ABSTRACT
The off duty or rostering system is an important part of managing any ward or department. This article looks at the issues that need to be considered when drawing up and managing off duty. It recommends standards for off-duty planning and shares the results of an audit carried out against some of these standards in one NHS trust.
Subject(s)
Management Audit/methods , Nursing Staff, Hospital/supply & distribution , Perioperative Nursing/organization & administration , Personnel Staffing and Scheduling/standards , England , Forms and Records Control , Hospitals, Public , Humans , Nursing Staff, Hospital/organization & administration , Time Management , WorkforceABSTRACT
Stroke is one of the world's major health care problems and begins as an acute medical emergency. To ensure the best outcomes, stroke services should comprise an identified stroke unit with a dedicated multidisciplinary team of specialist staff working within agreed protocols. The medical nurse practitioner's intervention at the assessment stage for patients admitted to A&E with stroke should provide a more timely and appropriate referral in order to access stroke beds directly.