Quote from Judee Smudee
If they give you the lecture if a fall occurs it is on your head and not theirs. If State and Joint commission can mandate the lecture why can't they mandate patient ratios.
Ratios don't make things perfect but they are SO much better than what you are going through.
The patients described by justmanda seem like they should be in ICU (at a 1:2 ratio) or step-down (1:4) if they were here.
If not for ratios and the support of my fellow CNA nurses i would be like you and retire. It took a lot of education and experience for me to learn what i know. I think my patients and colleagues benefit from me as I do from them. Still a few more years left, if my health holds up.
I would either write why the assignments are unsafe for patients and get others who agree to sign it also. I would keep a copy and give the original to my manager and the medical director of the unit or hospital.
If I really needed the job, felt the letter would cost me the job, and there is no other job available I would fill out an incident report EACH time. It may be every day. I might fill out two and make sure one gets to the hospital attorney. I would also call the doctor charting what I told the Doctor and a word for word quote of hte response. AND i would keep a journal with the staffing numbers (no HIPAA violations), what we did,dated and written after every shift. I've been told those hold up in court years later.
The letter is beat, puts the responsibility for the fall or worse on the facility where it belongs.
All the best to you. I've been there and it is just plain wrong to do this to patients and nurses. No wonder there is a shortage!