Table 4. Vascular workflow guide summary.

Local contact details, internal cost codes, and operationally sensitive information are not included here.

Parameter	Description
Late-shift overview	Local late-shift hours from 12:00 to 22:00, handover expectations, and core FY1 responsibilities. The guide described 12:00-20:00 as mainly focused on pre-operative admissions and post-operative reviews, and 20:00-22:00 as responding to smartpages, continuing outstanding jobs and reviews, and assisting senior colleagues if required.
Patient workflow distinction	Clarified the different workflows for pre-operative elective admissions and post-operative reviews. Pre-operative patients required clerking, medication reconciliation, investigations, and preparation for theatre/procedure. Post-operative patients required review of documentation, observations, prescribing, medication reconciliation, post-operative plans, and escalation where required.
Pre-operative admissions	Admission clerking, review of pre-operative assessment documentation, blood tests, investigations, crossmatch considerations, medication reconciliation, and preparation for theatre or procedure.
Post-operative reviews	Review of operation/procedure notes, observations, clinical status, post-operative prescribing, medication reconciliation, documented plans, and complications requiring escalation.
Electronic admission workflow	Practical guidance on local electronic patient record admission tasks and ensuring patients were visible on the correct clinical list or workflow.
Peri-operative medication guidance	Advice on identifying documented medication plans, reconciling regular medications, and checking appropriate sources or senior advice when withholding instructions were unclear.
Outpatient accommodation facility	Eligibility and workflow principles for suitable elective patients using an outpatient accommodation facility before admission or procedure.
Escalation and complications	Escalation hierarchy and examples of vascular concerns requiring senior review, including haemodynamic instability, bleeding, limb concerns, uncontrolled pain, sepsis, or significant deterioration.