Our Policies

Exceptional care that makes a difference.

Mercy Hospital's policies are available to download below. Printed copies are  available for reference at Mercy Hospital main reception.

Antimicrobial Policy
Updated: August 2023
401 KB
CCTV Policy
Updated: June 2023
385 KB
Chaperoning Policy
Updated: July 2024
164 KB
Child Protection Policy
Updated: September 2024
186 KB
Clinical Handover Policy
Updated: October 2023
415 KB
Clinical Imaging Policy
Updated: August 2021
426 KB
Clinical Records Management Policy
Updated: June 2023
772 KB
Cold Chain Vaccine Management Policy
Updated: March 2024
136 KB
Complaints Policy
Updated: April 2024
166 KB
Consent Policy
Updated: March 2024
208 KB
Consumer Engagement Policy
Updated: April 2024
173 KB
Contracts Management Policy
Updated: November 2022
621 KB
CPR Policy
Updated: May 2023
434 KB
Credentialing Policy
Updated: May 2024
671 KB
Creutzfeldt-Jakob Disease Policy
Updated: October 2021
1002 KB
Cultural Policy
Updated: May 2023
587 KB
Death of a Patient Policy
Updated: August 2021
550 KB
Discharge of Paitents Policy
Updated: August 2022
506 KB
Document Control Policy
Updated: April 2024
104 KB
Electrosurgical Smoke Evacuation Policy
Updated: November 2022
416 KB
Emergency Management Policy
Updated: May 2024
423 KB
Environmental Cleaning Policy
Updated: November 2022
384 KB
Environmental Management Policy
Updated: March 2023
421 KB
External Service Providers Policy
Updated: August 2021
471 KB
Falls Prevention and Management Policy
Updated: October 2023
627 KB
Fire Safety Policy
Updated: May 2024
549 KB
First Aid Policy
Updated: February 2022
371 KB
Food Safety Policy
Updated: June 2022
386 KB
Hand Hygiene Policy
Updated: June 2023
517 KB
Hazard Management Policy
Updated: March 2022
459 KB
Hazardous Substances Policy
Updated: September 2024
437 KB
Health and Safety Policy
Updated: October 2023
442 KB
ICT Governance Policy
Updated: November 2023
155 KB
Incident and Adverse Events Policy
Updated: June 2023
665 KB
Infectious Disease Patient Management Policy
Updated: October 2023
1.1 MB
Infectious Disease Staff Management Policy
Updated: July 2024
259 KB
Information Management Policy
Updated: August 2023
454 KB
Isolation Policy
Updated: April 2021
864 KB
Laser Safety Policy
Updated: November 2022
481 KB
Laundry Policy
Updated: March 2023
434 KB
Medicines Management Policy
Updated: April 2024
360 KB
Nursing Model of Care Policy
Updated: August 2023
363 KB
Nursing Scope of Practice Policy
Updated: October 2023
518 KB
Outbreak Management Policy
Updated: September 2024
107 KB
Pastoral Care & Chaplaincy Policy
Updated: August 2023
585 KB
Patient Assessment Policy
Updated: October 2023
477 KB
Patient Family Violence Policy
Updated: November 2022
446 KB
Patient Restraint-Minimisation Policy
Updated: August 2023
684 KB
Patient Visiting/Accompanying Policy
Updated: June 2021
386 KB
Personal Protective Equipment Policy
Updated: October 2023
407 KB
Point of Care Testing Policy
Updated: March 2024
161 KB
Pressure Injury Management Policy
Updated: July 2022
665 KB
Pressure Injury Management Policy
Updated: July 2022
665 KB
Privacy and Release of Information Policy
Updated: December 2022
609 KB
Product Evaluation Policy
Updated: May 2022
272 KB
Radiation Policy
Updated: September 2022
489 KB
Research Policy
Updated: July 2023
555 KB
Return of Explanted Metalware Policy
Updated: April 2023
404 KB
Risk Management Policy
Updated: December 2020
431 KB
Risk Rating and Review for Policies
Updated: February 2022
614 KB
Safe Handling & Moving Policy
Updated: August 2023
308 KB
Security Policy
Updated: June 2022
410 KB
Shared Goals of Care Policy
Updated: July 2022
874 KB
Site Marking Policy
Updated: June 2024
437 KB
Staff Immunisation Policy
Updated: June 2023
424 KB
Standard Precautions Policy
Updated: March 2024
159 KB
Standing Orders/Surgical Preferences Policy
Updated: March 2024
138 KB
Surgical Count Policy
Updated: October 2023
743 KB
Surgical Safety Checklist Policy
Updated: November 2022
431 KB
Surveillance Policy
Updated: June 2024
296 KB
Transfer of Patients Policy
Updated: June 2023
474 KB
Venous Thromboembolus (VTE) Policy
Updated: May 2023
443 KB
Waste Management Policy
Updated: July 2021
410 KB
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