Does a member of your staff frequently leave to buy lunch, and not count the travel time against allotted break minutes? Does your PACU nurse make a phone call or brew a pot of coffee and say she didn't start her break until after she completed those tasks? Or does your pre-op administrator not leave her post until 15 minutes after she is relieved, therefore eliminating the break time for someone else? Problems arise when employees are away for too long or refuse to break when asked. You need to recognize those abuses, correct the behavior and teach your staff to fend for themselves when it comes to finding the time for timeouts.