Clinical scheduling is
complex,
but it doesn't have to be.
Leave manual drag-and-drop legacy software behind. Daywatch is the only scheduling AI that instantly resolves complex compliance rules into optimal clinical rosters—offering complete data privacy with an exclusive air-gapped On-Premise option.
How the AI Engine Resolves Every Constraint
Clinical Scheduling Rules & How Daywatch Enforces Them
Clinical scheduling involves labour law, supervision requirements, certifications, and staff wellbeing. Here is how Daywatch maps and enforces every real-world constraint:
Group 1: Standard Guardrails (Built-in Logic)
Medical Resident Duty Hours Reform (19.5h Cap)
Operational Requirement:
Medical residents in hospital wards may not be assigned to continuous shifts or turanut duty exceeding 19.5 hours per the 2023 Ministry of Health reform.
How Daywatch Enforces It:
Statutory Shift Cap. A persistent hard constraint monitors continuous shift durations for residents and blocks placements exceeding 19.5 hours.
Post-Turanut Mandatory Rest (12h Gap)
Operational Requirement:
Clinicians completing an overnight turanut or extended on-call shift must receive at least 12 hours of uninterrupted rest before any subsequent assignment.
How Daywatch Enforces It:
Rest Gap Enforcement. The scheduler checks rest intervals after overnight duty and hard-blocks next-day assignments if the gap is under 12 hours.
Pregnancy Night Protection (5th Month)
Operational Requirement:
Female healthcare workers from their 5th month of pregnancy are protected by law from night shift assignments (22:00–06:00) and overtime.
How Daywatch Enforces It:
Pregnancy Tag Guardrail. Staff with the 5th-month pregnancy tag are automatically excluded from night shift candidate pools during auto-scheduling.
Multi-Site Campus & Clinic Allocation
Operational Requirement:
Clinicians are assigned across hospital campuses (Main Hospital, Outpatient Surgery, ER) with site-specific badges and location filters.
How Daywatch Enforces It:
Multi-Site Filtering. Shift slots are bound to specific hospital sites, enabling multi-location scheduling from a single dashboard.
Cross-Team Clinician Floating
Operational Requirement:
Specialist nurses and doctors float across sub-teams/wards during surge hours without creating duplicate accounts or losing compliance history.
How Daywatch Enforces It:
Cross-Team Pool. Clinicians belong to a parent medical organization and can be assigned to shifts in sub-teams with full constraint checks.
Resident FTE Cap — Dr. Anna Kim (80% contract)
Operational Requirement:
Dr. Kim is a Resident on a 0.8 FTE contract: max 80% of Morning shifts, and zero Night on-call shifts are permitted by her training agreement.
How Daywatch Enforces It:
Percentage-Based Shift Caps. The cap scales automatically with the total slot count per shift type in the current scheduling period as the period length changes.
Designated On-Call Replacement
Operational Requirement:
If a consultant cancels their clinic session last-minute, a pre-assigned on-call backup is automatically promoted and notified — no coordinator phone tree needed.
How Daywatch Enforces It:
Backup Auto-Promotion. The manager assigns a backup clinician to any shift in the schedule grid. On cancellation, Daywatch instantly promotes the backup and sends WhatsApp/email confirmations.
Group 2: Custom Operational Rules (Code Constraints)
Minimum 11-Hour Rest Between Shifts
Operational Requirement:
Clinician fatigue is a leading cause of medical error. A doctor finishing Night Cover (06:00) cannot begin Morning Ward (07:00) the same morning.
How Daywatch Enforces It:
Custom Rest Rule. A JavaScript rule checks the transition window between every clinician's consecutive assignments. Any gap below 11 hours is flagged as a hard violation.
Max 3 Consecutive Night Shifts
Operational Requirement:
Consecutive overnight clinical work causes dangerous fatigue. No clinician may be assigned more than 3 consecutive night shifts without rotating off.
How Daywatch Enforces It:
Consecutive-Night Rule. The scheduler counts consecutive night-shift assignments per clinician and blocks the 4th consecutive night placement.
Junior Doctor Supervision Pairing
Operational Requirement:
A Junior Doctor must never work a ward shift without a Consultant or Senior Registrar present during the same shift window — mandatory for patient safety.
How Daywatch Enforces It:
Supervision Pairing Rule. A custom JavaScript rule groups overlapping assignments and verifies that whenever a Junior Doctor is scheduled, at least one Consultant or Senior Registrar is in the same shift window.
Group 3: Role Tags & Staff Preferences
Consultant-Grade Cover — ICU & High Dependency
Operational Requirement:
ICU and High-Dependency Unit shifts require a Consultant-grade doctor. Junior Doctors are not clinically authorized to run these units unsupervised.
How Daywatch Enforces It:
Mandatory Role Slot. ICU and HDU shift groups include a Consultant role slot. Junior Doctors and Residents are excluded from the assignment dropdown for these slots.
Anaesthetist On-Call — Operating Theatre
Operational Requirement:
Operating Theatre sessions require a certified Anaesthetist on call. No procedure can start without the mandatory anaesthesia cover.
How Daywatch Enforces It:
Role-Tag Filtering. Theatre shift slots require the Anaesthetist tag. Only Anaesthetist-certified staff appear as candidates — all others are excluded.
Infection Control Lead — Every Ward Shift
Operational Requirement:
At least one Infection Control certified nurse must be present on every ward shift — mandatory for NHS infection prevention protocols.
How Daywatch Enforces It:
Tag Slot Requirement. One shift slot in each ward group is locked to the Infection Control certification tag. The shift is not marked fully covered until this position is filled.
No Night Shifts — Dr. Sarah Bloom (Medical Restriction)
Operational Requirement:
Dr. Bloom has a documented occupational health restriction preventing overnight clinical work. She must be fully excluded from night-shift eligibility.
How Daywatch Enforces It:
Worker Availability. Dr. Bloom marks all night shift windows as Unavailable. She is automatically excluded from every night-shift candidate list during auto-scheduling.
Preferred Colleagues — Drs. James & Emma
Operational Requirement:
Drs. James Patel and Emma Clarke are a high-performing clinical team. They prefer to be scheduled on the same shifts to maintain continuity of care.
How Daywatch Enforces It:
Teammate Pairing Preference. Evaluated as a soft constraint that scores co-assignments of James and Emma on the same shift higher during auto-scheduling.
Block Pattern Preference — Nurse Chen (Thu/Fri/Sat)
Operational Requirement:
Nurse Chen prefers to work Thursday, Friday, and Saturday blocks for childcare reasons — working scattered days across the week is costly for her.
How Daywatch Enforces It:
Block Preference Function. Nurse Chen's soft preference function rates non-block day assignments lower. The AI prioritizes her preferred pattern while ensuring full ward coverage.
No-Short-Notice — Backup Assignment Protection
Operational Requirement:
Consultants or key coordinators marked "no-short-notice" must never be set as a backup or replacement worker. Being a backup means being called on short notice if the primary cancels — which is exactly what this tag prevents.
How Daywatch Enforces It:
Operational Tags & Rules. A persistent hard rule checks every shift's replacementWorkerId. If the assigned backup has the "no-short-notice" tag, the rule fires regardless of when the schedule was built — not just on the day of scheduling.
Flexible Schedule Window
Plan ahead — from 1 to 4 weeks
Hospitals often plan for longer periods, which is why Daywatch lets your team flexibly configure schedule windows. Plan monthly rotations, manage leave requests across blocks, or stick to shorter weekly cycles depending on your unit's needs.
1-4
weeks per plan
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Dr. Rachel Cohen
Head of Nursing / Manager
email manager@citymedical.demo
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