I come from a general Med-Surg Ward that accomodates the occasional pedi patient. We used to have a 1:4 patient ratio, and we had the highest patient satisfaction in the hospital. A few months ago, we got a new supervisor who promptly kicked the ratio up to 1:6, saying we weren't real nurses and our patients weren't "real" patients (not that sick), and that we had been sitting on our a**** doing nothing with 4 patients. We were even told we should be grateful weren't getting 8 patients because "that's how it is everywhere else." Anyhow, errors and complaints are on the rise, and everyone is scrambling to get the heck off the unit. I committed a patient safety error by not reassessing a patient post-procedure because I had 4 other patients one with dc orders one transfer out and one admission coming from ER and was still passing meds. I literally couldn't find my charge nurse and everyone else was just as busy. Luckily, the patient was just fine but I got yelled at by the night shift charge and then invited to have a "discussion" with my supervisor. I retorted I had some things to discuss as well and was informed if I was going to complain about the safety of the patient load it would just reflect my inexperience.
Other nurses have questioned the safety of our new load and are always dismissed as having poor time management or "inexperience." The supervisor even states we could have 7-8 patients at once depending on the acuity. However, the time-consuming are treated as exactly the same as observation patients so it never goes the other way with being capped at less.
Before anyone says anything, I realize I should have assessed my post-procedure patient before I did anything else, and I think I would have thought to do it if I hadn't been running around like a chicken with my head cut off. Most of us are brand-new grads, so I feel management should be taking safely concerns seriously but we are being ignored and morale is in the toilet. And did I mention, night shift crucifies us for anything not done on day shift, no matter how small? Thanks for listening.