After hours care

Audit Title

Client / Site

Personnel

Can you explain the role of the After Hour’s Nurse Manager?

What support/training have you been provided with to fulfil your position description?

When was your last performance appraisal?

Can you describe how you access policies and procedures?

How are you informed of new policies and procedures?

How do you ensure the safety of patients is optimised during your shift?

What processes are in place to determine the needs of patients admitted emergency or from referring facilities?

What processes are in place at thisHospital to manage deteriorating patients?

What is your role in managing deteriorating patients? (adult/paeds/neonates/maternity patients)?

What processes/resources do you have in place to manage emergencies?

What processes/resources do you have in place to report/investigate/document incidents?

What processes are in place to facilitate complaint reporting/management?

How is communication facilitated between hospital Committees and the after hour’s managers?

What processes are in place to provide feedback to after-hours nurse managers in relation to reported incidents/complaints?

What handover processes are in place to ensure facilitate operational management at this hospital?

What support service/resources/staff do you have access to, to facilitate safety and quality of patient care?

What processes do you have in place to ensure that staffing is optimal for maximising patient safety?

How do you prioritise staffing issues overnight/during the shift – i.e. meal breaks, busy wards, staff not turning up to work, staff becoming unwell, requiring to go home?

Can you demonstrate how the After Hours Manager can assist with staff in-service?

What is the role of the after-hours nurse manager in performance review of after-hours/night staff?

What systems are in place to ensure that staff are working within their scope of practice?

Can you describe your role in the quality activities within this hospital?

How can you demonstrate that ensure that agency staff are aware of their designated roles and responsibilities?

How can you demonstrate that agency staff have the skill and competence to fulfil their role?

What strategies are used to ensure staff attend or complete required mandatory training if any?

What training opportunities are there for after hour’s staff i.e. in-services?

Are you involved in completing competency assessments of staff?