Paramedics in the midlands have voted to strike over plans to introduce core rostering.
The National Ambulance Service Representative Association says the system would enable management to change rosters at 24 hours notice - something which it says is unfair on already stressed paramedics and may result in delayed response times.
Ninety-four per cent of the members polled in Offaly, Laois, Westmeath and Longford voted to strike.
Des Kavanagh, General Secretary of NASRA's parent group the Psychiatric Nurses Association, outlines what will happen next: