With recent budget cuts we are going to an acuity based staffing matrix. Rather than having the straight 2 patients to 1 nurse ratio we are being asked to take 3-4 ICU patients. I work at a small ICU at a community hospital, and I will admit some of the patients we have are floor patients with overly cautious physicians. How do you all staff the ICU? Common 2:1 ratio? Acuity? For those that do acuity based staffing, how are patients assigned?