This is my first posting and I'm hoping this site might be helpful. I am a relatively new nurse manager promoted from within (I used to be an LDRP nurse on my floor). I absolutely love my unit and only took the job because I thought I could make a difference. However, about a year ago we had massive budget cuts and we lost our acuity system. We now staff like a med/surg unit where the number of nurses we are "allowed" is based on the number of patients present at 0500 and 1700. Many of my nurses have given it their all, but are burnt out and overworked. They are taking upwards of 6-7 mother baby couplets regularly, 3-4 high risk monitored patients, and 2-3 labor patients. Insulin gtts, Mag, high risk doesn't even come into play when making their assignments because with our patient population, almost all are high risk. I know for a fact that our current staffing patterns do not fall within AWHONN guidelines, but have been speaking on deaf ears when it comes to administration. I am now starting to have a mass exodus (I can count 8 people that have left in the last 6 weeks). It just makes me sick because I love this unit and I love the people I serve. Not to mention, all the people leaving just ends up making my ratios worse for those who are choosing to stay and stick it out. The average staff nurse doesn't know how hard I am fighting, and quite frankly I'm ready to give up all together
. Nursing admin keeps saying "benchmark" what other hospitals do (which I have done before), but no changes have ever come to fruition.
I'm wondering if any of you can give me feedback as to whether or not you staff with 'core staffing', use an acuity system, what your ratios are etc etc. Please help.