TRIM: DOC14/207090-007
Attachment D
DRAFT NSW Health Mandatory Training and Education Requirements
The Term “Mandatory Training” within NSW Health is reserved for state-wide training and education courses that have been classified within the 3-Tier NSW
Health Mandatory Training and Education Classification System being:
Mandatory Tier 1:
Statutory Training
Statutory Training means training in a defined subject matter:
(a) which a person must complete; or
(b) which a person must ensure that another person completes, in order to satisfy a legal obligation specified under
legislation (or subordinate legislative instrument).
Mandatory Tier 2:
National Safety and Quality Health
Service Standards (NSQHSS) Training
NSQHS Standards Training means training in a defined subject matter:
(a) which a person must complete; or
(b) which a person must ensure that another person completes, in order for a health service to meet the
requirements of the NSQHS Standards.
Mandatory Tier 3:
MoH Policy Directive Training
MoH Policy Directive Training means training in a defined subject matter:
(a) which a person must complete; or
(b) which a person must ensure that another person completes, in order to comply with a requirement of the NSW
Ministry of Health (MoH) specified in a policy directive.
Tier 1: 17 Policy Directives
Tier 2: 3 Standards of the National Safety and Quality Health Service Standards (covering 10 Standards)
Tier 3: 18 Policy Directives
Nb: The following tables have been split by training occurrence into:
Tier 1-3 Orientation – Within the first 4 weeks of employment
Tier 1-3 Induction – As part of the 3-6 month on-boarding process
Tier 1-3 Repeat Training – Annual/ 3-5 Year Frequency
1
Orientation – Within the first 4 weeks of employment
TIER 1 – STATUTORY
No. PD Identifier PD Name
Education/Training Resource
Target Group
1
40022948 - Introduction to Work Health and
Safety
All Staff
39962652 - Hazardous Manual Task
All Staff
PD2013_050
Work Health and Safety: Better Practice
Procedures
2
PD2014_004
Incident Management
CQI900 – IIMS: Notifier Training eLearning
through Edmore - IIMS
All Staff
3
PD2007_084
Infection Control Policy: Prevention &
Management of Multi-Resistant Organisms (MRO)
Infection Prevention and Control Principles
(In Development – 31st July 2014)
All Staff
4
PD2010_024
Fire Safety in Health Care Facilities
39962648 – Fire and Evacuation
39990432 – Fire and Evacuation Quiz
All Staff
5
PD2007_052
Sharps Injuries - Prevention in the NSW Public
Health System
Infection Prevention and Control Principles
(In Development – 31st July 2014)
All Staff exposed to the Risk of Sharps
Injury
6
PD2007_036
Infection Control Policy
Infection Prevention and Control Principles
(In Development – 31st July 2014)
Staff required to use or wear PPE for:
1) Blood or body substance
protection/or for care of patients, or
in environments with infections
2) Hazardous environments
3) Food safety
Local Induction to Personal Protective Equipment
7
PD2012_050
Forensic Mental Health Services
Local Education and Training - Forensic Mental
Health
2
NSW Health Staff who are responsible for
assessing, caring, treating, case managing
or providing other services to forensic
and/or correctional patients
Orientation – Within the first 4 weeks of employment
TIER 2: THE NATIONAL SAFETY AND QUALITY HEALTH SERVICE STANDARDS
NHQHS Standard 1 Governance for Safety and Quality in Health Service Organisations
Action
Descriptor
Education/Training Resource
Target Group
Action 1.4.1
Orientation and ongoing training programs
provide the workforce with the skill and
information needed to fulfil their safety and
quality roles and responsibilities
42189807 - Introduction to Safety and Quality
Staff in a Safety and Quality Role and with
Safety and Quality Responsibility;
All clinical staff including locums and
agency staff
Action 1.4.3
Locum and agency workforce have the necessary
information, training and orientation to the
workplace to fulfil their safety and quality roles
and responsibilities
42189807 - Introduction to Safety and Quality
Action 1.4.4
Competency-based training is provided to the
clinical workforce to improve safety and quality
42189807 - Introduction to Safety and Quality
Action 1.4.2
Annual mandatory training programs to meet the
requirements of these Standards
Introduction to Safety and Quality – Advanced
(In Development – 30th September 2014)
Members of governing bodies and senior
managers
Action 1.16.2
The clinical workforce are trained in open
disclosure processes
eLearning through Edmore – Open Disclosure
New Course in Development by CEC
Clinical Staff
NHQHS Standard 3 Preventing and Controlling Healthcare Associated Infections
Action 3.9.1
Education and competency-based training in
invasive devices protocols and use is provided for
the workforce who perform procedures with
invasive devices
42364545 - Invasive Device Protocols
Clinical staff who perform procedures
with invasive devices
Action 3.10.1
The clinical workforce is trained in aseptic
technique
40027445 - Aseptic Technique
Clinical staff using aseptic technique
3
Orientation – Within the first 4 weeks of employment
TIER 2: THE NATIONAL SAFETY AND QUALITY HEALTH SERVICE STANDARDS
NHQHS Standard 9 Recognising and Responding to Clinical Deterioration in Acute Health Care
Action 9.6.1
The clinical workforce is trained and proficient in
basic life support
39829919 - Management of the Deteriorating
Patient
Clinical staff with direct patient contact
including agency staff and locums
Life Support Assessment
In Development – 30th September 2014
Action 9.9.4
Action is taken to improve the system
performance for family escalation of care
39829919 - Management of the Deteriorating
Patient
TIER 3 – MoH Directive Training
No. PD Identifier
PD Name
Education/Training Resource
Target Group
1
PD2005_593
Privacy Manual (Version 2) - NSW Health
39966648 - Privacy Module 1: Know your
boundaries
All Staff
2
PD2013_049
Recognition and Management of Patients who
are Clinically Deteriorating
39829919 - Management of the Deteriorating
Patient
Clinical staff with direct patient contact
including agency staff and locums
3
PD2011_015
Care Coordination: Planning from Admission to
Transfer of Care in NSW Public Hospitals
Care Coordination
In Development – 30th September 2014
All Clinical staff
4
PD2011_042
Breastfeeding in NSW: Promotion, Protection and
Support
Breast Feeding Awareness – Local Training for
Breast feeding Promotion and Support
All Clinical Staff providing care to
pregnant women, mothers and/or infants
5
PD2012_016
Blood - Management of Fresh Blood Components
Accessed via Bloodsafe eLearning Australia
Medical and nursing staff involved in
transfusion related activities; staff of
hospital transfusion laboratories; nonclinical staff involved in the transfusion
process e.g. transporting blood


6
PD2010_040
Maternity - Fetal Heart Rate Monitoring
7
PD2008_027
Maternity - Clinical Care and Resuscitation of the
Clinical Transfusion Practice Module
Transporting Blood Module
CSK903 - Fetal Welfare, (Obstetric Emergency,
Neonatal Resuscitation Training)(FONT)
4
Midwifery Staff
Midwifery Staff
Orientation – Within the first 4 weeks of employment
TIER 3 – MoH Directive Training
No. PD Identifier
PD Name
Education/Training Resource
Target Group
Newborn Infant
Midwifery Staff
8
PD2009_003
Maternity - Clinical Risk Management Program
Accessed Via NSW Pregnancy and Newborn
Services Network
9
PD2010_064
Maternity - Prevention, Early Recognition &
Management of Postpartum Haemorrhage (PPH)
BloodSafe - Postpartum Haemorrhage
Accessed via Bloodsafe eLearning Australia
Midwifery Staff
10
PD2012_053
Mental Health Triage Policy
MEN906 - State Mental Health Triage Assessment
Line Training
Mental Health triage and intake staff
11
PD2008_056
Priority Oral Health Program and List
Management Protocols
Oral Health Program and List Management
Protocols
Aiming for resource availability 30th September
2014)
Clinical and non-clinical staff working in
oral health
12
PD2005_607
Sexual Assault Services Policy and Procedure
Manual (Adult)
All courses accessed via ECAV
Sexual Assault Services counsellors and
Coordinators – Modules: SA-1201, SA-1202,
SA1203
JIRT Senior Health Clinicians and JRU staff –
Modules: SA1201 Part 1, SA-1204, SA-1205, OP1001.
New Street Service counselling staff –
Modules: SA-1201 Part 1, SA-1202 Part 2,
SA-1203 Part 3, OP-1001, CE-208.
Sexual Assault Services counsellors and
Coordinators, JIRT Senior Health
Clinicians and JRU staff, New Street
Service counselling staff
13
PD2012_042
Aboriginal and Torres Strait Islander Origin Recording of Information of Patients and Clients
COM913 - Improving the Identification of
Aboriginal People (Local Development)
Patient and client registration / intake
staff
5
Induction – As part of the 3-6month on-boarding process
TIER 1 – LEGISLATION
No. PD Identifier
PD Name
Education/Training Resource
Target Group
8
PD2005_132
Waste Management Guidelines for Health Care
Facilities (August 1998)
39966595 - Waste Management
All Staff
(Contractors prior to commencement)
9
PD2005_315
Zero Tolerance Response to Violence in the NSW
Health Workplace
39831935 - Violence Prevention and
Management in the Workplace: Awareness
All Staff
39964553 - Violence Prevention and
Management in the Workplace: Promoting
Acceptable Behaviour in the Workplace
10
PD2012_008
Violence Prevention & Management Training
Framework for the NSW Public Health System
39831935 - Violence Prevention and
Management in the Workplace: Awareness
All Staff
39964553 - Violence Prevention and
Management in the Workplace: Promoting
Acceptable Behaviour in the Workplace
11
12
13
PD2010_033
PD2013_007
PD2010_058
Children and Adolescents - Safety and Security in
NSW Acute Health Facilities
1) 39966634 - Child Protection
1) All Staff
2) Specialist training through ECAV
2) Targeted requirement for role
specialised training – Staff working
directly with children and young
people and/or staff working directly
with adults who have children in their
care.
Child Wellbeing and Child Protection Policies and
Procedures for NSW Health
Hand Hygiene Policy
Additional 2 day training for child
protection trainers and/or child
protection coordinators who
coordinate child wellbeing and child
protection training for their LHD
eLearning through Hand Hygiene Australia
6
All Staff
Induction – As part of the 3-6month on-boarding process
TIER 1 – LEGISLATION
No. PD Identifier
PD Name
Education/Training Resource
Target Group
training. (Option to print a certificate)
14
PD2012_061
Environmental Cleaning Policy
Environmental Cleaning
(In development – 30th September 2014)
Staff undertaking cleaning tasks as their
primary role within a healthcare facility
15
PD2014_12
New South Wales Health Services Functional Area
Supporting Plan (NSW HEALTHPLAN)
4 Emergency Management Modules accessed Via
the GEM Platform
Staff expected to perform duties during a
disaster emergency response.
16
PD2012_067
Emergency Management Arrangements for NSW
Health




17
PD2012_035
Aggression, Seclusion & Restraint in Mental
Health Facilities in NSW
AIIMS – Incident Control Systems
PHICS – Public Health Incident Control
System
Emergency Procedure and Disaster
Awareness
Public Health Emergency Management
Workshop - Restraint and Seclusion – Workshop
(In Development – 30th July 2014- Train the
Trainer facility)
Staff working in Mental Health Facilities
TIER 2: THE NATIONAL SAFETY AND QUALITY HEALTH SERVICE STANDARDS
NHQHS Standard 3 Preventing and Controlling Healthcare Associated Infections
Action
Descriptor
Education/Training Resource
Target Group
Action 3.18.1
Action is taken to maximise coverage of the
relevant workforce trained in a competencybased program to decontaminate reusable
medical devices
Introduction to decontamination of reusable
medical devices
(In development – 30th September 2014)
Staff who decontaminate reusable
medical devices
7
Induction – As part of the 3-6month on-boarding process
TIER 3 – MoH Directive Training
No. PD Identifier
PD Name
Education/Training Resource
Target Group
14
Respecting the Difference: An Aboriginal Cultural
Training Framework for NSW Health

All Staff
PD2011_069


39988681 - Respecting the Difference
Aboriginal cultural training framework
(eLearning)
Generic face-to-face workshop
Local Content Training – Face-to-Face
15
PD2009_046
Smoking Cessation Brief Intervention at the
Chairside: Role of Public Oral Health/Dental
Services
Smoking cessation brief intervention
(In development – 30th September 2014)
Oral Health Service clinicians
16
PD2013_006
Injury Management and Return to Work
Injury Management
(In development – 30th September 2014)
All parties involved in workers
compensation including Return to Work
Coordinators, managers who are
managing staff with injuries, staff who
have injuries.
17
PD2011_030
Powered Air Purifying Respirator - CLD500
Local Training - Powered Air Purifying Respirator
First responders to CBR incident
8
Repeat Training (Annual/3-5 Year Frequency)
TIER 1 – LEGISLATION
Education/Training Resource
Target Group
No. PD Identifier
PD Name
3
PD2005_132
Waste Management Guidelines for Health Care
Facilities (August 1998)
39966595 - Waste Management
All Staff
5
PD2007_084
Infection Control Policy: Prevention &
Management of Multi-Resistant Organisms (MRO)
Infection Prevention and Control Principles
(In Development – 31st July 2014)
All Staff
7
PD2010_024
Fire Safety in Health Care Facilities
39962648 – Fire and Evacuation
39990432 – Fire and Evacuation Quiz
All Staff
10
PD2014_004
Incident Management
CQI900 – IIMS: Notifier Training
eLearning through Edmore - IIMS
All Staff
6
PD2007_052
Sharps Injuries - Prevention in the NSW Public
Health System
Infection Prevention and Control Principles
(In Development – 31st July 2014)
Infection Prevention and Control Practices
(In Development – 31st July 2014)
Local Induction to Personal Protective Equipment
All Staff exposed to the Risk of
Sharps Injury
13
PD2012_035
Aggression, Seclusion & Restraint in Mental
Health Facilities in NSW
Workshop - Restraint and Seclusion
(In Development – 30th July 2014- Train the
Trainer facility)
Staff working in Mental Health
Facilities
9
Repeat Training (Annual/3-5 Year Frequency)
TIER 2: THE NATIONAL SAFETY AND QUALITY HEALTH SERVICE STANDARDS
Action
Descriptor
Education/Training Resource
Target Group
Action 1.4.1
Orientation and ongoing training programs
provide the workforce with the skill and
information needed to fulfil their safety and
quality roles and responsibilities
42189807 - Introduction to Safety and Quality
Staff in a Safety and Quality Role
and with Safety and Quality
Responsibility; Clinical staff including
locums and agency staff
Action 1.4.3
Locum and agency workforce have the necessary
information, training and orientation to the
workplace to fulfil their safety and quality roles
and responsibilities
42189807 - Introduction to Safety and Quality
Action 1.4.4
Competency-based training is provided to the
clinical workforce to improve safety and quality
42189807 - Introduction to Safety and Quality
Action 1.4.2
Annual mandatory training programs to meet the
requirements of these Standards
Introduction to Safety and Quality – Advanced
(In Development – 30th September 2014)
Members of governing bodies and
senior managers
Action 3.9.1
Education and competency-based training in
invasive devices protocols and use is provided for
the workforce who perform procedures with
invasive devices
42364545 - Invasive Device Protocols
Clinical staff who perform
procedures with invasive devices
Action 3.10.1
The clinical workforce is trained in aseptic
technique
40027445 - Aseptic Technique
Clinical staff using aseptic technique
Action 9.6.1
The clinical workforce is trained and proficient in
basic life support
39829919 - Management of the Deteriorating
Patient
Clinical staff with direct patient
contact including agency staff and
locums
Life Support Assessment Tools
In Development – 30th September 2014
Action 9.9.4
Action is taken to improve the system
performance for family escalation of care
39829919 - Management of the Deteriorating
Patient
10
Repeat Training (Annual/3-5 Year Frequency)
TIER 3 – MoH Directive Training
No. PD Identifier
1
PD2013_049
PD Name
Recognition and Management of Patients who
are Clinically Deteriorating
Education/Training Resource
39829919 - Management of the Deteriorating
Patient
2
Blood - Management of Fresh Blood Components
Accessed via Bloodsafe eLearning Australia
PD2012_016


4
5
PD2010_040
PD2008_027
Maternity - Fetal Heart Rate Monitoring
Maternity - Clinical Care and Resuscitation of the
Newborn Infant
Maternity - Clinical Risk Management Program
6
PD2009_003
7
PD2010_064
Maternity - Prevention, Early Recognition &
Management of Postpartum Haemorrhage (PPH)
10
PD2005_607
Sexual Assault Services Policy and Procedure
Manual (Adult)
Clinical Transfusion Practice Module
Transporting Blood Module
CSK903 - Fetal Welfare, (Obstetric Emergency,
Neonatal Resuscitation Training)(FONT)
CSK907 - FONT - Maternal Emergency and
Neonatal Resuscitation Training
Accessed Via NSW Pregnancy and Newborn
Services Network
CSK967 - BloodSafe - Postpartum Haemorrhage
Accessed via Bloodsafe eLearning Australia
All courses accessed via ECAV
Sexual Assault Services counsellors and
Coordinators – Modules: SA-1201, SA-1202,
SA1203
JIRT Senior Health Clinicians and JRU staff –
Modules: SA1201 Part 1, SA-1204, SA-1205, OP1001.
New Street Service counselling staff –
Modules: SA-1201 Part 1, SA-1202 Part 2,
SA-1203 Part 3, OP-1001, CE-208.
11
Target Group
Clinical staff with direct patient
contact including agency staff and
locums
Medical and nursing staff involved
in transfusion related activities;
staff of hospital transfusion
laboratories; non-clinical staff
involved in the transfusion process
e.g. transporting blood
Midwifery Staff
Midwifery Staff
Midwifery Staff
Midwifery Staff
Sexual Assault Services counsellors
and Coordinators, JIRT Senior
Health Clinicians and JRU staff, New
Street Service counselling staff
Repeat Training (Annual/3-5 Year Frequency)
TIER 3 – MoH Directive Training
11.
PD2012_028
Recruitment and Selection of Staff of the NSW
Health Service
12.
PD2013_002
Designated Officer Policy and Procedures
4 Course Learning Path Prior to convening a
selection panel
39997811 - Convenor Role and Responsibilities
39997863 – Pre Selection
40013999 – Selection Process
39997861 – Post Selection
Assessment by Quiz with an 80% Pass
requirement
Prior to appoint as a Designated Officer
accessed via the GEM Platform
12
Conveners of Selection Panels
Designated Officers