Recent research [24] here in South Africa has identified key consensus areas for Emergency Medicine (EM) development in the developing world with respect to the scope of practice, staffing needs, training and research.
One of the good things that has come out of this is that the rulebook for the NFL is many hundreds of pages, and we realize that it is beyond the scope of a coaching staff, or personnel people, to administer it properly.
Rapid Response Systems (RRS) or Medical emergency Teams (MET) are hospital wide systems that have been developed to provide a safety net for ward patients who suddenly deteriorate and develop complex care needs that may be outside the scope of clinical ward staff knowledge and skills.
2.4 More efficient use of the role is associated with allowing practitioners to work to their full scope of practice Enabling staff to work to their full scope of practice, and providing structures to reinforce this was associated with increased efficiency (six projects).
Given that most of the respondents in all three countries were very clear that the goal of their facility was to serve the community and that community appreciation was widely appreciated there could be scope to further the motivation of staff by reinforcing this sense of the purpose to their work [ 20].
Privacy laws demand that parents or guardians sign off on the use of last names for students under 18 years old, and getting those permissions, we thought, was beyond the scope of what our small staff could do.
Mentors reported improved teamwork and the ability to deal with conflict but wanted more administrative oversight of the quality and scope of practice of support staff and additional interdepartmental collaboration.
Overall the Walk-in Centre is perceived by most stakeholders to have improved access to primary care; however it is perceived that this impact could be greater if the scope of practice of the staff were extended and expanded.
The prevailing organisational Guidance on Gender Assessments (see Programme Policy and Procedure Manual, Chapter 6, Section 17) provided flexibility to Country Offices in defining the scope the assessments and the participation of staff.
By aligning service provision along the care pathways, there would be scope to ensure that sufficient ratios of staff are trained to advanced levels on specific therapeutic intervention modalities.
