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Do you have historical data on how busy the practice is around the holidays? Yes, you will have patients that will show no matter what or have an urgent need- but in my experience, patients will cancel or prefer to schedule before/after the holidays. I managed a clinic and one year my boss basically enforced no time off around the holidays because we were short staffed. Team members were miserable and our days had gaps in between appointments clearly indicating at least a couple people could have been off. Don't be that boss. It was a huge source of contention and another team member quit shortly after. I was a new manager and naive to the implications so I just blindly followed instruction.
Now my opinion is that it's better to run on bare bones, allow time off, and have the people who are working be busy. Encourage the team to sign up or talk amongst themselves for priority days off before you officially approve. Set a guideline (i.e. No more than x amount of people off) so that they can see what days are filled up and more likely to have time declined.
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It depends. How many shifts/people do you need to operate a normal workday without being short staffed or without affecting your workflow? You have 30 staff but do they all work every day (Assuming Mon-Fri)?
If you only need 20 people to operate fully, then you know you can have 10 ppl off at a time/same period or day. If you need 25 ppl then it's 5 ppl.
You can of course allow more than 10 people off (11 - 12 people) in the 20 people scenario, if you have a collapsed workflow or a plan to work with less ppl and more work. Maybe reducing an activity/task that isn't necessary to complete each day on days you are short.
This can get more complicated if your staff work weekends on a rotating schedule ( every 3rd or every other weekend). If so they may need a day off during the week so that means you are automatically short on some days
As a former leader of a staff size of 45 I would think about what services will be operating during the holidays and what number of staff are needed to run lean. I have always had the concept “ You can do anything for 1 or 2 days “. I would focus on doing what task are necessary for those days and anything that can wait until after the Holidays let wait so the staff that are working can be attentive to the patients there. I would ask for volunteers with an understanding if enough do not volunteer everyone will have to pull a shift. Best of luck on this!!!
Its hard to say OP because the department I work in is really slow during the holidays so we really only need one person covering each shift. They let most of us have off as long as one person is here to cover the three shifts that we have. My boss only cares about the shifts covered.