it seems there are two issues. the immedicate and pressing issue is staffing. the above responses are great. the other issue is "why" are the staff calling off? we can be gullible and beleive they are all sick.....or we can see if there is a burnout, morale, personality, etc issue going on. i average only two call offs per day and weekends are higher. my staff is burned out and i have litte recourse in the short term but to ask the "same ole" folk to pick up. therebye accelerating their burnout. vicious cycle occurs. we are even using most of the above things to help with staff- pools, incentives, trades. what is better when the staff who will not pick up scream the loudest when they work short....