Oh, MelJayne, I was not asking for you to 'justify' your lack of break/lunch. I hope I have not offended you in any way!

The way I see it, there are quite a few reasons why working without rest occurs. Certainly an unexpected increase in acuity, as well as too high census, being a novice or disorganised nurse, and wanting overtime can lead to missed breaks/lunch. Do I sound like the middle-management, paper pusher that I am? Yes, I do. Furthermore, I think that it is incumbent upon middle/senior management to provide breaks/lunches. We have an obligation to ensure that staff have the time and the tools to provide excellent patient care. Adequate rest/hydration/nourishment, along with appropriate staffing and education most definitely facilitates that care.

OK. Stepping down from my soap box,

Joy