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171<br />

Chapter 5 Findings<br />

(nine staff in total 07.30hrs to 17.00hrs). If one <strong>of</strong> the nurses in that complement<br />

was a clinical nurse manager they usually attended to <strong>of</strong>fice work and were not<br />

clinically allocated. For the evening time (between 17.00hrs and 20.00hrs) the<br />

roster allowed for two nurses and three healthcare assistants to be on duty. At<br />

night time there were two nurses and one healthcare assistant and one “twilight”<br />

healthcare assistant who worked until 12 midnight and who was not a unit staff<br />

member but a relief staff member (there was a core group <strong>of</strong> staff who provided<br />

this relief).<br />

Over the four-month period <strong>of</strong> analysis it was found that nine staff came on duty<br />

for morning report 50% <strong>of</strong> the time (62 times). Occasionally the unit had extra<br />

staff and on one occasion 12 staff were on duty at morning report (0.8%). Eleven<br />

staff were on duty on three occasions (2%) and 10 staff were on duty on 25<br />

occasions (20%). There were also times when the unit was under-staffed: on 25<br />

occasions there were eight staff on duty at morning report (20%), seven staff on<br />

duty on five occasions (4%) and six staff on duty twice (1%). Thus the unit was<br />

over-staffed 29 times in a 123-day period and under-staffed 32 times in the same<br />

period (Chart 5.5).<br />

Occurrence <strong>of</strong> Full Complement <strong>of</strong> Staff<br />

24%<br />

26%<br />

50.00%<br />

Full complement<br />

Under the complement<br />

Over the complement<br />

Chart 5.5: Number <strong>of</strong> staff on duty during the four month period analysed

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