New Zealand does not have enough nurses or ICU beds, healthcare figures warn, as their workforce braces for Omicron.
The College of Critical Care Nurses told Morning Report the country was currently short of at least 90 ICU beds if there was a major Omicron outbreak.
Chairwoman Tania Mitchell said intensive care capacity had been a sticking point for other countries during the outbreak, and New Zealand was under-prepared.
"We know compared to other areas in the OECD that even for business as usual we have a low number of intensive care beds per head, compared to other countries, and that puts us in the back foot going into this."
She said more beds were always welcome, and there was $644 million increase in funding to hospitals and ICUs from the government to cope with Covid-19, that was announced in December.
But there was real concern it would not be enough, and there were not enough intensive care nurses.
"In intensive care we're actually struggling to cope with business as usual," Mitchell said.
"That's to do with bed numbers, but most importantly nursing numbers - you can build new building, and increase more beds much easier than you can create the nursing resources."
It is likely more cardiac and cancer patients would have surgery delayed, to help free up ICU beds.
Urgent work on immigration could help, she said, and nurses wanting to come to or remain in New Zealand should be prioritised, and assistance with shifting here made available.
Quarter of nursing workforce could be out of action
Nurses and other health workers becoming sick with Omicron as an outbreak spreads was going to strain healthcare provisions, Nurses Organisation industrial officer Glenda Alexander said.
"If we lost a quarter of them even, at any one time ... which is predicted, it is going to put immense strain on already tight staffing levels.
"But it's not just hospital nurses, our workforce who work in aged care, primary health care, those people on the frontline doing vaccinations and taking test - it's right across.
"If you imagine a quarter - at least, of those people not being able to be a work, because it won't just be their own health, it's the health of their families as well, that they have to address."
Alexander said nurses were already carrying the burden of long understaffing problems, and they would likely have to prioritise only urgent and necessary work; "just life preserving services only, so no elective surgery".
"If we'd planned for a pandemic five years ago, as we were predicting nursing shortages, that would have helped immensely right now, but we can't actually grow [nurses] as quickly as we need right now. It is a stressful situation."
RNZ