Nurses go on mat leave or leave for other union approved reasons all the time. Can't just hire new people when the old ones are coming back in a few months. My mom's a nurse and the OT has been crazy for as long as I can remember. I don't think it's a matter of just hiring more people or they would just do that.
You would think they would be able to go off previous years to plan for future years and just hire the right amount but it's just not that simple. It's like the most unpredictable industry around because you're mostly only needed when bad stuff happens, and you can't predict that or have a legion of people on hand to deal with every little thing just to ensure no OT gets used. You have to stay if there's an emergency and there's no telling when that could happen. It's literally impossible to plan for. Even if they hired twice as many nurses, there would still be OT, it's just the way it is.
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