Quote from elizabells
That's right. I don't have the SKILLS or the TRAINING to take care of 4 ICU patients (or 15 med/surg, or whatever). So there you go.
Good way to look at that. I wish in the ER that could be done. The patient's just show up in your district and you have to deal with it. There is no option to get report and no one to decline the patient to. If one of the patient's code, the other's can be left unattended; yet, are technically still your responsibility, no excuses (I have been told).
In Texas, there is an option called 'safe harbor' that can be used when the patient load is unsafe. It only allows you to keep your license if a patient comes to harm from the particular unsafe assignment; but, it does nothing to eliminate the unsafe assignment. In fact, if you file the safe harbor form with the BON, you will lose your job (common knowledge).
The only way to keep staffing at a safe level is to have cooperative managment who understands patient safety issues. I would love to find such a place. PS: I am not talking about California, as the only state to have staffing guidelines.