Amy Hensman and colleagues explain why nurses with advanced skills can enable timelier patient care
In a hospital, a high proportion of working time occurs outside the traditional working day, affecting patient safety as staffing levels are at their lowest out of hours. A service evaluation audit was used to evaluate the effectiveness of a clinical out-of-hours nurse co-ordinator (COHNC) pilot role in a tertiary children’s hospital. The COHNC role was trialled over a six-month period. During the pilot, the COHNC carried the junior paediatrician’s ‘bleep’ and prioritised all phone calls and tasks. Following a patient assessment, the COHNC either performed the investigations and treatments within their scope of practice or escalated these to the appropriate multidisciplinary team member. A description of how the COHNC role has developed and its implications to nursing practice are presented in this article, along with an overview of the quantitative and qualitative data obtained during the audit.
Nursing Children and Young People. 27, 10, 16-21. doi: 10.7748/ncyp.27.10.16.s25Correspondence
This article has been subject to open peer review and has been checked using antiplagiarism softwareConflict of interest
Received: 03 August 2015
Accepted: 18 September 2015
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