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Policies

Our Policy Library contains NSW Health Pathology policies, procedures, guidelines and supporting documents.

You can also access NSW Health Policy Directives, Policy and Procedure Manuals, Information Bulletins and Public Service Commission policy documents.

If you cannot find what you are looking for or if you find a broken link, email NSWPATH-Policy@health.nsw.gov.au

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Type Name Number Type Policy Sponsor Subject
Document: Guidelines for Clinical Placements in NSW Health GL2016_028 Ministry Policy Executive Director, People and Culture Workforce - Workplace Management - Workforce Planning
Document: Non-Admitted Patient and Supplementary Services Data Collection: Core Minimum and Extended Data Set IB2021_051 Ministry Information Bulletin Executive Director Statewide Clinical Services & CMIO Information and Data
Document: NSW Health Student Placement Agreement IB2021_025 Ministry Information Bulletin Executive Director, People and Culture Workforce - Workplace Management - Learning and Development
Document: 2003-08 Australian Health Care Agreement IB2005_005 Ministry Information Bulletin Executive Director, Finance and Corporate Services Accounting
Document: 2016/17 Service Agreement Key Performance Indicators and Service Measures Data Dictionary IB2016_036 Ministry Policy Executive Director Strategy and Transformation Information and Data
Document: 2020-21 KPI and Improvement Measure Data Supplement IB2020_040 Ministry Information Bulletin Executive Director Strategy and Transformation Information and Data
Document: 2222 For In-Hospital Emergency Situations IB2019_009 Ministry Information Bulletin Executive Director, Clinical Operations Workforce - Work Health and Safety and Security
Document: ABO and RhD Grouping Test Method NSWHP_PR_061 NSW Health Pathology Procedure Executive Director, Clinical Operations Transfusion
Document: Aboriginal and Torres Strait Islander Origin - Recording of Information of Patients and Clients PD2012_042 Ministry Policy Executive Director, Clinical Services Information and Data
Document: Aboriginal and Torres Strait Islander Peoples - Preferred Terminology to be Used PD2005_319 Ministry Policy Executive Director, Strategic Communications Cultural Diversity
Document: Aboriginal Cultural Activities Policy PD2019_025 Ministry Policy Executive Director, Strategic Communications Cultural Diversity
Document: Aboriginal Cultural Training – Respecting the Difference PD2022_028 Ministry Policy Executive Director, People and Culture Workforce - Workplace Management - Learning and Development
Document: Aboriginal Family Health Workers - Operational Guidelines GL2009_001 Ministry Policy Executive Director, Clinical Operations Clinical Governance
Document: Aboriginal Health Impact Statement PD2017_004 Ministry Policy Director, Corporate Governance Policy
Document: Accommodation - Health Owned - Consideration of Rental/Market Rental Assistance Grant PD2010_038 Ministry Policy Executive Director, Finance and Corporate Services Finance
Document: Accommodation - Health Owned - Requests from External Organisations PD2009_061 Ministry Policy Executive Director, Finance and Corporate Services Finance
Document: Accounting Manual for Public Health Organisations Ministry Policy and Procedure Manual Executive Director, Finance and Corporate Services Accounting
Document: Accounts and Audit Determination for Public Health Organisations Ministry Policy and Procedure Manual Executive Director, Finance and Corporate Services Finance
Document: Accreditation of Pathology Laboratories in NSW Health PD2017_011 Ministry Policy Director Clinical Governance Pathology
Document: Ad Hoc Requests for Funding - Organisations External to NSW Health PD2005_507 Ministry Policy Executive Director, Finance and Corporate Services Finance
Document: Additional Public Holiday during Christmas Closedown Period 2018-19 IB2018_052 Ministry Information Bulletin Executive Director, People and Culture Workforce - Workplace Management - Leave
Document: Administration of NSW Health Grant Funding for Non-Government Organisations PD2019_013 Ministry Policy Executive Director, Finance and Corporate Services Finance
Document: Admitted Patient Election Processes PD2021_046 Ministry Policy Executive Director, Finance and Corporate Services Accounting
Document: Adoption Act 2000 - Release of Information PD2016_036 Ministry Policy Executive Director, Clinical Operations Clinical Governance
Document: Adult Urethral Catheterisation for Acute Care Settings GL2021_015 Ministry Policy Executive Director, Clinical Operations Communicable and Infectious Diseases and Control
Document: Ageing and Disability Commissioner IB2020_006 Ministry Information Bulletin Director, Corporate Governance Corporate Governance
Document: Agency Change Management Guidelines D2011_014 NSW Government Policy Document Executive Director, People and Culture Workforce - Workplace Management - Employee Relations
Document: Allied Health Data Set Extension IB2022_012 Ministry Information Bulletin Executive Director Statewide Clinical Services & CMIO Information and Data
Document: Amendments to the Building and Construction Industry Security of Payments Act 1999 IB2011_018 Ministry Information Bulletin Executive Director, Finance and Corporate Services Finance
Document: Analytical Performance in Chemical Pathology Procedure NSWHP_PR_018 NSW Health Pathology Procedure Executive Director Strategy and Transformation Chemical Pathology
Document: Analytical Performance in Chemical Pathology Procedure NSWHP_PR_018 NSW Health Pathology Procedure Executive Director Strategy and Transformation Chemical Pathology
Document: Analytical Performance in Chemical Pathology Procedure NSWHP_PR_018 NSW Health Pathology Procedure Executive Director Strategy and Transformation Chemical Pathology
Document: Anatomical Pathology Scientific and Technical Cut-up NSWHP_PG_021 NSW Health Pathology Guideline Executive Director, Clinical Operations Anatomical Pathology
Document: Annulment of Appointment Template Letter NSWHP_SD_022 NSW Health Pathology Supporting Document Executive Director, People and Culture Workforce - Workplace Management - Employee Relations
Document: Antibody Screening and Identification Test Methods NSWHP_PR_062 NSW Health Pathology Procedure Executive Director, Clinical Operations Transfusion
Document: Antibody Titration Test Method NSWHP_PR_063 NSW Health Pathology Procedure Director Clinical Governance Transfusion
Document: Application and Use of Procurement Cards (PCards) within NSW Health PD2016_005 Ministry Policy Executive Director, Finance and Corporate Services Procurement
Document: Application of Policies - Newly Established NSW Health Agencies IB2020_014 Ministry Policy Director, Corporate Governance Policy
Document: Application to Develop a Policy NSWHP_F_001 Form Director, Corporate Governance Policy
Document: Area of Need Program PD2013_003 Ministry Policy Executive Director Medical Services Workforce - Workplace Management - Workforce Planning
Document: Asbestos - Changes to Licensing Impacting on Demolition & Removal - 1 July 2007 IB2007_018 Ministry Information Bulletin Executive Director, Finance and Corporate Services Facilities Management
Document: Asset Management PD2020_38 Ministry Policy Executive Director, Finance and Corporate Services Asset Management
Document: Assets - Valuation of Physical Non-Current Assets at Fair Value PD2008_013 Ministry Policy Executive Director, Finance and Corporate Services Asset Management
Document: Asylum Seekers - Medicare Ineligible - Provision of Specified Public Health Services PD2009_068 Ministry Policy Executive Director, Finance and Corporate Services Accounting
Document: Audit and Risk Committee Independent Chairs and Members - Prequalification Scheme Revision IB2013_012 Ministry Information Bulletin Director, Corporate Governance Audit and Risk Management
Document: Australasian Health Facility Guidelines - Use in NSW GL2018_024 Ministry Guideline Executive Director Strategy and Transformation Asset Management
Document: Australasian Health Facility Guidelines Variations Process PD2019_051 Ministry Policy Executive Director Strategy and Transformation Asset Management
Document: Authorised Nurse Immuniser and Authorised Midwife Immunisers PD2022_016 Ministry Policy Executive Director, Clinical Operations Clinical Governance
Document: Authority to Collect Deceased Bodies IB2021_033 Ministry Information Bulletin Executive Director, Clinical Operations Clinical/Patient Services
Document: Autoantibody and Autoadsorption Test Method NSWHP_PR_064 NSW Health Pathology Procedure Executive Director, Clinical Operations Transfusion
Document: Bio-Rad ID-Cards - Quick Guide NSWHP_F_055 Form Executive Director, Clinical Operations Transfusion
Document: Bio-Rad IH-1000 Immunohaematology Analyser NSWHP_PR_056 NSW Health Pathology Procedure Executive Director, Clinical Operations Transfusion
Document: Bio-Rad IH-1000 QC and Maintenance NSWHP_SD_063 NSW Health Pathology Supporting Document Executive Director, Clinical Operations Transfusion
Document: Bio-Rad IH-500 Immunohaematology Analyser NSWHP_PR_055 NSW Health Pathology Procedure Executive Director, Clinical Operations Transfusion
Document: Bio-Rad IH-500 QC and Maintenance NSWHP_SD_062 NSW Health Pathology Supporting Document Executive Director, Clinical Operations Transfusion
Document: Bio-Rad IH-Com Data Management Software NSWHP_PR_054 NSW Health Pathology Procedure Executive Director, Clinical Operations Transfusion
Document: Bio-Rad Phenotyping ID Cards - Quick guide NSWHP_F_056 Form Executive Director, Clinical Operations Transfusion
Document: Bio-Rad Pre Acceptance testing for Antigen Fya, Fyb, S and s ID-Cards and ID-Test Serum NSWHP_SD_054 NSW Health Pathology Supporting Document Executive Director, Clinical Operations Transfusion
Document: Bio-Rad Pre Acceptance Testing for DiaClon Anti-MN, M, K and Cw ID-Cards NSWHP_SD_055 NSW Health Pathology Supporting Document Executive Director, Clinical Operations Transfusion
Document: Bio-Rad Pre Acceptance Testing for DiaClon Grouping cards , LISSCoombs Card, Newborn card and DC Screening II Card NSWHP_SD_051 NSW Health Pathology Supporting Document Executive Director, Clinical Operations Transfusion
Document: Bio-Rad Pre Acceptance testing for Diaclon ID-Cards Anti-Jka, Jkb, Kpa and k NSWHP_SD_053 NSW Health Pathology Supporting Document Executive Director, Clinical Operations Transfusion
Document: Bio-Rad Pre Acceptance Testing of Diaclon Rh K Pheno II ID-Card NSWHP_SD_052 NSW Health Pathology Supporting Document Executive Director, Clinical Operations Transfusion
Document: Bio-Rad Red Cell Reagent Pre Acceptance Testing NSWHP_SD_057 NSW Health Pathology Supporting Document Executive Director, Clinical Operations Transfusion
Document: Bio-Rad Saxo ID-Reader II NSWHP_PR_057 NSW Health Pathology Procedure Executive Director, Clinical Operations Transfusion
Document: Bio-Rad Saxo ID-Reader II, Incubator-L and Centrifuge-L QC and Maintenance NSWHP_SD_061 NSW Health Pathology Supporting Document Executive Director, Clinical Operations Transfusion
Document: Blood Alcohol Sampling by Hospital Staff PD2005_495 Ministry Policy Executive Director, Clinical Services Pre and Post Analytical
Document: Blood and Urine Testing of Drivers Apparently Under the Influence of Drugs PD2005_029 Ministry Policy Executive Director, Clinical Services Pre and Post Analytical
Document: Blood Grouping Tube Reagent QC NSWHP_SD_059 NSW Health Pathology Supporting Document Executive Director, Clinical Operations Transfusion
Document: Blood Management PD2018_042 Ministry Policy Executive Director Strategy and Transformation Transfusion
Document: Brain Injury Rehabilitation Program (BIRP) Charges   IB2021_030 Ministry Information Bulletin Executive Director, Finance and Corporate Services Accounting
Document: Brain Injury Rehabilitation Program (BIRP) Fees PD2021_022 Ministry Policy Executive Director, Finance and Corporate Services Accounting
Document: Brief Template NSWHP_SD_039 NSW Health Pathology Supporting Document Director, Corporate Governance Corporate Governance
Document: Brief to Chief Executive re Annulment Appointment Template NSWHP_SD_023 NSW Health Pathology Supporting Document Executive Director, People and Culture Workforce - Workplace Management - Employee Relations
Document: Bring Your Own Device and NSW Health Smart Devices PD2022_011 Ministry Policy Executive Director Statewide Clinical Services & CMIO Information and Data
Document: Building Code of Australia 2005 Edition & its application to public & private health care facilities IB2005_024 Ministry Information Bulletin Executive Director, Finance and Corporate Services Facilities Management
Document: Business Activity Statement Procedures - NSW Health Standards GL2010_012 Ministry Policy Executive Director, Finance and Corporate Services Finance
Document: Business Continuity Management NSWHP_PD_031 NSW Health Pathology Policy Executive Director, FASS Disaster Management
Document: Capital Works Administration Costs - Capital Works Procedure No 12 PD2005_046 Ministry Policy Executive Director, Finance and Corporate Services Finance
Document: Cashing Out Accrued Additional Annual Leave IB2021_039 Ministry Information Bulletin Executive Director, People and Culture Workforce - Workplace Management - Leave
Document: Central Registry of Contracts arising from Government Tenders IB2007_032 Ministry Information Bulletin Executive Director, Finance and Corporate Services Procurement
Document: Changes to Fire Safety Practitioner Accreditation Standards IB2020_019 Ministry Information Bulletin Executive Director, People and Culture Workforce - Work Health and Safety and Security
Document: Changes to the Accrual of Additional Days Off for Nurses and Midwives IB2019_042 Ministry Information Bulletin Executive Director, People and Culture Workforce - Workplace Management - Leave
Document: Changes to Unit References Codes for Fire Safety Training IB2020_003 Ministry Information Bulletin Executive Director, People and Culture Workforce - Work Health and Safety and Security
Document: Charges for Newborns and Paediatric Emergency Transport Services (NETS) and Ambulance IB2021_026 Ministry Information Bulletin Executive Director, Finance and Corporate Services Finance
Document: Charging Arrangements for Hospitals and Other Health Services PD2022_024 Ministry Policy Executive Director, Finance and Corporate Services Finance
Document: Charging Arrangements for Newborn and Paediatric Emergency Transport Services (NETS) and Ambulance PD2021_024 Ministry Policy Executive Director, Finance and Corporate Services Finance
Document: Charging Arrangements for Pension Based Scale of Fees PD2021_009 Ministry Policy Executive Director, Finance and Corporate Services Finance
Document: Charging Lifetime Care & Support (LTCS) Scheme for Designated Units PD2021_026 Ministry Policy Executive Director, Finance and Corporate Services Accounting
Document: Chart of Accounts for Inpatient Financial Classification Rollout IB2021_059 Ministry Information Bulletin Executive Director, Finance and Corporate Services Accounting
Document: Child Related Allegations, Charges and Convictions against NSW Health Staff PD2020_044 Ministry Policy Executive Director, People and Culture Workforce - Workplace Conduct
Document: Child Wellbeing and Child Protection Policies and Procedures for NSW Health PD2013_007 Ministry Policy Executive Director, People and Culture Workforce - Workplace Management - Learning and Development
Document: Children and Infants - Acute Management of Head Injury PD2011_024 Ministry Policy Executive Director Strategy and Transformation Pathology
Document: Christmas Closedown 2021-2022 and Additional Public Holiday 2021   IB2021_053 Ministry Information Bulletin Executive Director, People and Culture Workforce - Workplace Management - Leave
Document: Cleaning of the Healthcare Environment PD2020_022   Ministry Policy Executive Director, Clinical Operations Clinical/Patient Services
Document: Client Registration Guideline GL2007_024 Ministry Policy Executive Director Strategy and Transformation Information and Data
Document: Client Registration Policy PD2007_094 Ministry Policy Executive Director Strategy and Transformation Information and Data
Document: Clinical Academics Employed in the NSW Health Service PD2019_055 Ministry Policy Executive Director, People and Culture Workforce - Workplace Management - Conditions of Employment
Document: Clinical and Related Waste Management for Health Services PD2020_049 Ministry Policy Director Clinical Governance Facilities Management
Document: Clinical Governance Framework NSWHP_CG_009 NSW Health Pathology Policy and Procedure Manual Executive Director, Clinical Governance and Quality Clinical Governance
Document: Clinical Nurse / Midwife Consultants - List of Domains and Functions IB2017_002 Ministry Information Bulletin Executive Director, People and Culture Workforce - Workplace Management - Employee Relations
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