT YOUR HOSPITAL TITLE This plan shall be titled and known as the: “BUSINESS CONTINUITY PLAN FOR QUEENSLAND HEALTH CENTRAL STERILIZING DEPARTMENT, YOUR HOSPITAL” AUTHORISATION The Plan provides the mechanism for restoring core essential services should an unplanned interruption occur causing a loss of capacity in Central Sterilizing Departments. The Plan can also provide guidance in preparing for a planned closure of all or part of the Central Sterilizing Departments capacity. This plan only applies to Queensland Health Central Sterilizing Departments. APPROVED BY: -----------------------------------------------Insert Name Executive Director – Director of Medical Services, Your Hospital Insert District Hospital and Health Service Date: “PRINTED COPIES ARE UNCONTROLLED” 2 Table of Contents Abbreviations .............................................................................................................................. 4 Authority and Planning Responsibility ..................................................................................... 5 1. Introduction - Plan Overview ................................................................................................. 6 Purpose……… .......................................................................................................................... 6 Scope………… ......................................................................................................................... 6 Framework………… ................................................................................................................. 6 Rationale………. ....................................................................................................................... 6 2. Pre-Issue Planning – Essential Functions, Activities and Minimum Resources.............. 7 Essential Functions ................................................................................................................... 7 Table 1 – Identification of Essential Business Functions ......................................................... 7 Table 2 – Business Impact Analysis ......................................................................................... 9 Table 2a – Impact Ratings ...................................................................................................... 10 Minimum Resource Requirements ......................................................................................... 10 Table 3 – Essential Equipment per function list ..................................................................... 10 Table 4 – Minimum Staffing Requirements ............................................................................ 11 Management of absenteeism ................................................................................................. 12 Table 5 – Staff Category Ratings............................................................................................ 12 3. Continuity Plan ...................................................................................................................... 13 Table 6 - Determining Responsibilities and Operational Activities ......................................... 13 Operational Checklist .............................................................................................................. 14 Activation………… .................................................................................................................. 14 Service Agreements / Memorandums of Understanding ........................................................ 14 Alternative Work Arrangements .............................................................................................. 14 Table 7: Alternative Facilities .................................................................................................. 15 Additional Assistance .............................................................................................................. 16 Returning to Normal Operational Mode .................................................................................. 16 4. Maintenance and Testing of Plan ........................................................................................ 17 Maintenance of Plan ............................................................................................................... 17 Testing of Plan ........................................................................................................................ 17 5. Appendices ............................................................................................................................ 19 Appendix 1a – Activity Summary: flow chart .......................................................................... 19 Appendix 1b – Activities to be Undertaken ............................................................................. 20 Appendix 1c – Operational Checklist ...................................................................................... 21 Appendix 1d – Business Impact Assessment: ........................................................................ 22 Appendix 2 – Staff Contact List, Category Rating & Special Skills ........................................ 23 Appendix 3a – Reporting Template ........................................................................................ 24 Appendix 3b – TRANSIT Log ................................................................................................. 25 Appendix 4 – Essential Contact Log ....................................................................................... 26 Appendix 5 - Communication Guidance ................................................................................. 28 Appendix 6a – Service Agreement Answers about Your facility ............................................ 29 Appendix 6b – Service Agreement Questions about other Facilities ..................................... 30 Appendix 7 – Testing of plan .................................................................................................. 31 Appendix 8 – Service Agreement / Memorandum of Understanding with ….. ....................... 32 Appendix 9 – Service Agreement / Memorandum of Understanding with ….. ....................... 32 Appendix 10 – Service Agreement / Memorandum of Understanding with ….. ..................... 32 6. Resources .............................................................................................................................. 33 “PRINTED COPIES ARE UNCONTROLLED” 3 Abbreviations BCP BIA CDB CHRISP CHO CSD CEO DON DTPM FTE HPID HHS HSPL MI NUM SA SOP SUO Business Continuity Plan Business Impact Analysis Communicable Diseases Branch Centre for Healthcare Related Infection Surveillance and Prevention Chief Health Officer Central Sterilizing Department Chief Executive Officer (Hospital & Health Service HHS) Directors of Nursing Desktop Procedure Manual Full Time Equivalent Health Planning and Infrastructure Division Hospital and Health Service Health Services Purchasing and logistics Medical Industry Nurse Unit Manager Service Agreement Standard Operating Procedures Single Use Only “PRINTED COPIES ARE UNCONTROLLED” 4 Authority and Planning Responsibility The development, implementation and revision of this Plan are the responsibility of the Chief Executive Officer (CEO) or nominated delegate. Amendments to this plan need to undertake a formal approval process through the CEO or delegate. To ensure accessibility to the Business Continuity Plan (BCP), it is required to be saved electronically on a network drive accessible by Central Sterilizing Department (CSD) Nurse Unit Managers (NUM) and Operating Theatre, saved electronically as a back up on an external hard drive or similar as well as printed hard copies in essential areas as deemed necessary by the CEO or delegate. Amendment List Amendment Amendment Number Date 2.0 13/1/2012 Sections Amended Amended By Final Template CHRISP “PRINTED COPIES ARE UNCONTROLLED” 5 1. Introduction - Plan Overview Purpose The purpose of this BCP is to detail the key people/positions and the responses and actions needed to enable Queensland Health (QH) Central Sterilizing Departments (CSDs) to continue essential functions in the event of a service disruption. All CSD staff should familiarise themselves with this plan and the role(s) they may be expected to assume during a service disruption. Scope BCP’s should be reasonable, practical and achievable. This BCP focuses on consequences from disruption to CSD. It is not concerned with the likelihood or cause of occurrence, as they are not elements of the BCP. This BCP makes no attempt to cover any situation other than those that impact directly on CSD and their ability to meet the core objective of providing the necessary services for reprocessing of re-usable surgical instruments and equipment. This BCP is intended only for use by CSD and facilities that rely on CSD for reprocessing of instruments & equipment. Framework Queensland Health operates under an Emergency Preparedness and Continuity Management Policy and Framework. This BCP is recommended to be adopted as a sub-plan of the Business Continuity Plan of the Individual districts and facilities requiring CSD and to complement the overall Queensland Health Emergency Preparedness and Continuity Management Policy. http://www.health.qld.gov.au/qhpolicy/docs/pol/qh-pol-315.pdf Rationale Implementing this BCP is a reactive process where the careful assessment of the type and severity of the service disruption will determine the necessary actions. It is not possible or practicable to develop detailed recovery plans for every possible incident type. This recovery plan focuses on a systemic approach to business continuity while seeking to minimise confusion over roles and responsibilities within QH CSD. “PRINTED COPIES ARE UNCONTROLLED” 6 2. Pre-Issue Planning – Essential Functions, Activities and Minimum Resources Essential Functions Table 1 – Identification of Essential Business Functions Essential Business Function or Process E.g. Reprocessing of reusable surgical instruments and equipment: Standard Sets. (These are mostly basic items with several in stock like Major trays and also include items for Community services.) Skills Required Equipment Required *Maximum Acceptable Outage “PRINTED COPIES ARE UNCONTROLLED” *Priority Comments 7 Essential Business Skills Required Function or Process E.g. Reprocessing of reusable surgical instruments and equipment: Specialist Instrumentation (defined as all other instrumentation whether trays or single items of small inventory and including items that may be needed in emergencies) Equipment Required *Maximum Acceptable Outage *Priority Comments N.B. Maximum Acceptable Outage is taken from table 2 (Business Impact Analysis) and used to determine above Priorities. “PRINTED COPIES ARE UNCONTROLLED” 8 Table 2 – Business Impact Analysis > 1 month 2 - 4 Weeks 1 - 2 Weeks 2 - 7 Days 1 Day Essential Business Function 1 -4 Hours Impacts (Rate 1 to 5) Highest Impact (Provide a description of the highest rated impact) MAO (Maximum Acceptable Outage) “PRINTED COPIES ARE UNCONTROLLED” Internal short term work arounds (to consider if always available to reduce impact rating) Comments 9 Table 2a – Impact Ratings Rating 1 2 3 4 5 Category Description Insignificant Minor Moderate Major Catastrophic Minimum Resource Requirements Table 3 – Essential Equipment per function list Essential Function or Process Rinse/Wash Equipment Required Infrastructure (power, water, etc.) Other (consumables, etc.) Ultrasonic Dry Wrap/Pack Sterilize Cool down Sterile Storage Loan Sets “PRINTED COPIES ARE UNCONTROLLED” 10 Table 4 – Minimum Staffing Requirements Current Resource Level Essential Business Functions (available to complete key business process) AM PM W’end Additional Resource Requirements. Minimum additional levels required to complete key business processes (we need to consider that we may require additional resources in some instances. e.g if functions being performed off-site or alternate location within the facility or if a Night Duty shift needs to be implemented where it is not normally worked.) <1 hour 1-4 hours 1 Day 2 to 7 Days 1-2 Weeks 2-4 Weeks Manual Alternate Workarounds (Yes/ No) >1 Month Reprocessing of reusable surgical instruments and equipment standard and specialist) “PRINTED COPIES ARE UNCONTROLLED” 11 Management of absenteeism While minimum staffing levels are factored into the Business Impact Analysis and are listed in the Minimum Staffing Requirement section, management of absenteeism becomes an issue in itself in the context of prolonged leave or absence. Proper management of absenteeism will allow the Districts to continue to deliver essential services even in the face of increased and prolong absences of staff. To help determine appropriate placement of staff, the following categories have been developed. Consideration also needs to be given to the fact that additional staff on top of normal operating levels may well be required upon activation of the BCP due to the break of the usual workflow making it difficult for staff to move between stations and cover multiple areas. Table 5 – Staff Category Ratings Staff Category Category 1 Definition Category 2 Category 3 Category 4 Category 5 Refer to Appendix 2 – Staff Contact List, Category Rating & Special Skills “PRINTED COPIES ARE UNCONTROLLED” 12 3. Continuity Plan Table 6 - Determining Responsibilities and Operational Activities Functional Areas Activation of BCP Contact key BCP Position Alternate or Standby Key Reports to Responsibility/Activity Initiate contact with key stakeholders to determine level of activation (appendix 5 & 3) Make contact with key stakeholders from Appendix 5 & proceed as directed in Appendix 3 to facilitate smooth activation of CSD BCP Contact Central Sterilizing Departments Staff Contact staff to advise of alternative work arrangements Return to normal operation Assess functionality & capability of Central Sterilizing Departments as being able to perform essential functions & notify key stakeholders (appendix 3) of return to normal. “PRINTED COPIES ARE UNCONTROLLED” 13 Operational Checklist The following resources have been developed to ensure all required tasks are documented so that the essential functions of CSD BCP are maintained: Appendix 1a – BCP activation flow chart Appendix 1b – Activities to be Undertaken Appendix 1c – Operational Checklist Activation The decision to activate this plan independently of the BCP of the Local facility is the responsibility of the DON. Once this decision has been made, the Nurse Manager Central Sterilizing Departments will notify the key stakeholders in Appendix 4 and utilise Appendix 5 – Communication Guidance in contacting the relevant stakeholders. Activation of the BCP of the local facility may not always necessitate the activation of the CSD BCP. Activation of the local facility BCP may in fact negate the CSD BCP, or alternatively rely on parts or all of the CSD BCP. Service Agreements / Memorandums of Understanding As outsourcing of CSD is anticipated to be a major part of the continuity of CSD, a Service Agreement (SA) or Memorandum of Understanding (MOU) between parties may be needed. For assistance in establishing a SA/MOU with other facilities, contact your local Contract Hub for assistance. Refer to QHEPS site: http://qheps.health.qld.gov.au/sspd/supply/contracts_about_hubs.htm If a SA/MOU is created, a brief summary of each should be recorded as an Appendix. A list of some suggested questions to ask when setting up such agreements is located in appendix 6 Service Agreement questionnaire. Alternative Work Arrangements There are a number of options to consider when alternative work arrangements and the relocation of essential functions are required. It is the responsibility of the Nurse Manager - Central Sterilizing Departments, to determine the best option at the time of disruption. The options available may include but are not limited to: Relocating to another section within same building; (is there another room that may be utilised as: initial wash/remove gross debris, clean area for wrap/pack, sterile storage (unutilised theatre), Oral Health Bench Top Sterilizers) Relocating to alternate facilities as arranged in the SA/MOU’s (if any) & outlined in Table 7. “PRINTED COPIES ARE UNCONTROLLED” 14 Table 7: Alternative Facilities Alternate Location or Facility Tasks able to be undertaken at this location Capacity to accept % of normal load (full service) Ability to reprocess complex sets: (list specialities) % % % % % % % % % Please refer to the SA/MOU (if any) for Hours of Operation, and Staffing Requirements for each facility above. “PRINTED COPIES ARE UNCONTROLLED” 15 Additional Assistance Appendix 4 outlines a list of key stakeholders who will provide additional assistance to influence CSD BCP. A key requirement for additional assistance may be transport providers. Supply Services logistics managers may be of assistance, as well as engaging external freight management/transportation companies. We will need to ensure that this complies with AS/NZS 4187:2003 sections 2.3, 2.4, 9.2.1 & 9.4 as well as referring to Easi-Sterilise Standard Operating Procedures 1.2 & 4.3 http://www.chrispqld.com/easi_sterilise/easi-sterilise.html. When making arrangements to out-source, consider logistical factors like loading dock heights relative to the trucks, access to these and / or to the other facility. Ask questions like “Do Security need to open gates?” Returning to Normal Operational Mode The Nurse Manager, Central Sterilizing Departments/Nursing Director – Surgical Services will keep all team members updated and advise when return to normal operating mode. Remedial action will be completed as required to integrate work completed during the continuity operating mode. The Nurse Manager, Central Sterilizing Departments /Nursing Director – Surgical Services shall notify all clients\other departments of the return to normal business operations. The Nursing Director – Surgical Services is responsible for timely debriefing sessions with staff. Lessons learned should be used to update BCP. Note:- Appendix 1c – Operational Checklist includes checks for returning to normal operational mode. “PRINTED COPIES ARE UNCONTROLLED” 16 4. Maintenance and Testing of Plan Maintenance of Plan All files associated with this plan can be found in: Electronic: Local network drive (accessible by all key stakeholders) USB portable drive (kept in accessible location for all key stakeholders) Hard Copy: Education Room Central Sterilizing Departments Nurse Manager Office Central Sterilizing Departments Hospital Co-ordinator Office The CHRISP base templates and example will be saved at: http://www.health.qld.gov.au/chrisp/sterilizing/sterile_support.asp When the plan is tested and/or revised or any of the tables, appendices and/or content of this BCP are updated, it is important to save a copy of these files not only to the designated directory but also save them to the external source and reprint/amend the hard copy. If minor amendments only are required, there may be no need to re-print the hard copy of the document, just simply cross out & change as required, initial & date the changes. Testing of Plan Responsibility for testing the plan rests with both the Nurse Manager Central Sterilizing Departments and the Nursing Director – Surgical Services. Testing of the plan does not require full physical activation, but a “table top activation” consisting primarily of the communication requirements such as contacting Management, Engineering, NUMs of other facilities, Transport providers, and Central Sterilizing Departments staff to ensure readiness without actually actioning the BCP. The testing of the plan should not only simulate a loss of capacity in functionality of Central Sterilizing Departments hardware resources, but also with a loss of people in critical positions. This will confirm the BCP is functional / usable for all staff that may be required to use it. Start the conversation for testing the plan with the following: “This is a theoretical simulation of the XXXXX Hospital Central Sterilizing Departments BCP” The BCP Plan should be tested at the following timelines and recorded in Appendix 7 – Testing of Plan: o following initial completion of the plan; o following any major revisions of the plan; and o bi-annually. “PRINTED COPIES ARE UNCONTROLLED” 17 Page left intentionally blank “PRINTED COPIES ARE UNCONTROLLED” 18 Appendices for Business Continuity Plan for Queensland Health Central Sterilizing Departments 5. Appendices Appendix 1a – Activity Summary: flow chart “PRINTED COPIES ARE UNCONTROLLED” 19 Appendices for Business Continuity Plan for Queensland Health Central Sterilizing Departments Appendix 1b – Activities to be Undertaken 1. Identification of Fault/Disruption (Document the entire process as it unfolds to make writing a report at the end easier & ensure all information is captured to be able to review the BCP & SA) a. Notify Engineering to ascertain cause & determine possible length of disruption b. Notify Nursing Director – Surgical & Nurse Unit Manager – Operating Theatre. (keep notifications current as more information comes to hand in steps below) c. Notify CHRISP (keep notifications current as more information comes to hand in steps below) 2. Determine if disruption will exceed maximum acceptable outage as determined in Tables 1 & 6 3. Determine if Activation of SA/MOU is required & to what extent (is it a washer only that is out of service, sterilizer only etc. & what % of capacity is required to be sent off-site); a. Yes – contact CSD NUM’s of the facilities you have set SA/MOU with b. Yes – Contact your staff to inform of alternative work arrangements c. Yes – Contact other service providers for transportation needs d. No – Inform key stakeholders (Nursing Director – Surgical, Nurse Unit Manager – Operating Theatre, CHRISP, etc.) as to what capacity the CSD can operate at, and when CSD is predicted to be back to 100% functionality. 4. Monitor the effectiveness of SA/MOU & other works being undertaken to provide continuity of essential functions. 5. Once CSD is operational to resume all essential functions, cease SA/MOU’s & inform all key stakeholders a. Report on the event using appendix 4 to DON & CHRISP outlining: i. Issue that caused disruption ii. Barriers to rectifying iii. Barriers to continuity (e.g. any issues activating SA/MOU) iv. Acknowledge what worked well v. Time line of events vi. Conclusion & any recommendations for improvement. “PRINTED COPIES ARE UNCONTROLLED” 20 Appendices for Business Continuity Plan for Queensland Health Central Sterilizing Departments Appendix 1c – Operational Checklist Action 1. Complete & maintain (ongoing outside/prior to activation of the plan) Tables 1, 2, 3, 4, 6 & 7 Appendix 3 – Staff contact, Category Rating & Special Skills Appendix 5 – Essential Contact List 2. Contact (upon activation) Appendix 5 – Essential Contact List Appendix 2 – Staff Contact, Category Rating & Special Skills 3. Recording of Events (During activation of BCP) Document which Service Agreements are being utilised & what portion of work is being carried out at each facility. Maintain a log of inventory out & in, including documentation of processes undertaken at alternate facilities to ensure compliance with standards. Appendix 4a – Tracking Log Document agreements/contracts with other external providers such as transport/freight companies Document steps taken to rectify the issue within Central Sterilizing Departments 4. Resume Essential Functions Inform all Key Stakeholders & Staff that were contacted in step 2 (from Appendix 2 & 5) and cease all SA/MOU with alternate facilities and additional assistance with external stakeholders once CSD is functional to perform essential functions. Report on the entire process from initial issue through activation of BCP to resumption of essential services. (Include comments/reports from facilities assisting). The severity of the issue will determine the detail of the report. Reports to go up the chain within the facility & to CHRISP using template on appendix 4. Reason Done To keep plan current To keep plan current To keep plan current To determine fault & begin continuity measures To respond to required activation needs (such as alternative work arrangements) To assist with tracking of instruments, accountability of work To assist with tracking of instruments, accountability of work To assist with tracking & accountability of transportation For future reporting needs Alleviate workload of assisting Central Sterilizing Departments, return to normal and best practice processes. To be able to evaluate and possible improvement on the process to share with all Queensland Health CSD “PRINTED COPIES ARE UNCONTROLLED” 21 Appendices for Business Continuity Plan for Queensland Health Central Sterilizing Departments Appendix 1d – Business Impact Assessment: Questions to Consider in Making Decisions about Activating the Plan “PRINTED COPIES ARE UNCONTROLLED” 22 Appendices for Business Continuity Plan for Queensland Health Central Sterilizing Departments Appendix 2 – Staff Contact List, Category Rating & Special Skills Contact made via Central Sterilizing Departments NUM or delegate. Contact details kept with within TRENDCARE. Name Category Rating (as per Table 6a) Special Skills “PRINTED COPIES ARE UNCONTROLLED” 23 Appendices for Business Continuity Plan for Queensland Health Central Sterilizing Departments Appendix 3a – Reporting Template For Impacts 2 or above as per Table 2 above Date: Insert Date Location: Insert Facility Name Issue: Brief description of issue. E.g. loss of steam to sterilizers, Power failure. Contact / Notification: Services Utilised: Who: Who: Reason: e.g. to activate BCP, to notify of issue, to request assistance/ activate service agreement Service provided: e.g. equipment transport, 30% sterilization requirements, 50% wash, wrap & pack Rectification Steps: (include any barriers encountered) Step: e.g. Engineering to look at steam supply Response: CSD back functional: Service Impact/ Additional Comments: dd/mm/yyyy Date full service resumed: (if not enough space below, please attach additional sheet/s with comments) “PRINTED COPIES ARE UNCONTROLLED” How Long: date started – date finished dd/mm/yy - dd/mm/yy Rectification Date: dd/mm/yyyy 24 Appendices for Business Continuity Plan for Queensland Health Central Sterilizing Departments Appendix 3b – TRANSIT Log Instrument Sets or Single items Sent Sent To (facility) with (transport option) For Process (e.g. washing, sterilizing etc) Date / Time sent & initial Received by “PRINTED COPIES ARE UNCONTROLLED” Date / time Goods Sent & initial Date / time Goods Received & initial Copy of process record (if applicable) attached to relevant log & initial of staff 25 Appendices for Business Continuity Plan for Queensland Health Central Sterilizing Departments Appendix 4 – Essential Contact Log Area / Internal / External Name Position Department/Company Phone Number Contact Advice Priority & Support Notification Only Your Hospital “PRINTED COPIES ARE UNCONTROLLED” 26 Appendices for Business Continuity Plan for Queensland Health Central Sterilizing Departments Area / Internal / External Name Position Department/Company Phone Number Corporate Office Rosemary Steinhardt Sterilizing Program Manager CHRISP Contact Advice Priority & Support Notification Only 332 89767 / 0427672713 “PRINTED COPIES ARE UNCONTROLLED” 27 Appendices for Business Continuity Plan for Queensland Health Central Sterilizing Departments Appendix 5 - Communication Guidance Clear, concise and consistent message Clearly define target audience – one message does not fit all. Good Morning/Afternoon, this is Insert Name from Insert Facility & department. I am calling to inform you that the Insert facility & department has experienced a partial/total loss of reprocessing capacity in the form of (Sterilizing, washing, wrapping & packing etc….) . We will be initiating our BCP and (if applicable) the Service Agreement (SA)/Memorandum of Understanding (MOU) we have with you. Can you please advise of any change to your capacity to undertake works in (Sterilizing, washing, wrapping & packing etc….) on our behalf. We have urgent requirements such as e.g. Fast Tracked Sets that will be top priority and with your approval will be sent your way. We have/will arrange for transportation of these items with name of transport company/contractor and their direct contact is insert name of contact details for transport company/contractor should you have any issues at your end. We will keep open communication channels throughout the process to ensure we are providing you with the support you need while assisting us as agreed in the SA/MOU. We will let you know when we will be returning to business as usual. Thank you for your support. “PRINTED COPIES ARE UNCONTROLLED” 28 Appendices for Business Continuity Plan for Queensland Health Central Sterilizing Departments Appendix 6a – Service Agreement Answers about Your facility Question? Applicable Comments / Response Y/N What are normal operational hours? What capacity is available within this time? What extended hours are possible? What capacity is available in the extended time? What are your Sterilizers validated for? (Including wrap type/procedure) What specialist instruments are you able to reprocess? What is maximum height of your loading dock? Does the dock have ramps? How can we overcome security & achieve easy access at the dock? “PRINTED COPIES ARE UNCONTROLLED” 29 Appendices for Business Continuity Plan for Queensland Health Central Sterilizing Departments Appendix 6b – Service Agreement Questions about other Facilities Question? Applicable Y/N Comments / Response What are normal operational hours? What capacity is available within this time? What extended hours are possible? What capacity is available in the extended time? What are your Sterilizers validated for? (Including wrap type/procedure) What specialist instruments are you able to reprocess? What is maximum height of your loading dock? Does the dock have ramps? How can we overcome security & achieve easy access at the dock? “PRINTED COPIES ARE UNCONTROLLED” 30 Appendices for Business Continuity Plan for Queensland Health Central Sterilizing Departments Appendix 7 – Testing of plan Test Date Type of Test Desktop exercise Scenario Staff Participating “PRINTED COPIES ARE UNCONTROLLED” Convenor 31 Appendices for Business Continuity Plan for Queensland Health Central Sterilizing Departments Appendix 8 – Service Agreement / Memorandum of Understanding with ….. Appendix 9 – Service Agreement / Memorandum of Understanding with ….. Appendix 10 – Service Agreement / Memorandum of Understanding with ….. “PRINTED COPIES ARE UNCONTROLLED” 32 Appendices for Business Continuity Plan for Queensland Health Central Sterilizing Departments 6. Resources Resources available to support effective business continuity management, completion of this template and activation of this BCP include, but are not limited to: Link to local BCP Queensland Health - Guidance Document - Emergency Preparedness & Continuity Management http://www.health.qld.gov.au/qhpolicy/docs/pol/qh-pol-315.pdf EMERGENCY PREPAREDNESS, DISASTER MANAGEMENT AND BUSINESS CONTINUITY SELF ASSESSMENT CHECKLIST http://qheps.health.qld.gov.au/audit/OE_Stream/emergprepardselfass.pdf and other documents listed therein on page 2 CHRISP Easi-Sterilise Standard Operating Procedures. http://www.chrispqld.com/easi_sterilise/easi-sterilise.html AS/NZS 5050:2010 Business continuity – Managing disruption-related risk AS/NZS ISO 31000:2009 Risk management – Principles and guidelines “PRINTED COPIES ARE UNCONTROLLED” 33