DRAFT SAMPLE Master sheet: staffing available at time of strike and LPS requirements: Department / Location Patient or other Staff available Staff required to Life Preserving Services Request Reason for request Service Volume if relevant who are ensure life by staff status appropriately preserving trained services are (Should be listed as on duty, or maintained on call on site, or on call off site) Emergency Whakatane Department Hospital Laboratories Whakatane Hospital Anaesthesia Whakatane Hospital Physiotherapy Whakatane 20 acute cases per 2 1 physio on call off site across 24 To maintain essential Hospital day hours available within 25 minutes support for ICUetc etc 1 physio on site on call 8am Telephones Whakatane 1 1 on site on call across 24 hours To deliver Hospital Cardiology Whakatane Hospital
DRAFT SAMPLE Master sheet: staffing available at time of strike and LPS requirements: Department / Service Location Patient or other Volume if relevant Staff available who are appropriately trained Staff required to ensure life preserving services are maintained Life Preserving Services Request by staff status (Should be listed as on duty, or on call on site, or on call off site) Reason for request Emergency Department Whakatane Hospital Laboratories Whakatane Hospital Anaesthesia Whakatane Hospital Physiotherapy Whakatane Hospital 20 acute cases per day 2 1 physio on call off site across 24 hours available within 25 minutes 1 physio on site on call To maintain essential support for ICUetc etc Telephones Whakatane Hospital 1 1 on site on call across 24 hours To deliver Cardiology Whakatane Hospital 8am
CP5-Revised-LPS-letter-template-PSA.docx