Self-scheduling in the emergency department

The primary steps to accomplish successful self-scheduling programs are as follows: 1. An appropriate amount of time must be committed for a trial period; a minimum of 6 months is recommended. In the initial phases of the program, it is important that the manager refrain from intervening in conflict resolution or allowing the staff members to abdicate decision making to management when problems arise. Changes in staff attitudes to assume responsibility for unit coverage emerge, in part, as a result of observing the consequences when it is not done. 2. At least 1 year, and often almost 2 years, are required to achieve smooth-flowing systems. 3. Time is needed for the staff members to become proficient in negotiation. The key to mutual cooperation is that everyone eventually experiences a need for a change in his or her particular schedule. The staff may need assistance in learning how to perceive possible changes or how to approach others. 4. Problems are usually resolved by staff-suggested rule additions or modifications. Rules can be used to help enforce consideration and fairness, but a noncompliant person may need individual attention.