In general terms, we didn't address the question of turnover directly in terms of the staffing of the nursing positions. We did identify that, first of all, all of the nurses in northern Ontario and Manitoba we looked at in the audit who are employees of Health Canada are registered nurses, but sometimes, because of the circumstances in the environment in which they have to work, they have to work outside their scope of practice. We have explained that in the audit. Because of those circumstances, Health Canada has said that those nurses need to have additional training in order to provide those extra services. In our sample we found that only 1 out of 45 nurses had received all of the five mandatory courses to be trained in delivering those extra services.
It was simply that Health Canada had set these requirements for their nurses to receive this training but they weren't making sure it was happening. They've said it is important. It is work that the nurses have to do that is outside what a nurse would normally have to do, so they should get the extra training, but they just weren't getting the training.