Implementing fixed rotation requires careful planning and consultation with the nursing staff. Management must consider various factors, such as the specific needs of the healthcare facility, the preferences of the nurses, and regulatory requirements. Typically, a pilot program is conducted to identify potential issues and make adjustments before full implementation. Once the schedule is set, it should be reviewed periodically to ensure it meets the needs of both the staff and the organization. Feedback from nurses is crucial in this process, as they are directly impacted by the schedule.