Our unit has two nursing assistants scheduled on days and one on nights (12 hour shifts). But they are usually not involved in patient care in any way. I'm not sure where this came from, but it seems like they've been told they aren't to do anything along the lines of helping with turns, cleaning up incontinent patients, holding intubated and agitated patients' heads while the RN gets drugs, or helping with dressing changes, xrays, linen changes or any of a dozen other things that would be within their scope of practice. The conventional wisdom in our unit is that our patients are "all babies" so we don't need extra hands. But our patients are NOT all babies; many of them have open sternums, multiple central lines, ETTs, ECMO cannulae, chest tubes, intraventricular monitoring, halo traction, you- name-it, etc, and we're so into the VAP prevention protocol that we're told not to lower the head of the bed for any reason, so diaper changes are done on seated patients... It's a joke. Our musculoskeletal injury rate is climbing and our pressure-related injuries are too. But our management doesn't see the forest for the trees. I'm in total sympathy with you.