Criterion | Self-rating | Surveyor rating | Divergence | Evidence | Person in charge | Last updated |
|---|---|---|---|---|---|---|
5.1.1Core Standard Nursing Administration and Leadership | Fully met | Fully met | — | 1 doc | Matron Norliah binti Hashim | 2026-01-11 |
5.1.3Core Standard Nursing Care Assessment and Care Planning | Fully met | Fully met | — | 1 doc | Matron Norliah binti Hashim | 2026-01-13 |
5.2.1Core StandardSafety Standard Safe Medication Administration by Nurses | Fully met | Fully met | — | 1 doc | Matron Norliah binti Hashim | 2026-01-15 |
5.2.3Safety Standard Clinical Handover and Structured SBAR Communication | Fully met | Fully met | — | 1 doc | Matron Norliah binti Hashim | 2026-01-17 |
5.3.1 Patient Fall Prevention and Management | Fully met | Fully met | — | 1 doc | Matron Norliah binti Hashim | 2026-01-19 |
5.4.1 Nursing Clinical Competency Assessment | Fully met | — | — | None | Matron Norliah binti Hashim | 2026-01-21 |
05.1.1.11 Nursing Care Delivery Protocol 1.1 | Fully met | Fully met | — | None | Matron Norliah binti Hashim | 2026-01-11 |
05.1.2.12 Clinical Documentation Protocol 1.2 | Partially met | Partially met | — | None | Matron Norliah binti Hashim | 2026-01-12 |
05.1.3.13 Patient Monitoring Protocol 1.3 | Fully met | Fully met | — | None | Matron Norliah binti Hashim | 2026-01-13 |
05.1.4.14 Medication Safety Protocol 1.4 | Fully met | Fully met | — | None | Matron Norliah binti Hashim | 2026-01-14 |
05.2.1.15 Shift Handover Protocol 2.1 | Fully met | Fully met | — | None | Matron Norliah binti Hashim | 2026-01-15 |
05.2.2.16 Nursing Care Delivery Protocol 2.2 | Fully met | Fully met | — | None | Matron Norliah binti Hashim | 2026-01-16 |
05.2.3.17 Clinical Documentation Protocol 2.3 | Fully met | Fully met | — | None | Matron Norliah binti Hashim | 2026-01-17 |
05.2.4.18 Patient Monitoring Protocol 2.4 | Fully met | Fully met | — | None | Matron Norliah binti Hashim | 2026-01-18 |
05.3.1.19Core Standard Medication Safety Protocol 3.1 | Fully met | Fully met | — | None | Matron Norliah binti Hashim | 2026-01-19 |
05.3.2.20 Shift Handover Protocol 3.2 | Fully met | Fully met | — | None | Matron Norliah binti Hashim | 2026-01-20 |
05.3.3.21 Nursing Care Delivery Protocol 3.3 | Fully met | Fully met | — | None | Matron Norliah binti Hashim | 2026-01-21 |
05.3.4.22 Clinical Documentation Protocol 3.4 | Fully met | Fully met | — | None | Matron Norliah binti Hashim | 2026-01-22 |
05.4.1.23 Patient Monitoring Protocol 4.1 | Fully met | Fully met | — | None | Matron Norliah binti Hashim | 2026-01-23 |
05.4.2.24 Medication Safety Protocol 4.2 | Fully met | Fully met | — | None | Matron Norliah binti Hashim | 2026-01-24 |
05.4.3.25 Shift Handover Protocol 4.3 | Not met | Not met | — | None | Matron Norliah binti Hashim | 2026-01-25 |
