Dean B S, Mrvos R M, Krenzelok E P
Pittsburgh Poison Center, School of Pharmacy, University of Pittsburgh, PA.
Vet Hum Toxicol. 1990 Apr;32(2):150-1.
For optimal effectiveness, a regional poison information center (RPIC) must be operational 24 h daily, every day of the year. While the formula to calculate the number of full-time equivalents (FTE'S) needed to staff a shift at an RPIC is well known, the best method for successful estimation rotation of an RPIC's professional staff to attain adequate 24-h coverage remains a conundrum. For a 12-mo period, full and part-time Poison Information Specialists at an RPIC self-scheduled all of their work time. Each Specialist rotated 2 shifts (days/nights) or chose a steady off-shift (evenings or nights). On a rotation basis, a Poison Information Specialist schedule coordinator was assigned to "balance" each 4-week period of self-scheduled time. This eliminated inadequate staffing on any given shift. Self-scheduling of work time has impacted positively on staff morale, since it commits the ownership of scheduling to those directly affected by the outcome. Costly illness time has decreased by 23 d/y and administrative staff are able to expand the 10 h, once spent in developing weekly staff schedules, in other areas of productivity.
为达到最佳效果，区域中毒信息中心（RPIC）必须全年每天24小时运作。虽然计算RPIC一个班次所需全职等效人员（FTE）数量的公式众所周知，但成功估算RPIC专业人员轮班以实现足够的24小时覆盖的最佳方法仍是一个难题。在12个月的时间里，RPIC的全职和兼职中毒信息专家自行安排所有工作时间。每位专家轮流值2个班次（白班/夜班）或选择固定的非值班班次（傍晚或夜间）。轮流安排一名中毒信息专家排班协调员，以“平衡”每4周自行安排时间的时段。这消除了任何给定班次人员配备不足的情况。工作时间的自行安排对员工士气产生了积极影响，因为它将排班的自主权交给了那些直接受结果影响的人。每年因病缺勤的天数减少了23天，行政人员能够将原本用于制定每周员工排班表的10小时，投入到其他提高生产力的领域。
