Nurse shift change in Emergency Department

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Atipol Kanchanapiboon asked Jul 19, '16 Jeanette F commented Oct 7, '23

Nurse shift change in Emergency Department

Hi. I am modeling an Emergency Department process. I have an RN that her patient still not discharged, but she is getting off shift. She completed an earlier activity "Nurse Exam" and the same RN (Staff requirement: Requirement 1 of activity XX-nurse exam) is expected to transport the patient to inpatient admit exit when all the treatment and inpatient bed placement process are done.

What will happen if this nurse get off the shift and the model try to find the same nurse for that patient in later activity (transport patient)? Will the patient get stuck there? How should I handle this?

Thank you.

Software Version:

FlexSim 16.1.0

Software Version:

FlexSim HC 5.0.12

resource staff shift schedule off schedule

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Adrian Haws commented · Jul 19, 2016 at 08:17 PM

@Atipol Kanchanapiboon

Do you have to use that specific RN or can it be another one? In the Staff Requirement you can choose a member from a group, so that it doesn't need a specific staff resource.

If you have a more specific issue it may be helpful to attach your model so we can get a better idea of what's going on.

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rns.png (9.5 KiB)

Atipol Kanchanapiboon Adrian Haws commented · Jul 19, 2016 at 08:29 PM

@Adrian Haws Yes, I did choose any available RNs in the earlier task (nurse exam). According to Matt's model. This work fine for the later task(discharge) to be specified as 'requirement 1 of activity xx-nurse exam). The model will pick the rest of the RNs that is still on the shift to complete the later task after the 1st RN get off the shift. Thanks.

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Answer 1 · 2016-07-19T19:59:42Z

Matthew Gillespie answered Jul 19, '16 Jeanette F commented Oct 7, '23

The nurse's task will be handed off to the nurse's group and another nurse from that group will take over. So as long as there's another available nurse in that group the patient won't have to wait.

Here's an example model.

animation.gif (348.1 KiB)

offschedule.fsm (94.5 KiB)

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Atipol Kanchanapiboon commented · Jul 19, 2016 at 08:24 PM

Great. That answer my question. @Matthew Gillespie

A quick follow up question: According to your model, RN_1 got off the shift right when the shift ends and hand it off to RN_2 who continue RN_1 task. Is there a way to set this to make sure RN_1 will complete this task before she goes off-shift (even that means she will stay for an extra time)?

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Matthew Gillespie ♦♦ Atipol Kanchanapiboon commented · Jul 19, 2016 at 08:28 PM

That will be determined by the priority of the staff requests. I made the off schedule event a priority 200 request such that it would preempt any 100-level priority requests and the nurse would immediately go off schedule. By default though, the off schedule is a priority 190 which means it won't preempt other priorities in the 100s (150 is the default request priority for activities) but when the current activity ends it will be done before a lower priority request.

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Atipol Kanchanapiboon Matthew Gillespie ♦♦ commented · Jul 19, 2016 at 09:05 PM

@Matthew Gillespie, how do I change the off schedule event priority?

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Atipol Kanchanapiboon commented · Jul 19, 2016 at 09:12 PM

Thanks, @Adrian Haws . That is useful.

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