Developing Strategies for On-Call Staffing: A Working Guideline for Safe Practices

Abstract Effective on-call clinical staffing is critical to providing perioperative services to patients requiring emergency surgical care. Without careful monitoring of continuous work hours and hours worked per week, staffing practices can adversely affect the ability of personnel to function and...

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Veröffentlicht in:AORN journal 2014-10, Vol.100 (4), p.369-375
Hauptverfasser: Olmstead, John, Falcone, Deborah, Lopez, Jacy, Mislan, Linda, Murphy, Marialena, Acello, Toni
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container_end_page 375
container_issue 4
container_start_page 369
container_title AORN journal
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creator Olmstead, John
Falcone, Deborah
Lopez, Jacy
Mislan, Linda
Murphy, Marialena
Acello, Toni
description Abstract Effective on-call clinical staffing is critical to providing perioperative services to patients requiring emergency surgical care. Without careful monitoring of continuous work hours and hours worked per week, staffing practices can adversely affect the ability of personnel to function and provide care. Managers and perioperative personnel must carefully evaluate their on-call schedule to ensure the provision of safe medical care for their patients. Perioperative leaders at two hospitals partnered to create a safety guideline for on-call staffing practices, which includes zone guides for determining workload intensity. This guideline has served to help managers evaluate the general safety of their staffing plan and identify on-call practices that may need improvement or support in their areas of responsibility. Key recommendations from the guideline can help perioperative managers at other facilities establish clinical staffing plans and on-call practices that are safe and effective.
doi_str_mv 10.1016/j.aorn.2013.08.020
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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Anesthesia & Perioperative Care
call coverage
call shifts
call staffing
continuous work hour practices
Emergency medical care
extended work hours
Guidelines as Topic
Hospitals, Community - organization & administration
Humans
Nursing
Occupational Health
off-shift schedules
on-call guidelines
on-call practices
Patient Safety
Perianesthesia
Personnel Staffing and Scheduling - organization & administration
safe staffing levels
Surgery
United States
Working hours
zone guide
title Developing Strategies for On-Call Staffing: A Working Guideline for Safe Practices
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