The Ratios

A work in progress

Notice: This particular survey is now completed. I've updated the survey to include burnout questions and more specific questions concerning ancillary staff. Once I receive enough submissions I'll update this page to reflect the new survey, but will always leave this data available for download.

Data Updated:

4-29-22

Click to Download

State
City
Facility Name
Professional Title
Level of Care
Normal Ratio
Surged Ratio
How Often do you Surge?
How burned out are you?
Comments
Which shift?
Would you recommend your own family be treated at your hospital?
Submission Time
AL
Tuscaloosa
DCH Regional Medical Center
Registered Nurse
Med-Surg
7:1
7:1
Every day
Severely burned out
A 7:1 ratio is too much and the stress it causes on nurses is not sustainable. The level of care being provided to patients is embarrassing and dangerous but we are literally just trying to stay afloat and our administrators and management team could care less. The pay for staff nurses is pathetic, new grads starting at $22.00/hour with a salary cap at $38/hour for seasoned nurses.
Days
No
30/07/2022
AR
Hot Springs
CHI St. Vincent
Registered Nurse
Med-Surg Tele
6:1
7:1
Every day
Severely burned out
It is stressful and completely unsafe. If one patient goes bad, 6 are left without care
Nights
Sometimes
27/05/2022
Alabama
Dothan
Flowers Hospital
Registered Nurse
Med-Surg Tele
7:1
8:1
Multiple times a week
Severely burned out
Nights
Sometimes
22/09/2022
CO
Fort Collins
Centennial Peaks Hospital
Registered Nurse
Psychiatric Care
20+:1
20+:1
Once every few weeks
Severely burned out
I was lied to about average ratios, was told they were “eight, ten, maybe twelve max” even prior to COVID in 2019, and I ASKED (not that that matters) before accepting the job. I had 28 patients BY MYSELF (Meds, CIWA, groups, food, vitals, pre/post ECT, codes). as a brand new nurse (day two Bc everyone called off and “you have to”, prior to COVID. It’s infinitely worse now, because the ratios are still high AND now there are infection concerns. Peacing out next week! Can’t wait! Eff you, UHS! Woot!
Other
No
10/07/2022
Colorado
Colorado Springs
UCHealth memorial central hospital
Registered Nurse
Intensive Care Unit
2:1
3:1
Multiple times a week
Severely burned out
Tripling and even quadrupling is happening more frequently and it’s extremely stressful for nursing staff. Support staff is often not available.
Days
No
23/06/2022
Colorado
Englewood
Swedish Medical Center
Registered Nurse
Progressive Care
4:1
5:1
Every day
Moderately burned out
Days
Sometimes
26/06/2022
Colorado
Lakewood
Saint Anthony Hospital
Registered Nurse
Med-Surg Tele
6:1
7:1
Once every few months
Complete lack of empathy/emotion
Toward the end of the last surge the hospital offered a $15,000 bonus iif ypu signed up to stay two years. If you did not you would have to reimburse the money. Since it was a lump sum in one paycheck most nurses ended paying about $5000 of it in taxes. Now the hospital seems to feel like they can treat the nurses however they want because the nurses are stuck. The ratios have gone way up, even in ICU. i U typically has a 1:3 ratio now. It is a nightmare.
Days
No
02/10/2022
Delaware
Newark
Christiana Care
Registered Nurse
Telemetry
5:1
6:1
Multiple times a week
Moderately burned out
It's crap, we are stepdown and always pushed 5:1, nights can sometimes have it worse with 6 or 7 and only two RNs on the unit. Charge always in a full assignment. Other stepdown units are surged to 5:1 but not us.
Days
Sometimes
22/09/2022
Delaware
Newark
Christiana Care
Registered Nurse
Med-Surg Tele
5:1
6:1
Multiple times a week
Complete lack of empathy/emotion
The rations are ridiculous compared to the ancillary support we have (1 PCT for the entire floor). It makes me hate my job. The ONE TIME we were property staffed I realized I didn’t hate my job, I hate the conditions under which I’m required to work.
Nights
No
18/05/2022
FL
Pembroke Pines FL
Memorial Hospital Pembroke
Registered Nurse
Med-Surg Tele
5:1
6:1
Multiple times a week
Moderately burned out
Days
Yes
01/06/2022
FL
Pensacola
Sacred Heart Hospital
Registered Nurse
Progressive Care
4:1
5:1
Once every few months
Moderately burned out
As an intermediate care PCU with vents and cardiac drips, I think our ratios should be 3:1. Our patients have a lot going on and are often mentally altered and not sedated. It's med surge walky-talkies, but one sneeze away from ICU. We are often the unit with the least staff and resources. My patients definitely suffer long wait times and some tasks that just don't get followed up on.
Days
No
08/06/2022
FL
Sarasota
Sarasota Memorial Hospital
Registered Nurse
Med-Surg Tele
5:1
6:1
Multiple times a week
Complete lack of empathy/emotion
They have NO report- patients just show up. They don't care if you're adequately staffed or not, they just send patients. The patients they send are a mess. They have resources but good luck getting them to come do their job. They are overworked as well. They are the best in the area but that's not saying much.
Nights
Sometimes
22/09/2022
FL
Tallahassee
HCA Healthcare Florida: Capital
Registered Nurse
Med-Surg
7:1
8:1
Every day
Moderately burned out
I'm the charge nurse who also has to be the secretary. My ratio is supposed to be 3:1 but I haven't seen that in over a year and my hospital stopped hiring travel nurses. We're drowning every shift and the younger nurses are leaving because of it, not to mention those nurses that refuse to take over 7 patients so I have to pick up the slack. Frustrating and dangerous
Nights
Sometimes
26/05/2022
Fl
Winter Haven
Winter Haven Hospital
Registered Nurse
Med-Surg Tele
4:1
5:1
Once a month
Severely burned out
Manageable with proper Ancillary staffing which is often not the case.
Nights
Yes
03/06/2022
Florida
Orlando
AdventHealth Orlando
Registered Nurse
Progressive Care
4:1
5:1
Once every few months
Somewhat burned out
Days
Sometimes
30/05/2022
Florida
Pensacola, FL
Select Specialty Hospital
Registered Nurse
LTAC
5:1
6:1
Once every few months
Somewhat burned out
Nights
Sometimes
22/08/2022
Florida
Port Saint Lucie
Cleveland clinic
Registered Nurse
Emergency Room
4:1
5:1
Multiple times a week
Severely burned out
Days
No
14/06/2022
Florida
Safety Harbor
Mease Countryside Hospital
Registered Nurse
Med-Surg Tele
5:1
6:1
Multiple times a week
Moderately burned out
Nights
Yes
17/07/2022
Florida
West Palm Beach
St Mary's
Registered Nurse
Med-Surg
6:1
7:1
Multiple times a week
Complete lack of empathy/emotion
Bad ratios, poor management, weak support staff, Tenet doesn't care
Nights
No
30/05/2022
Ga
Augusta
Doctors Hospital
Registered Nurse
Progressive Care
5:1
6:1
Once a month
Not at all
The unit does have caps in place when we are short staffed so that helps. If you come on shift and you are assigned 4 patients you are in for a day full of admits. A day with 5 patient is the best for me and they commonly have a good balance for acuity. The floor has great teamwork and they try to at least have one CNA and receptionist during the shift. Sometimes we even get 2 CNA's and a receptionist which is a god send.
Nights
Sometimes
03/07/2022
IL
McHenry
Northwestern medicine
Registered Nurse
Progressive Care
4:1
5:1
Multiple times a week
Moderately burned out
When I started we were at a 5:1, which included Covid patients. I’m on the cardiac tele unit, but we have been given step down patients as well. We get the Covids on BiPAP and the more difficult patients that med-surg are uncomfortable dealing with. A 5:1 ratio from a 4:1 doesn’t sound like a lot, but it makes a big difference. For a bit there we were at a 4:1 and it was so nice. Didn’t last too long though. Also, we hardly ever have a charge nurse! So 5:1 and no charge!
Nights
Sometimes
18/05/2022
IL
Springfield
ST John's Hospital
Registered Nurse
Intensive Care Unit
2:1
3:1
Once a week
Moderately burned out
Days
No
22/09/2022
IN
Newburgh
The Village at Hamilton Pointe
Registered Nurse
SNF
30+:1
40+:1
Every day
Moderately burned out
Most nights on the skilled nursing unit there are 60-70 residents with 1 nurse and 3 cnas. It is dangerous and just asking for a sentinel event.
Nights
No
13/06/2022
Idaho
Pocatello
Portneuf Medical Center
Registered Nurse
Med-Surg
6:1
6:1
Multiple times a week
Complete lack of empathy/emotion
I think that the understaffing is a bigger issue for being a nurse then the ratio. Sometimes the ratio gets to me if I have a few difficult patients. The not having staff and the constant calls to pick up are immensely irritating.
Nights
Sometimes
22/07/2022
Indiana
Indianapolis
Community Hospital East
Registered Nurse
Emergency Room
4:1
5:1
Multiple times a week
Severely burned out
Nights
No
24/08/2022
Indiana
Jeffersonville
Clark Memorial Hospital
Registered Nurse
Intensive Care Unit
2:1
3:1
Every day
Severely burned out
Days
No
10/05/2022
Iowa
Clive
Mercy Rehabilitation Hospital
Registered Nurse
LTAC
4:1
7:1
Multiple times a week
Moderately burned out
I should clarify that my hospital is an inpatient rehab facility (IRF), which is slightly different than an LTAC. My hospital has "normalized" 6:1 ratios during the day and doesn't change its day and night nurse to patient ratio. Except when Joint Commission arrived a few weeks ago. Then we were 4:1, as we had been before the pandemic started. The main hospital in which we receive our patients (Mercy Hospital in Des Moines, IA) has regular nurse-to-patient ratios of 8:1 on med/surg units (sometimes flexing to 9 or 10 to 1), so we are essentially told that we can't complain because we're better staffed than our parent facility. Having worked in a different inpatient rehab facility that had adequate ratios, I can hardly address my patients' full needs, let alone provide the rehab and education they need to discharge. I feel like I'm not giving the patients the care they need during their approved rehab stay with insurance, and it's not fair to them.
Days
Sometimes
26/05/2022
Italy
Udine
Sonia
Registered Nurse
PACU
12:1
12:1
Multiple times a week
Severely burned out
Nights
No
19/05/2022
Kansas
Kansas City
University of Kansas Hospital
Registered Nurse
Progressive Care
5:1
6:1
Multiple times a week
Moderately burned out
Absolutely not safe, evidently the cap is 1:7 for all med Surg, 1:6 for all tele pts, supposedly. It's 1:5 weekdays and 1:6 on weekends now everywhere, including high acuity hem/Onc unit. No wonder turnover of PCU rns is >30% (ie by years end one unit has fully turned over it's entire nursing staff). Aide ratio is 1:13+ usually 1:16+ (Cambridge runs their 34 bed units with ONE CNA) so people don't get baths, fed etc. No lab, no housekeepers (common for only 6-8 cleaners for 840 beds after 3pm daily. Rooms are not really cleaned. Pts wait in hallway beds on units for hrs for rn to be cleaned) Old ratios pre winter 2021 were 1:4, 1:5 surged rarely for PCUs, aides 1: 8 (1:10 rare surge).
Days
Sometimes
14/08/2022
Kentucky
Lexington
Baptist Health Lexington
Registered Nurse
Intensive Care Unit
2:1
3:1
Multiple times a week
Severely burned out
It's completely unsafe to have icu level patients in a 3:1 ratio, sometimes even 2:1 is too much with the lack of experienced nurses, nurses with no Neuro experience, and travelers, coupled with dwindling resources and increasingly hostile providers
Nights
No
05/06/2022
Ky
Louisville
Nortons
Registered Nurse
Med-Surg Tele
5:1
6:1
Multiple times a week
Not at all
Nights
Sometimes
22/09/2022
La
Houma
Terrebonne General
Registered Nurse
Med-Surg Tele
6:1
6:1
Never
Complete lack of empathy/emotion
Patients are too high of acuity to be 6:1, with 2 CNAs for 29 patients.
Nights
No
26/08/2022
MA
Barnstable
Cape Cod Hospital
Registered Nurse
Med-Surg Tele
5:1
5:1
Every day
Severely burned out
Days
No
18/05/2022
MA
Barnstable
Cape cod hospital
Registered Nurse
Med-Surg Tele
5:1
6:1
Multiple times a week
Complete lack of empathy/emotion
Days
No
18/05/2022
MA
Boston
Boston Medical Center
Registered Nurse
Telemetry
3:1
3:1
Multiple times a week
Not at all
Union hospital. Not enough support staff. Critical labs drawn hours late due to inadequate number of phlebotomists. Huge turnover in nursing staff. Frequent call outs. CNAs floated to other floors leaving us with 1 CNA for 30+ patients frequently.
Days
Sometimes
05/09/2022
MA
Plymouth
Beth Israel Plymouth
Registered Nurse
Emergency Room
5:1
6:1
Every day
Complete lack of empathy/emotion
Days
Sometimes
28/06/2022
MO
Springfield
Mercy
Registered Nurse
Med-Surg Tele
7:1
8:1
Every day
Moderately burned out
Does not matter the unit. tele, neuro, surgical all night shifts are 7 or 8 each average 1 CNA. Luxury to have charge nurse.
Nights
No
08/09/2022
MO
St. Louis
St.Louis University Hospital
Registered Nurse
Intensive Care Unit
2:1
3:1
Once every few weeks
Somewhat burned out
Nights
No
06/09/2022
Maryland
Towson
Greater Baltimore Medical Center
Registered Nurse
Med-Surg Tele
5:1
6:1
Multiple times a week
Moderately burned out
GBMC is an amazing place to work, however short staffing is leading to burnout and inadequate patient care
Nights
Yes
28/07/2022
Michigan
Flint,
Promedica
Registered Nurse
SNF
18:1
30+:1
Once a month
Complete lack of empathy/emotion
The first hour of the day, the CNAs stand around playing on their phone and talking at the nurses station. Meanwhile, the RNs and LPNs run from room to room getting vitals on every patient, blood sugars. Some days when the managers are not present the staff literally sleep or hide in rooms for hours. The patients do not get water delivered throughout the entire shift. Management is terrified to enforce any rules for fear of violent reprisals against themselves of their vehicles in the parking lot. The patient ratios are usually 18 to one nurse. However some days due to deliberate short staffing orders from corporate the ratios rise to over 35 to one. BURN OUT is an understatement!!
Days
No
27/07/2022
NC
Chapel Hill
UNC Hospital
Registered Nurse
Med-Surg
5:1
6:1
Once a month
Severely burned out
The ratios are terrible. I'm completely burnt out. I hate nursing and wish I had studied something different in college. Biggest mistake of my life.
Days
Yes
15/08/2022
NC
Chapel Hill
University of Chapel Hill Medical Center
Registered Nurse
Emergency Room
4:1
5:1
Once every few weeks
Severely burned out
Nights
Sometimes
11/07/2022
NC
Greensboro
Cone Health
Registered Nurse
Progressive Care
5:1
6:1
Every day
Severely burned out
Days
No
23/08/2022
NJ
Camden
Our Lady of Lourdes
Registered Nurse
Progressive Care
4:1
6:1
Multiple times a week
Somewhat burned out
Days
No
22/09/2022
NJ
Galloway
AtlantiCare Regional Medical Center, Mainland Campus
Registered Nurse
Med-Surg Tele
5:1
7:1
Every day
Severely burned out
Days
Sometimes
11/09/2022
NJ
Summit
Overlook Medical Center
Registered Nurse
Intensive Care Unit
2:1
5:1
Once every few months
Moderately burned out
I work in the Neuro ICU so it wasn't as bad as the main ICU during the COVID surges. Still, when it was at its worst we had 4-5 patients each, and only sometimes had a tech (it is a 10-bed unit). The hospital changed protocol and we were only supposed to enter the rooms a few times a shift, but it was frustrating knowing patients were not getting the care and human contact we wanted to give them. At this point we are back to our usual staffing ratios.
Nights
Yes
14/05/2022
NY
Buffalo
Sisters of Charity Hospital, Main Campus
Registered Nurse
Med-Surg Tele
6:1
7:1
Once a week
Complete lack of empathy/emotion
Incredibly unsafe. Bordering stepdown with trachs, chest tubes, drips, vents
Days
No
04/08/2022
NY
Cooperstown
Bassett Medical Center
Registered Nurse
Emergency Room
4:1
6:1
Multiple times a week
Severely burned out
Days
No
28/05/2022
NY
NEW YORK
new york-presbytarian hospital lower manhattan
Registered Nurse
Telemetry
6:1
6:1
Once every few weeks
Moderately burned out
Nights
No
16/08/2022
NY
New York
Mount Sinai
Registered Nurse
Emergency Room
8:1
12:1
Multiple times a week
Severely burned out
Days
Sometimes
13/06/2022
NY
Rochester, NY
Long term care
Registered Nurse
SNF
20+:1
20+:1
Once every few weeks
Severely burned out
It’s absolutely abhorrent that nurses are not allowed to take breaks, maybe pee on themselves. If you want to eat, munch on a burger while chatting with a patient and asking, “How are you feeling, did the pain go away?” Because, you don’t have time to break to eat. Then, you buy shoes with roller skates, hoping just maybe this can buy you time to eat and go to bathroom to only realize that it’s not the proper uniform, and you can get fired for skating down the hallways or maybe trip and break your own ankle while trying to care for others!
Days
No
01/10/2022
NY
Rockville Centre
Catholic health services mercy medical center
Registered Nurse
Emergency Room
15:1
20+:1
Multiple times a week
Severely burned out
Days
No
14/06/2022
NY
Rockville Centre
Mercy medical center
Registered Nurse
Emergency Room
15:1
15:1
Multiple times a week
Severely burned out
Days
No
14/06/2022
NY
Rockville centre
Mercy medical center
Registered Nurse
Emergency Room
15:1
15:1
Multiple times a week
Severely burned out
Days
No
14/06/2022
Nebraska
Des Moines
Methodist West
Registered Nurse
Med-Surg Tele
7:1
9:1
Once a week
Severely burned out
Nights
Sometimes
31/05/2022
New Hampshire
Dover, NH
Wentworth Douglass Hospital
Registered Nurse
Emergency Room
4:1
5:1
Once a week
Somewhat burned out
Days
Yes
14/08/2022
New Hampshire
Laconia
Lakes Region General Hospital
Registered Nurse
Emergency Room
4:1
6:1
Multiple times a week
Moderately burned out
Days
Yes
14/08/2022
New Hampshire
Portsmouth
Portsmouth Regional Hospital
Registered Nurse
Emergency Room
8:1
13:1
Multiple times a week
Severely burned out
Days
No
14/08/2022
New Mexico
Albuquerque
Bear canyon rehab Genesis
Licensed Practical Nurse
SNF
30+:1
40+:1
Every day
Severely burned out
Days
No
28/09/2022
New York
Watertown
Samaritan Medical Center
Registered Nurse
Emergency Room
6:1
8:1
Once every few weeks
Complete lack of empathy/emotion
Patient care is horrible. Morale is in the toilet. Travelers quit because of staffing and supplies. Management has fossilized.
Nights
No
13/07/2022
North Carolina
Camp Lejeune
Naval Medical Center Camp Lejeune
Registered Nurse
Med-Surg Tele
4:1
5:1
Once a week
Somewhat burned out
Days
Sometimes
13/08/2022
North Carolina
Raleigh
WakeMed Health & Hospitals
Registered Nurse
Med-Surg Tele
4:1
5:1
Once every few weeks
Not at all
We are staffed very well at my hospital, I consider myself and my patients lucky. I am able to provide excellent care because they keep our ratios low. Even on our worst days, I only take five med-surge patients.
Nights
Yes
18/05/2022
OK
Broken Arrow
cornerstone specialty hospital
Patient Care Tech
LTAC
12:1
12:1
Once every few weeks
Severely burned out
I've been a tech for 19 years. The cna/pt ratio has grown since then. I will give cornerstone a kudo on when nights are short staffed, one hall does TPC and the other hall has a tech. I was given the whole unit once by myself (23pts). It sucked! In my opinion, I think the facility should take into account the acuity and needs of current pts. Are there 7 feeders out of 11 pts? Are there a bunch of bed baths or can they do themselves? Is there an abundance of people having bowel issues and constantly dirty?
Nights
Sometimes
16/09/2022
Ohio
Cleveland
Ahuja medical center
Registered Nurse
Med-Surg Tele
5:1
7:1
Every day
Severely burned out
It’s very stressful, I feel like I can’t give the quality of care the patients need. Not only that but, the patients family being there makes it that much harder bc they want answers yesterday for something that happened today. The patients and families are stressed they become verbally abusive. At another hospital I worked at a patient was on a fluid restriction and they throw an unopened can of soda at me.
Days
No
02/06/2022
Ohio
Cleveland
Cleveland clinic Fairview hospital
Registered Nurse
Progressive Care
4:1
6:1
Once every few weeks
Moderately burned out
4:1 can be comfortable or it can be really difficult based on the acuity of the patients. 6:1 rarely happens, but is very difficult during day shift and can be pretty rough during night shift with the lack of resources.
Days
Yes
07/09/2022
Ohio
Lancaster
Fairfield Medical Center
Registered Nurse
Progressive Care
3:1
4:1
Once a month
Not at all
Days
Yes
30/05/2022
Oregon
Portland
Legacy Emanuel Medical Center
Registered Nurse
Med-Surg Tele
4:1
5:1
Once a week
Moderately burned out
Days
No
17/06/2022
Oregon
Salem
Salem Hospital
Registered Nurse
Med-Surg Tele
4:1
5:1
Once every few weeks
Moderately burned out
Days
Yes
17/06/2022
Oregon
Salem
Salem hospital
Registered Nurse
Med-Surg Tele
5:1
5:1
Every day
Complete lack of empathy/emotion
Higher ratios have become the norm. This hospital has been at over 100% capacity for over a year. CNAs are 12:1 but normally have way above that ratio adding to burnout.
Days
No
18/08/2022
Our ratios are unsafe. We have no director, no nurse manager, and no clinical leads for our floor. We have a director from another unit come a few days a week to do payroll and try to help with other issues. We have more contract nurses than permanent staff.We will also have only 2 clinical techs for 30 patients as a norm, sometimes just 1.
Macon
Atrium Health Navicent Medical Center
Registered Nurse
Med-Surg Tele
4:1
6:1
Every day
Complete lack of empathy/emotion
Days
No
08/08/2022
PA
Pittsburgh
UPMC Magee Womens Hospital
Registered Nurse
Med-Surg Tele
7:1
8:1
Multiple times a week
Severely burned out
I don't see some patients for hours and know that I cannot give them the care that they deserve because of how thinly we are stretched.
Other
Sometimes
15/09/2022
PA
Pittsburgh
UPMC Passavant mccandles
Registered Nurse
Med-Surg Tele
6:1
7:1
Once a week
Somewhat burned out
It is incredibly difficult to provide quality care at these ratios.
Days
Sometimes
31/05/2022
Pennsylvania
Johnstown
Conemaugh MMC
Registered Nurse
Med-Surg Tele
6:1
8:1
Multiple times a week
Severely burned out
The ratios are almost unmanageable and unrealistic. I’m beyond burnt out, both physically and mentally, my patients aren’t receiving the care they deserve, and the overall morale of all the workers is shit. Everyone is miserable and overworked.
Days
No
12/07/2022
Pennsylvania
Pittsburgh
UPMC Canterbury
Registered Nurse
SNF
8:1
15:1
Multiple times a week
Severely burned out
This is the rehab unit of this facility, you can be the only RN in the facility With 2 LPNs with 1:24 ratio and 1 LPN with 1:32 ratio so 4nurses 1RN and 3LPN 95 patients
Days
No
06/07/2022
Pennsylvania
Pittsburgh
VA Pittsburgh Healthcare System
Registered Nurse
Med-Surg Tele
5:1
5:1
Once every few months
Complete lack of empathy/emotion
Our ratio is mandatory and often when staffing was good we'd have 3 or 4 patients, but we always capped at 5. Nurses do get mandated to accomodate the ratio.
Days
No
27/06/2022
SC
Charleston
Medical University of South Carolina
Patient Care Tech
Emergency Room
15:1
20+:1
Every day
Complete lack of empathy/emotion
Awful. Its insane and I hate emergency medicine now. As a nurse it may be better but as a tech I've had 50+ patients on a shift.
Nights
Sometimes
19/08/2022
South Carolina
Charleston
Medical University of South Carolina
Registered Nurse
Telemetry
3:1
5:1
Multiple times a week
Severely burned out
Days
Sometimes
13/06/2022
South Carolina
Dillon
McLeod Medical Center Dillon
Registered Nurse
Med-Surg Tele
6:1
7:1
Once a month
Complete lack of empathy/emotion
Nights
No
06/08/2022
TN
Nashville
Ascension St Thomas West
Registered Nurse
Med-Surg Tele
6:1
7:1
Every day
Complete lack of empathy/emotion
I’m sick and tired of having more and more put on me for the sake of the hospitals to save money. Hire some damn people and stop running off the ONLY STAFF YOU DO HAVE.
Nights
No
19/07/2022
TN
Nashville
Vanderbilt University Medical Center
Registered Nurse
Med-Surg Tele
4:1
5:1
Every day
Complete lack of empathy/emotion
My license is at risk every day that I work at this place with 5 patients. They are all fresh out of the ICU and so sick it terrifies me everyday I’m going to be so busy that the next time I walk into one of their rooms they will be dead
Days
No
19/07/2022
Texas
Dallas
Parkland Hospital
Registered Nurse
Intensive Care Unit
2:1
2:1
Every day
Moderately burned out
The ratios are mostly 2:1 and sometimes 1:1 in our ICUs. It's better than most hospitals around us, but sometimes we have to pair patients who would receive better care singled.
Days
Sometimes
25/06/2022
Texas
Dallas
Parkland Hospital
Registered Nurse
PACU
1:1
2:1
Multiple times a week
Somewhat burned out
Days
Sometimes
23/06/2022
Texas
Dallas
Parkland Hospital
Registered Nurse
Intensive Care Unit
2:1
2:1
Once every few weeks
Somewhat burned out
Days
Sometimes
23/06/2022
Texas
NACOGDOCHES
Nacogdoches Medical Center
Registered Nurse
Intensive Care Unit
2:1
3:1
Multiple times a week
Severely burned out
Critically ill patient care requires more tasks and closer observation. Caring for 2 critically ill patients is strenuous. Caring for 3 is impossible to do safely.
Nights
No
17/09/2022
UT
Ogden
Ogden Regional Medical Center
Registered Nurse
Med-Surg
5:1
7:1
Once a week
Somewhat burned out
Our HCA hospital is an outlier with ratios because we have supportive management. Our staffing model was shifted to take away the desk clerk aide entirely. They did this to avoid shifting nursing ratios back to 1:6 as the norm. There is still a possibility of this happening.
Nights
Yes
22/09/2022
UT
Salt Lake City
St Marks Hospital
Registered Nurse
Progressive Care
4:1
4:1
Multiple times a week
Moderately burned out
Days
No
01/08/2022
VA
Norfolk
Sentra Leigh
Registered Nurse
Med-Surg
6:1
7:1
Multiple times a week
Severely burned out
Definitely too many patients. I think 1:4 or 5 would be ideal depending on acuity
Days
Sometimes
31/05/2022
Va
Virginia Beach
Sentara Virginia Beach General Hospital
Patient Care Tech
Med-Surg
12:1
18:1
Once every few weeks
Severely burned out
It’s not safe and quality of care is greatly compromised . All of the staff are always burned out and there’s zero motivation to work. And compensation is not enough for the amount of workload .
Nights
Sometimes
18/06/2022
Virginia
Virginia Beach
Sentara
Registered Nurse
Med-Surg Tele
6:1
8:1
Once every few weeks
Severely burned out
It’s absolutely horrible. We are having to take the roll of charge nurse plus a full load of patients. We are also having to cover charge for other units along with our own unit. Doing two positions covered in one shift but only getting paid for one position. All the employees that have been loyal to the company for years are getting put on the back burner while nurses coming on are getting 15,000 to 25,000 sign on bonuses. Seasoned nurses/ NCPS are quitting left and right because they are spending all the money towards new inexperienced employees.
Days
No
17/06/2022
Virginia
virginia beach
Sentara
Registered Nurse
Med-Surg
6:1
8:1
Multiple times a week
Complete lack of empathy/emotion
Nights
No
19/06/2022
WA
Olympia
Providence St. Peter Hospital
Registered Nurse
Med-Surg Tele
4:1
5:1
Once every few weeks
Severely burned out
Days
No
17/06/2022
Washington
Seattle
Swedish Cherry Hills
Registered Nurse
Emergency Room
4:1
5:1
Once every few weeks
Somewhat burned out
Days
Yes
22/09/2022
Washington
Seattle
Virginia Mason Medical Center
Registered Nurse
Telemetry
4:1
5:1
Once a week
Moderately burned out
Days
Yes
14/05/2022
rhode island
Warwick
Kent Hospital
Registered Nurse
Intensive Care Unit
2:1
3:1
Multiple times a week
Severely burned out
RNs on days are sometimes asked to get 3 patients. On nights, it is a nightly occurrence. We have no CNA, they got rid of the IV team and Lift Team.
Nights
No
31/07/2022

Below is the older, completed form data

State
City
Facility Name
Professional Title
Level of Care
Normal Ratio
Surged Ratio
How Often do you Surge?
Do you work with adequate levels of support staff?
Which shift?
Comments
Submission Time
AL
Huntsville
Huntsville Hospital
Registered Nurse
Intensive Care Unit
2:1
3:1
Every day
Sometimes
Har to provide safe, high quality care when nurses are overloaded consistently. Not only do nurses suffer but the patients sometimes reap the consequences.
02/24/2022
AL
Huntsville
Huntsville hospital
Registered Nurse
Intensive Care Unit
2:1
3:1
Every day
Sometimes
02/24/2022
AL
Huntsville
Huntsville hospital
Registered Nurse
Progressive Care
4:1
6:1
Every day
No
02/24/2022
AL
Madison
Madison Hospital
Registered Nurse
Intensive Care Unit
2:1
3:1
Once a month
Sometimes
02/24/2022
AR
Fayetteville
Washington Regional Medical Center
Registered Nurse
Med-Surg Tele
5:1
6:1
Once a month
No
Days
03/04/2022
AZ
Glendale, AZ
Abrazo Arrowhead Hospital
Registered Nurse
Med-Surg Tele
6:1
7:1
Multiple times a week
No
02/24/2022
AZ
Mesa
Banner Baywood Medical Center
Registered Nurse
Progressive Care
4:1
5:1
Multiple times a week
No
Days
02/25/2022
AZ
Mesa
Banner Desert
Registered Nurse
Progressive Care
4:1
5:1
Multiple times a week
No
02/24/2022
AZ
Mesa
Mountain Vista Medical Center
Registered Nurse
Med-Surg Tele
5:1
7:1
Once every few weeks
Sometimes
02/24/2022
AZ
Phoenix
Banner Health
Registered Nurse
Med-Surg Tele
6:1
8:1
Every day
No
02/23/2022
AZ
Phoenix
Banner University Medical Center Phoenix
Registered Nurse
Progressive Care
4:1
5:1
Every day
Sometimes
Days
Impossible to perform safely.
05/02/2022
AZ
Phoenix
Valleywise Health
Registered Nurse
Psychiatric Care
7:1
10:1
Multiple times a week
Sometimes
Days
These high patient to RN ratio's prevent me from providing quality patient care. I do not feel valued, appreciated, or understood by management. The ratios are unsafe. I am trying to make it two more years before quitting. I do not want to continue to be a hospital RN. I never want to supervise or manage hospital RN's because I do not want to be put in a position where I am asking RNs to work in unsafe conditions.
05/06/2022
AZ
Sun City
Banner Boswell medical center
Registered Nurse
Intensive Care Unit
3:1
4:1
2-3:1 Charge nurse always in the count with a full assignment. Surge: 3-4:1 with a PCU "task nurse" to help
02/23/2022
Alabama
Birmingham
Ascension St Vincent's Birmingham
Registered Nurse
Emergency Room
3:1
4:1
Never
No
02/23/2022
Alabama
Huntsville
Huntsville Hospital
Patient Care Tech
Intensive Care Unit
14:1
14:1
Never
Sometimes
14 bed cardiothoracic surgery ICU. We typically have 1 tech for the floor who does sugars (lots of Q1's), baths, stocking, housekeeping, and assisting the nurses as needed. Rarely there's two on one shift. However lately it's not been uncommon for our ICU nurses to be tripled. And 1:1's are a thing of the past (e.g. isolation for certain superbugs, CRRT). Not to mention landing fresh hearts ... I do what I can for my nurses but I'm a lot more tired from working a smaller ICU than having more patients and helping more with ADL's on the stepdown unit.
02/24/2022
Alabama
Huntsville
Huntsville Hospital
Patient Care Tech
Progressive Care
10:1
18:1
Once a week
Sometimes
I wish our ratios were lower because day shift tech (me) is responsible for all the baths (all patients are daily CHG baths due to being CT surgery stepdown) - nobody else will do the baths if the day shift tech(s) don't get them done. We are also responsible for walking the patients - we have two mobility aids that help but they are only present during business hours (M-F, 7-3). So when weekend ratios look like 13-25:1 (25 bed unit, 1-2 techs present on weekends) it is hell. Not to mention we only have 3 weekend nurses (1 charge + 2 regular).
02/24/2022
Alabama
Huntsville
Huntsville Hospital Main
Registered Nurse
Progressive Care
3:1
6:1
Multiple times a week
Sometimes
02/24/2022
Alabama
Huntsville
Huntsville Hospital Main
Registered Nurse
Intensive Care Unit
2:1
3:1
Multiple times a week
No
It’s unsafe, and not fair to the staff or patients. You just aren’t able to adequately care for patients when you are so overloaded. I feel constantly like I am failing my patients and not doing well enough for them even though the circumstances are beyond my control. We are seeing much higher acuity levels as well.
02/24/2022
Alabama
Huntsville
Huntsville Hospital Main
Registered Nurse
Progressive Care
3:1
6:1
Multiple times a week
No
This is in a step down unit from the CVICU taking care of post-op cabg patients and various other cardiothoracic surgeries. These patients take a lot of care and you are spread so thin that there is no way you can adequately care for them.
02/24/2022
Arizona
Chandler
Banner Baywood Medical Center
Registered Nurse
Progressive Care
5:1
5:1
Multiple times a week
No
Absolutely powerless. I feel as if I’m letting the patient and their family down. I am only able to provide bare minimum. I dread coming to work and I’ve only been a nurse for a year. Administration and corporate has let us down. They let the hospital staff down and they let the patients down. We do not have cnas most of the time. We have critical patients that should be in ICU but ICU is full. Our executives at the hospital believe pcu neuro can have ratios as 1:5. They are normalizing this ridiculous and impossible ratio.
02/24/2022
Arizona
Chandler
Chandler Regional Medical Center
Registered Nurse
Med-Surg Tele
4:1
5:1
Once every few months
Sometimes
02/24/2022
Arizona
Phoenix
HonorHealth John C Lincoln
Registered Nurse
Telemetry
4:1
6:1
Every day
No
Nights
02/24/2022
Arizona
Tucson
Banner University Medical Center South
Patient Care Tech
Emergency Room
4:1
5:1
Multiple times a week
Sometimes
Ratios are safe but pushing above results in stressed staff and a decrease in quality of care.
02/23/2022
Arizona
Tucson
Tucson Medical Center
Patient Care Tech
Telemetry
10:1
13:1
Multiple times a week
Sometimes
Nights
03/11/2022
Arkansas
Hot Springs
CHI St. Vincent
Registered Nurse
Emergency Room
3:1
4:1
Multiple times a week
Sometimes
3:1 is a reasonable and safe ratio in the ER in my opinion, although no more than one of those rooms should be a trauma room. 4:1 is tolerable until more than one of those patients become critical. It becomes impossible to give timely and safe care to everyone in that situation. Support staff such as techs and/or float nurses are a must for a 4:1 ratio, and they are an excellent resource for a nurse even with 3:1.
02/24/2022
Arkansas
Little Rock
Cornerstone hospital
Registered Nurse
Intensive Care Unit
3:1
5:1
Multiple times a week
Sometimes
Days
It is terrible. These patients are on vents and sick and we have 4-5 of them unsafe.
05/03/2022
Arkansas
Little Rock, Arkansas
Department of Veterans Affairs
Registered Nurse
Med-Surg Tele
4:1
6:1
Once a week
No
Days
Often times Nurses wear many hats at 4:1 ratios in taking up the lack in staff from other departments. We have no transporters, so NAs and RNs transport patients around when no other department does the favor to return them to us. We collect labs because there are no phlebotomists. We race the hospital to hunt supplies because there aren’t enough logistics techs. We have to clean because there aren’t enough housekeepers. We lose our NAs from the floor to sit with suicidal or demented patients. We have to hunt each other down because there arent enough phones to call the NAs or other nurses. Even on days where we are staffed 4:1, they are hard. Extremely hard.
03/02/2022
Arkansas
Little rock
Arkansas State Hospital
Registered Nurse
Psychiatric Care
15:1
30+:1
Multiple times a week
Sometimes
Days
UNSAFE
03/02/2022
Arkansas
Rogers
Mercy Hospital
Registered Nurse
Progressive Care
6:1
7:1
Once every few weeks
Yes
Nights
100% Unsafe. I’m on Cardiac/Neuro unit and run 6:1 and it’s insane and all the newbie nurses think it’s normal and it’s ok. That floor needs to be 4:1 and when short staffed 5:1!!!
02/27/2022
Auckland
Auckland
Middlemore Hospital
Registered Nurse
Med-Surg
5:1
7:1
Once every few weeks
No
Days
05/09/2022
Az
Mes
Banner Baywood
Registered Nurse
Progressive Care
5:1
5:1
Never
No
We are a neuro telemetry unit and this ratio of 5:1 is actually the most unsafe and ridiculous ratio!! Fall outs in our stroke program, people dying that could have been prevented. Patients not getting proper care because we don’t have hucs, PCA’s and all the “seasoned”nurses have left due to the unsafe ratios and stress of the job. I feel the hospital does not care for their staff and they definitely don’t care about the patients or their well being!
02/24/2022
British Columbia
Nanaimo
NRGH
Registered Nurse
Med-Surg Tele
4:1
6:1
Multiple times a week
Sometimes
02/24/2022
CA
Los Angeles
Children's Hospital Los Angeles
Registered Nurse
Intensive Care Unit
1:1
2:1
Ratios are mandated and don't change. When short-staffed, patients who are typically 1:1 are sometimes made 1:2, but the assignments are always manageable. 1:1 or 1:2 depending on patient acuity. ECMO patients are 2:1 with a perfusionist (trained RN or RT) handling the circuit and a bedside RN caring for the patient.
02/23/2022
CA
Monterey
Community Hospital of the Monterey Peninsula
Registered Nurse
Emergency Room
4:1
4:1
Never
Sometimes
02/24/2022
CA
Oxnard, -CA
St John
Registered Nurse
Emergency Room
4:1
5:1
Multiple times a week
No
Days
02/25/2022
CA
Redding
Mercy Medical Center Redding
Registered Nurse
Med-Surg Tele
5:1
5:1
Every day
Sometimes
02/24/2022
CA
Roseville
Sutter Roseville Medical Center
Registered Nurse
Telemetry
4:1
4:1
Never
Yes
02/24/2022
CA
San Diego
UCSD
Registered Nurse
Intensive Care Unit
2:1
2:1
Never
Sometimes
They’re safe for the patient and the nurse as well. Sometimes the ratios are even 1 to 1 when the patient is critically ill. Patient/family satisfaction is higher in California than anywhere else I’ve traveled to and should be the good standard across the country
02/24/2022
CA
San Diego
Ucsd
Registered Nurse
Progressive Care
3:1
3:1
Never
Sometimes
02/23/2022
CA
San Francisco
Can’t say
Registered Nurse
Telemetry
4:1
4:1
Multiple times a week
No
Days
Good ratios but they pulled off staff which means nurses do everything
05/03/2022
CA
San Francisco
San Francisco VA Hospital
Registered Nurse
Med-Surg Tele
4:1
5:1
Once every few months
Sometimes
02/24/2022
CA
Valencia
Henry Mayo Newhall Hospital, Valencia, CA
Registered Nurse
Intensive Care Unit
1:1
2:1
2:1 for therapeutic hypothermia and fresh open hearts. 1:1 for other high acuity patients (ARDS on paralytics, IABP, etc.). 1:2 for most patients and higher acuity during COVID surges.
02/23/2022
CA
Walnut Creek, CA
John Muir Health
Registered Nurse
Med-Surg Tele
4:1
5:1
Every day
Sometimes
02/23/2022
CA
West Covina
Queen of the Valley Hospital
Registered Nurse
Med-Surg
5:1
6:1
Once a week
Sometimes
Nights
Sometimes when there is not enough staff, they will supplement us with LVNs. The amount of LVNs can go from one to three. RNs are left to cover the patients they have with the LVNs and do the assessments as well.
02/25/2022
CALIFORNIA
Oceanside
Naval Hospital Camp Pendleton
Registered Nurse
Emergency Room
4:1
4:1
Once a week
Yes
Military facility that honors state mandated ratios. Active duty staff offset staffing shortages. We maintain 4:1 and average wait time does not exceed 4 hours.
02/24/2022
CO
Colorado Springs
UCHealth Memorial Central
Registered Nurse
Med-Surg Tele
4:1
5:1
Once every few weeks
Yes
Days
02/27/2022
CO
Denver
Denver Health
Registered Nurse
Progressive Care
3:1
3:1
Never
Yes
02/23/2022
CT
Hartford
Hartford Hospital
Registered Nurse
Med-Surg Tele
5:1
7:1
Multiple times a week
Sometimes
Nights
02/24/2022
Ca
Encinitas
Scripps Health
Registered Nurse
Intensive Care Unit
2:1
3:1
Once every few months
Yes
Days
02/25/2022
Ca
Los angeles
Keck Hospital of USC
Registered Nurse
Intensive Care Unit
2:1
2:1
Never
No
Days
Ratios are good in California. Many 1:1 assignments on unit. Lead Ran has no patient and there is a resource RN (sometimes 2 depending on unit size). cover breaks. When staffing is short, we lose resource RNs.
05/03/2022
Ca
Los angeles
Lac usc
Registered Nurse
Intensive Care Unit
2:1
2:1
Never
No
02/24/2022
CaliforniA
San Diego
Kaiser Permanente San Diego Medical Center
Registered Nurse
Med-Surg Tele
3:1
4:1
Multiple times a week
Sometimes
We also take down-graded neuro patients from ICU/PCU.
02/24/2022
California
Mountain View
El Camino Health
Registered Nurse
Med-Surg
5:1
5:1
Once a week
Yes
Days
02/27/2022
California
Oakland
Highland Hospital
Registered Nurse
Med-Surg
5:1
5:1
Never
Yes
Days
I can’t imagine working without ratios. I actually trained and worked in Australia, where the nurse to patient mandated ratio is 4:1. In private hospitals they get away with 5:1. In emergency it was 3:1 (worked at the Alfred in Melbourne, which is a big level 1 trauma center). Sometimes you would surge to 4:1, almost unheard of to go 5:1 (maybe even never, can’t totally remember). Anyway. California has plenty of problems, but thank god we have ratios.
05/03/2022
California
Pamona
Pamona Valley Hospital Medical Center
Registered Nurse
Telemetry
3:1
4:1
Once every few weeks
Yes
02/24/2022
California
San Diego
The Pavilion at Ocean Point
Patient Care Tech
Progressive Care
18:1
20+:1
Never
No
02/23/2022
California
Valencia
Henry Mayo Newhall Hospital
Registered Nurse
Intensive Care Unit
2:1
2:1
Never
Sometimes
Ratios help keep my patients safe.
02/24/2022
Colorado
Colorado Springs
UCHEALTH
Registered Nurse
Med-Surg Tele
5:1
6:1
Once every few months
No
02/24/2022
Colorado
Denver Health
Denver Health
Registered Nurse
Progressive Care
3:1
4:1
Once every few months
Sometimes
02/24/2022
Colorado
Englewood
Swedish Medical Center
Registered Nurse
Intensive Care Unit
2:1
3:1
Once every few weeks
Yes
Nights
No tech, but NEVER unsafe assignments or ratios
02/25/2022
Colorado
Fort Collins
Uchealth PVH
Registered Nurse
Med-Surg Tele
4:1
6:1
Multiple times a week
No
Nights
Dangerous, patients suffer from subpar care.
03/02/2022
Colorado
Littleton
Littleton Adventist Hospital
Registered Nurse
Med-Surg Tele
5:1
6:1
Once a month
Sometimes
This is night shift ratio, days is less. I don't mind it when it's 5:1 but six is not good. I would prefer it still if it was 4:1 at night because I could provide better care to them that way, but 5:1 I think is reasonable when we are functioning at appropriate acuity. Due to COVID, we've had to take many patients on our unit that might otherwise have required ICU level care, and that makes even the normal ratio a difficult assignment.
02/24/2022
Colorado
Lone Tree
Sky Ridge Medical Center
Registered Nurse
Progressive Care
5:1
5:1
Once every few weeks
No
We were a Telemetry unit before covid. When covid happened, the unit expanded by adding an extra 10 beds overnight (without hiring extra staff beforehand) and we became a Step down unit. So our ratios our still 1:5, but with way sicker patients. Occasionally when training new staff we are forced to take 6 patients because “they’re almost off orientation”. We are told we cannot refuse assignments.
02/24/2022
Colorado
Parker
Life Care Center of Stonegate
Patient Care Tech
SNF
18:1
20+:1
Once every few weeks
No
Nights
02/25/2022
Connecticut
Middletown
Middlesex Health
Registered Nurse
Med-Surg
5:1
6:1
Multiple times a week
Sometimes
Days
Morale, ability to effectively deliver care
05/05/2022
Connecticut
New Haven
Yale New Haven Hospital
Registered Nurse
Telemetry
6:1
7:1
Once every few months
Sometimes
02/23/2022
Connecticut
New Haven
Yale New Haven Hospital
Registered Nurse
Intensive Care Unit
2:1
2:1
Once every few months
Yes
My facility does a good job maintaining our ratios in ICU
02/23/2022
DC
Washington
Children’s National Health System
Registered Nurse
Med-Surg Tele
3:1
4:1
Multiple times a week
No
02/23/2022
Delaware
Lewes
Beebe healthcare
Registered Nurse
Progressive Care
4:1
5:1
Once a week
No
As nurses we are going out of ratio more often in the past 3 months than ever before. Typically we don’t have a secretary and our charge nurse is never free. Our techs it’s not uncommon at all for them to take 12-20 pts each on a unit that is filled with covids and complete care incontinent pts
02/24/2022
FL
Lakeland
Lakeland regional health medical center
Registered Nurse
Progressive Care
5:1
5:1
Never
Sometimes
02/23/2022
FL
Miami
Baptist Hospital
Registered Nurse
Med-Surg Tele
5:1
6:1
Multiple times a week
Sometimes
Days
When we are stretched, the patients definitely get neglected. Most of our patients have cancer, and require a lot of care on multiple levels. They deserve better.
05/05/2022
FL
Miami
University of Miami Hospital
Registered Nurse
Med-Surg Tele
3:1
4:1
Once a week
Sometimes
Ratio of 1:3 is perfect for our unit (technically surgical stepdown unit).
02/23/2022
Fl
Bradenton
Florida Cancer Specialists
Licensed Practical Nurse
Med-Surg Tele
20+:1
20+:1
Multiple times a week
Sometimes
Heme/Onc clinic
02/24/2022
Fl
Broward county
Memorial Healthcare System Miramar
Registered Nurse
Emergency Room
4:1
5:1
Once every few weeks
Sometimes
Nights
02/24/2022
Fl
Clearwater
Morton Plant Hospital
Registered Nurse
Med-Surg Tele
4:1
5:1
Every day
Sometimes
Days
02/25/2022
Fl
Gainesville
Shands Hsospital
Registered Nurse
Emergency Room
3:1
4:1
Multiple times a week
Sometimes
Can very unsafe when caring for high acuity patients, sometimes one nurse can have 2 ICU and 2 IMC patients at the same time
02/24/2022
Fl
Hollywood
Memorial regional hospital
Registered Nurse
Progressive Care
3:1
4:1
Once a month
Yes
I feel fine about them. We will go to 4:1 if we have a lot of tele pts
02/23/2022
Fl
Hollywood
Memorial regional hospital
Registered Nurse
Intensive Care Unit
2:1
2:1
Once every few months
Sometimes
02/24/2022
Fl
Inverness
Citrus Memorial Hospital
Registered Nurse
Med-Surg Tele
6:1
7:1
Multiple times a week
No
02/24/2022
Fl
Inverness
Citrus Memorial Hospital
Registered Nurse
Progressive Care
4:1
5:1
Every day
Sometimes
I don’t feel like anyone gets the care they deserve.
02/24/2022
Fl
Key West
Lower Keys Medical Center
Registered Nurse
Med-Surg Tele
6:1
7:1
Multiple times a week
No
Ratios get worse at night (surges almost exclusively at night) which is awful because staff were largely new grad and less support available. CNAs routinely at 15+:1 Ratios addressed to management several times and staff always told we have it better than most so stop complaining
02/23/2022
Fl
Lecanto
Diamond Ridge Health and Rehab
Licensed Practical Nurse
SNF
20+:1
20+:1
Every day
No
02/24/2022
Fl
Miami
Mercy Hospital
Registered Nurse
Maternal Care
3:1
4:1
Multiple times a week
Sometimes
1:2 couplets is ideal. 1:3 is okay. 1:4 is tough. Parents are able to receive adequate support in the newborn phase when their nurse isn’t running around trying to provide that same support (but failing to do so due to lack of time) for 3 other sets of parents.
02/24/2022
Fl
Ocoee
Health Central Hospital
Registered Nurse
Intensive Care Unit
2:1
3:1
Multiple times a week
No
02/24/2022
Fl
Orlando
Advent Health East Orlando
Registered Nurse
Progressive Care
4:1
5:1
Every day
No
Since the pandemic began, PCU ratios went from 4:1 to 5:1, phlebotomy techs were eliminated and the responsibility given to nurses. Often work without any support staff at all, on a floor that has seen its acuity continue to increase
02/24/2022
Fl
Port St Lucie
Port Lucie Rehab and Healthcare
Licensed Practical Nurse
SNF
20+:1
20+:1
Multiple times a week
No
Days
02/24/2022
Florida
Clermont
Orlando health southlake
Registered Nurse
Intensive Care Unit
2:1
4:1
Multiple times a week
Sometimes
Days
03/02/2022
Florida
Fort Myers
Lee health
Registered Nurse
Intensive Care Unit
3:1
3:1
Multiple times a week
No
Days
You cannot provide safe & effective care for 3 ICU patients & being a travel nurse they don’t want to pay overtime nor do I ever try to get overtime. The added pressure is exhausted to finish on time
05/03/2022
Florida
Plant city
South florida baptist
Registered Nurse
Intensive Care Unit
2:1
4:1
Multiple times a week
Sometimes
Days
03/02/2022
Florida
Sarasota Florida
Sarasota Memorial Hospital
Registered Nurse
Emergency Room
3:1
4:1
Multiple times a week
Sometimes
We're supposed to be 3:1 but virtually are always 4:1. Critical care section with 12 beds is often staffed with 1 RN and charge nurse after 3 am.
02/24/2022
Florida
Sebring
Advent Health Sebring
Registered Nurse
Progressive Care
4:1
5:1
Once every few weeks
No
02/24/2022
Florida
St Petersburg
Johns Hopkins All Children's Hospital
Registered Nurse
PICU
2:1
3:1
Once a week
No
02/24/2022
Florida
Tampa
Moffitt Cancer Center
Registered Nurse
Progressive Care
4:1
5:1
Once a week
Sometimes
Nights
02/25/2022
Florida
Winter park
AdventHealth Winter Park
Registered Nurse
Med-Surg Tele
6:1
7:1
Never
Sometimes
02/23/2022
GA
Atlanta
Emory St. Joseph
Registered Nurse
Med-Surg Tele
5:1
6:1
Multiple times a week
No
02/24/2022
GA
Atlanta
Emory University Hospital Midtown
Registered Nurse
Intensive Care Unit
2:1
3:1
Once a month
No
Nights
02/24/2022
GA
Austell
WellStar Cobb Hospital
Registered Nurse
Intensive Care Unit
2:1
3:1
Once every few weeks
Sometimes
Makes it much harder to get patient care done, especially what might seem like minor but can add up to patient suffering later. For example, if a patient has to sit in pee/stool or can't be turned for extended amounts of time because the nurse and tech has too many patients, this will lead to skin breakdown, infections, extended hospitals stays, expenses, and longer hospital stays or readmissions. I am less likely to be able to titrate life saving medications appropriately, so BP may be too low or too high for longer amounts of time then they should. I am less likely to catch changes in the patients in a timely manner, like change in neuro status or changes in heart rate rhythms. Medications will be too late and too early.
02/24/2022
GA
Macon
Piedmont Medical Center
Registered Nurse
Med-Surg Tele
6:1
6:1
Once every few months
Sometimes
Depends on acuity.
02/24/2022
GA
Savannah
Candler Hospital
Registered Nurse
Emergency Room
4:1
4:1
Multiple times a week
Sometimes
02/23/2022
Georgia
Atlanta
Piedmont Atlanta
Registered Nurse
Progressive Care
4:1
5:1
Every day
Sometimes
02/24/2022
Georgia
Atlanta
Piedmont Atlanta Hospital
Registered Nurse
Emergency Room
3:1
4:1
Multiple times a week
No
It adds stress to me, and increases their likelihood of death. I don’t have time to go into and room to just check on them. Only if they need something
02/24/2022
Georgia
Atlanta
Piedmont hospital
Registered Nurse
Med-Surg
6:1
7:1
Once a week
Sometimes
Nights
02/26/2022
Georgia
Canton
Northside Hospital Cherokee
Registered Nurse
Med-Surg Tele
5:1
6:1
Once a week
Sometimes
02/24/2022
Georgia
Newnan
Piedmont Newnan Hospital
Registered Nurse
Med-Surg
6:1
7:1
Once every few months
No
Days
03/05/2022
Germany
Berlin
DRK Berlin Koepenick
Registered Nurse
Intensive Care Unit
2:1
4:1
Once a week
No
02/23/2022
Germany
Wesel
Evangelisches Krankenhaus
Registered Nurse
Intensive Care Unit
4:1
4:1
02/23/2022
IA
Iowa City, IA
University of Iowa Stead Family Children’s Hospital
Registered Nurse
NICU
2:1
3:1
Once a week
Sometimes
02/24/2022
IL
Chicago
St Mary and Elizabeth Medical Center
Registered Nurse
Emergency Room
4:1
5:1
Once every few weeks
No
Nights
02/24/2022
IL
Evanston
Amita St. Francis
Registered Nurse
Intensive Care Unit
2:1
3:1
Multiple times a week
No
02/24/2022
IL
Geneva
Northwestern Delnor Community Hospital
Registered Nurse
Med-Surg Tele
5:1
7:1
Multiple times a week
No
02/24/2022
IL
Glenview
Glenbrook Hospital
Registered Nurse
Med-Surg Tele
6:1
8:1
Once every few months
Yes
02/23/2022
IL
Mattoon
Sarah Bush Lincoln
Patient Care Tech
Med-Surg Tele
9:1
11:1
Never
No
02/23/2022
IL
Maywood
Loyola University Hospital
Registered Nurse
Med-Surg Tele
5:1
6:1
Multiple times a week
No
We are a post surgical floor and have patients that don’t quite cut it for icu care. It is not safe. I see way too many nurses barely getting meds passed on time, let alone assessing their patients and meeting needs.
02/23/2022
IL
Naperville
Edward Elmhurst Hospital
Registered Nurse
Intensive Care Unit
2:1
3:1
Once a week
Sometimes
Days
02/24/2022
IL
Rock Island
UnityPoint Health Trinity Emergency Department
Registered Nurse
Emergency Room
4:1
10:1
Every day
No
02/23/2022
IL
Rockford
Javon Bea Hospital
Registered Nurse
Intensive Care Unit
3:1
3:1
Multiple times a week
Sometimes
02/23/2022
IN
Chesterton
Addison Pointe
Registered Nurse
SNF
20+:1
20+:1
Never
No
Days
Unable to give safe and effective nursing care.
02/24/2022
IN
Fort Wayne
Parkview Regional Medical Center
Registered Nurse
Med-Surg Tele
4:1
5:1
Once every few weeks
Yes
Usually when 5-1 we atleast have a free charge, or maybe a helping hands nurse. I consider surge as being 5-1 with no free charge. Usually staffing is pretty solid, but always being 4-1 would be AMAZING
02/24/2022
IN
Indianapolis
Eskenazi health
Respiratory Therapist
Intensive Care Unit
6:1
12:1
Once every few weeks
Sometimes
On a normal busy day with a full assignment; 6 vents plus treatments is bearable majority of the time. Once past 6,it's unmanageable. No time to look at lab results, cxr, history of patient.
02/23/2022
IN
Indianapolis
Franciscan Health Indianapolis Campus
Registered Nurse
Intensive Care Unit
2:1
3:1
Once every few weeks
Sometimes
02/23/2022
IN
Jeffersonville
Clark Memorial
Registered Nurse
Med-Surg Tele
6:1
7:1
Multiple times a week
No
Days
03/20/2022
Illinois
Chicago
Advocate Illinois Masonic Medical Center
Registered Nurse
Med-Surg Tele
4:1
5:1
Never
Yes
Nights
02/24/2022
Illinois
Chicago
Lurie Children's Hospital of Chicago
Registered Nurse
PICU
2:1
3:1
Multiple times a week
Sometimes
Days
02/24/2022
Illinois
Chicago
University of Chicago
Registered Nurse
Med-Surg Tele
5:1
6:1
Multiple times a week
No
Days
02/24/2022
Illinois
Chicago
West Suburban Medical Center
Registered Nurse
Progressive Care
4:1
6:1
Multiple times a week
No
02/24/2022
Illinois
Joliet
Amita St. Joseph Medical Center
Patient Care Tech
Med-Surg Tele
9:1
14:1
Once every few weeks
Yes
Days
I'm float pool, so these ratios vary drastically between floors. Some days there are three PCTs on a floor with thirteen patients, others there are only two on a full and busy floor (as in call lights are going off constantly and the patients are heavy). Most of the time they ratios are okay, but only having two PCTs on 2W (the busy telemetry floor) is a nightmare. Most of the PCTs on 7E (surgical) also seem to only work 7a-3p, so I was frequently floated there at 3p to hold down the fort until 7p (along with another PCT who usually worked 7a-7p on that floor).
02/24/2022
Illinois
Maywood
Loyola University Medical Center
Registered Nurse
Med-Surg Tele
5:1
7:1
Once every few months
Sometimes
Nights
We are supposed to have 4-5:1…..I have had two shifts I since I started working where I have 4. We usually have 5 …one time when I wasn’t there people had 6-7. Unsafe with our patient population.
02/25/2022
Illinois
Park Ridge
Advocate Lutheran General Hospital
Registered Nurse
Sub-acute
3:1
5:1
Every day
No
Nights
03/02/2022
Illinois
Winfield
Central DuPage Hospital
Registered Nurse
Intensive Care Unit
2:1
3:1
Once every few weeks
No
Days
Frequently have two critical care converted to stepdown with a critical admit. Tripled assignment with 3 critical unstable patients happens often. They just say "help each other, you'll be fine!" But it's not fine. Rarely get breaks. Patient care suffers and burnout on the unit is making normally kind hearted nurses into angry people with limited compassion or patience for anyone.
03/01/2022
In
Muncie
Ball memorial Behavioral Health
Registered Nurse
Intensive Care Unit
5:1
8:1
Multiple times a week
Yes
02/23/2022
Indiana
Columbus , Indiana
Columbus Regional Hospital
Registered Nurse
Med-Surg
4:1
6:1
Once every few weeks
Sometimes
Nights
02/25/2022
Indiana
Jeffersonville
Clark Memorial Hospital
Registered Nurse
Intensive Care Unit
2:1
3:1
Once a week
Sometimes
Days
03/03/2022
Indiana
Marion
Marion Health
Registered Nurse
Telemetry
4:1
5:1
Every day
No
Days
Call critical bipap dependent patients telemetry and place them behind closed doors with no windows or support staff ever at 5:1 nurse to patient.
03/03/2022
Indiana
South bend
Memorial hospital
Registered Nurse
Emergency Room
3:1
5:1
Multiple times a week
Sometimes
Days
05/03/2022
Iowa
Mason City
Mercy One
Registered Nurse
Med-Surg Tele
4:1
5:1
Once every few weeks
Yes
02/24/2022
KS
Kansas City
University of Kansas Hospital
Registered Nurse
Progressive Care
4:1
6:1
Once a week
No
Pre-pandemic it was 4:1, now it’s always 5:1, and occasionally 6:1 depending on the unit. I’m float pool so I I see each unit frequently. There’s usually only 1 aide on nights *if that* for 32-34 bed units.
02/24/2022
KY
Henderson
Deaconess Henderson Hospital
Registered Nurse
Med-Surg Tele
4:1
6:1
Multiple times a week
No
02/23/2022
KY
Lexington
Baptist Health Lexington
Licensed Practical Nurse
Med-Surg Tele
4:1
5:1
Every day
Sometimes
Days
While I may begin with 4 I can lose 2 get 1 direct and one from EX. So add that up. In a shift I have 6- I make way less than my co workers and 5 times less than travel nurses. I still give 100% I am currently in school and this is the HARDEST thing I have ever done! Our COO/CNO does not have our best interest in mind. The interest is being corporate. I’m on Nurse Leadership Council and she (COO/CNO) pops in regularly to assure us that Covid “ won’t be here forever and we won’t need travel nurses forever.” At this rate yes you will Dee. You will continue to use travel nurses because it is about the bottom line of being and competing with “ corporate” hospitals. The thing is that is what USED to make Baptist stand out the smallness personal aspect. Bill Sisson etc- those folks cared. We on a normal basis had what we needed to do the job and do it well! We loved coming to work and it showed. Now if we can make it 12 hours we are good! We have no support. The motto used to be This is Care. Now it’s Do More with Less. It hurts to see my passion look like this. Nurses PCT HUCS EVS dietary we are struggling. It takes a village…
05/04/2022
KY
Lexington
Baptist Health Lexington
Registered Nurse
Telemetry
4:1
5:1
Multiple times a week
Sometimes
02/24/2022
KY
Lexington
Baptist Health Lexington
Registered Nurse
Intensive Care Unit
2:1
3:1
Once a week
02/23/2022
KY
Lexington
Saint Joseph Hospital
Registered Nurse
Telemetry
6:1
6:1
Every day
Sometimes
Days
02/24/2022
KY
Louisville
Norton Audubon
Registered Nurse
Emergency Room
4:1
4:1
Never
No
Other
02/25/2022
KY
Louisville
Norton Audubon Hospital
Registered Nurse
Intensive Care Unit
2:1
3:1
Multiple times a week
No
Nights
Tripled multiple times a month or even 2:1 with pts who should be 1:1 (ex. CRRTs). No support staff (unit secretary, nurse aides, etc) so we take time out of nursing care to satisfy those roles.
02/24/2022
KY
Louisville
Norton Brownsboro
Registered Nurse
Intensive Care Unit
2:1
4:1
Multiple times a week
No
Nights
Unsafe at times. Though 4 groups are usually PCU candidates, many are still high acuity and require detailed assessments.
02/25/2022
KY
Louisville
Norton Brownsboro Hospital
Registered Nurse
Progressive Care
4:1
6:1
Multiple times a week
No
02/23/2022
KY
Lousville
Norton brownsboro hospital
Registered Nurse
Emergency Room
4:1
5:1
Once every few months
Sometimes
02/23/2022
Kansas
Kansas City
The University of Kansas Health System
Registered Nurse
Progressive Care
4:1
6:1
Multiple times a week
Sometimes
02/23/2022
Kansas
Kansas City
The University of Kansas Health System
Registered Nurse
Progressive Care
3:1
5:1
Multiple times a week
Sometimes
02/23/2022
Kentucky
Edgewood
St. Elizabeth
Registered Nurse
Intensive Care Unit
2:1
3:1
Multiple times a week
No
Nights
02/24/2022
Kentucky
Flemingsburg
Fleming county hospital
Registered Nurse
Med-Surg Tele
6:1
7:1
Multiple times a week
No
Days
02/25/2022
Kentucky
Lexington
Baptist Health Lexington
Registered Nurse
Med-Surg Tele
4:1
5:1
Multiple times a week
No
Days
We are on a Covid floor with each of them requiring us to don and doff PPE between patients
02/25/2022
Kentucky
Lexington
Baptist Health Lexington
Patient Care Tech
Med-Surg Tele
8:1
12:1
Multiple times a week
Sometimes
Nights
02/25/2022
Kentucky
Lexington
Baptist Health Lexington
Registered Nurse
Telemetry
5:1
6:1
Multiple times a week
No
Nights
02/25/2022
Kentucky
Lexington
Baptist Health Lexington
Registered Nurse
Intensive Care Unit
2:1
3:1
Once every few weeks
Sometimes
Nights
02/25/2022
Kentucky
Lexington
Baptist Health Lexington
Registered Nurse
Maternal Care
2:1
3:1
Once every few weeks
Sometimes
Nights
It is dangerous and scary once we reach those levels. It should be 1:1 on any mother who is on high levels of magnesium or a pitocin induction.
02/24/2022
Kentucky
Louisville
Hosparus Health (home hospice care)
Registered Nurse
SNF
14:1
20+:1
Multiple times a week
No
Days
We are no longer able to provide quality care when our numbers rise above 16:1 doing nothing primary care and case management in homes.
02/25/2022
Kentucky
Louisville
Norton Audubon
Registered Nurse
Med-Surg Tele
4:1
6:1
Never
No
Days
02/24/2022
Kentucky
Louisville
Norton Brownsboro Hospital
Registered Nurse
Med-Surg Tele
5:1
6:1
Multiple times a week
No
Days
It’s dangerous! You can not provide adequate care to patients and catch things that may be going bad until they are really bad!
02/25/2022
Kentucky
Louisville
Norton Brownsboro Hospital
Registered Nurse
Intensive Care Unit
2:1
3:1
Once a week
Sometimes
Days
I stress on surge days because I can’t think straight. I am constantly pulled from room to room, have no time to chart, usually have a 10 minute lunch.
02/24/2022
Kentucky
Louisville
Norton Brownsboro Hospital
Registered Nurse
Med-Surg Tele
5:1
6:1
Once a week
No
Days
03/26/2022
Kentucky
Louisville
Norton Hospital
Registered Nurse
Intensive Care Unit
2:1
3:1
Multiple times a week
No
Nights
02/26/2022
Kentucky
Louisville
Norton Women and Children’s Hospital
Registered Nurse
Progressive Care
6:1
7:1
Every day
No
Days
03/03/2022
Kentucky
Owensboro
Owensboro health
Registered Nurse
Progressive Care
6:1
6:1
Multiple times a week
No
6:1 is literally double a safe ratio on a PCU. I never can give adequate care to my patients and sentinel events are becoming more and more frequent with each passing week that we work so short.
02/24/2022
Kentucky
Owensboro
Owensboro health regional hospital
Registered Nurse
Emergency Room
4:1
4:1
Once a week
No
Other
In an emergency setting with some patients staying until ICU beds are open, 4:1 is completely unsafe.
02/24/2022
Kentucky
Richmond
Baptist Health Richmond
Registered Nurse
Med-Surg Tele
5:1
6:1
Once every few months
Yes
Days
02/24/2022
Ky
Bowling Green
Commonwealth Regional Specialty Hospital
Registered Nurse
LTAC
4:1
5:1
Multiple times a week
No
Days
05/04/2022
Ky
Lexington
Baptist Health
Patient Care Tech
Progressive Care
12:1
18:1
Multiple times a week
No
Nights
02/25/2022
Ky
Lexington
Baptist Health
Registered Nurse
Intensive Care Unit
2:1
3:1
Once a week
No
Days
02/27/2022
Ky
Lexington
Baptist Health Lexington
Registered Nurse
Intensive Care Unit
2:1
3:1
Once every few weeks
Sometimes
Days
02/28/2022
Ky
Lexington
Baptist Lexington
Registered Nurse
Telemetry
5:1
6:1
Multiple times a week
No
Nights
We need a set patient ratios but at this point as sick as the patients are now it’s even worse because we have 5 or 6 and 2 or 3 should actually be ICU patients
02/24/2022
Ky
Louisville
Norton Audubon
Registered Nurse
Progressive Care
4:1
5:1
Once every few weeks
Yes
Nights
02/26/2022
Ky
Morehead ky
St claire regional medical center
Registered Nurse
Intensive Care Unit
2:1
3:1
Every day
No
Days
When going to work there is no consideration for accuity. When pulled to med surge I am given 1:6 and an attempt for a 7th patient. There are no techs to help us. We do all our own care.
04/06/2022
Ky
Owensboro
Owensboro regional health
Registered Nurse
Telemetry
4:1
5:1
Once every few weeks
Sometimes
Days
02/24/2022
Louisiana
Rosepine
Clearsky Rosepine
Registered Nurse
Sub-acute
6:1
7:1
Once a week
Sometimes
Days
03/06/2022
MA
Boston
Beth Israel Deaconess Medical Center
Registered Nurse
Telemetry
4:1
5:1
Once a week
Sometimes
1:3-5 days, 1:5-6 nights
02/24/2022
MA
Boston
Massachusetts General Hospital
Registered Nurse
Med-Surg Tele
4:1
5:1
Never
Sometimes
Days
05/06/2022
MA
Cambridge
Spaulding Hospital Cambridge
Registered Nurse
LTAC
4:1
5:1
Once a month
Yes
02/24/2022
MA
Fall River
Charlton Memorial Hospital
Registered Nurse
Progressive Care
4:1
4:1
Never
No
Some type of patients are a 3:1 ratio for the first 4 hours they are on the floor post procedure due to needing closer monitoring. However, some patients that used to be a dedicated 3:1 (patients with TVPs, STEMIs) are now no longer 3:1 all shift. Also, our ratio is 4:1 days and nights, but they used to try and keep us at 3:1 for days prior to the pandemic because we do a lot of discharges/admissions on days. Additionally, we only have one HUCNA on the floor for our 20 bed unit; they are both the secretary and the CNA, but usually are answering call lights so sometimes there is nobody at the desk to answer the phone. RNs do all vitals and BS checks. We do have a dedicated charge nurse who is usually not in an assignment during the week, but if another floor is short or their resource is going to have to rake an assignment, they pull an RN from our floor to float and put our resource in an assignment instead. On weekends charge is whoever the most senior RN is on the floor who is also in their own assignment.
02/23/2022
MA
Lowell
D'Youville Life and Wellness Community
Licensed Practical Nurse
SNF
20+:1
20+:1
Never
Sometimes
Nights
02/25/2022
MD
Baltimore, MD
Medstar Good Samaritan Hospital
Registered Nurse
Telemetry
5:1
6:1
Once a month
Yes
Days
02/24/2022
MD
Towson, MD
Greater Baltimore Medical Center
Registered Nurse
Telemetry
5:1
6:1
Multiple times a week
Sometimes
Days
02/24/2022
MD
baltimore
university maryland medical center
Registered Nurse
Intensive Care Unit
2:1
3:1
Multiple times a week
Sometimes
Days