The recess time, as mentioned earlier, refers to the time period of half an hour, ranging from 11.00 AM to 11.45 AM, when most of the doctors either in groups or individually take a tea break outside the corridors of hospital. This break was taken by almost all the doctors in the hospital. This break also resulted in long queues in OPDs. A senior officer said that the number of doctors in the hospital was much less than what was required. He felt that it was quite difficult for the hospital to survive with this staff.
Many nurses had a common complaint that the doctors tend to take break from work at will; it is they who had to work continuously without rest.
The arrival pattern of patients was observed for one week. Fifty patients were shadowed to understand the time spent at each station. In the simulation, the patient arrival was simulated in the same patteras that observed in real situation.