My unit has been undergoing changes to combine postpartum and infant care for the past 19 months. The problems and concerns are the mom's we get on Mag for PIH, fresh C-Sections, blood transfusions, and this is part of our couplet care. We have one nurse in charge and recieving for the nursery, and no NA so she is unable to take care of circumcisions, PKU, Bili babies, hearing screens, taking infants to ultrasound or any testing. At times we do not even have a NA for the postpartum floor past 3pm and nights. And weekends, if you have a secretary past 3pm, she is running between the nursery and postpartum to try to put orders in. And our management team is still trying to continue couplet care without any changes to the above concerns, is this normal issues in mother/baby care, What happened to safety? Oh did I mention our patient ratio is an average of 85% non english speaking.