Abstract
This paper aims to explore the concept of the breach avoidance facilitator (BAF) within the Accident & Emergency (A&E) department. This is a role that has been introduced utilising Senior Nursing staff on a supernumerary basis to predominantly provide a trouble-shooting role to manage the A&E 4-hour target. The paper will explore the initial practical difficulties that were encountered during the introduction of the role. The associated benefits of the role including monitoring of the 4-hour target, co-ordination of resources, increased communication with a variety of staff members, and the completion of a real time electronic hand-over form will be explored. The paper will also discuss how the role will evolve to provide support and clinical supervision for junior and ancillary staff.
MeSH terms
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Attitude of Health Personnel
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Communication
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Continuity of Patient Care / organization & administration
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Efficiency, Organizational
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Emergency Nursing / organization & administration*
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Emergency Service, Hospital / organization & administration*
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England
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Guideline Adherence
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Health Care Reform / organization & administration
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Humans
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Interprofessional Relations
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Nurse Administrators / organization & administration*
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Nurse Administrators / psychology
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Nurse's Role* / psychology
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Nursing Evaluation Research
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Nursing Methodology Research
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Nursing, Supervisory / organization & administration*
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Organizational Culture
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Organizational Innovation
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Practice Guidelines as Topic
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Quality Assurance, Health Care / organization & administration
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State Medicine / organization & administration
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Surveys and Questionnaires
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Time Factors
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Waiting Lists*