I was told by a nurse who went on strike in California recently that a major issue for the strike was nurses doubling up on patients for all breaks and nothing is done when they report it to the Department of Public Health. There is specific language in the ratio law that says the ratios must be met at all times rule for expected absence from the unit such as lunches & breaks and in-services or staff meetings.
They also said they never get additional staff for the acuity according to the patient classification system. The ratios are the maximum and sometimes not even that.
Has anyone ever reported a violation in nurse ratios to the Department of public health? Some had said they went out of ratio while DPHS was on the unit and they went about as if it wasn't an issue.
Is this a big issue at non-union hospitals too?