My hospital does anywhere from 110-150 deliveries a month, L&D only. State law says 2:1 and active 1:1. We only ever have 2 nurses on, which means on a bad day we can be as high as 4:1 with possibly all 4 active and supervisors telling us to deal with it, push the pit, deliver the babies and your ratio will drop. Yes, needless to say I'm trying to get the heck out of there. On a good day we will have 3 nurses on, but if there are 4 or less patients one (nurse) is sent home--well, that still leaves us out of ratio if one is or becomes active, or a emergency walks in, which does happen, often. Additionally, it doesn't matter how crazy your night, if your charting is done you are NOT allowed to stay late and chart, you will be sent home and told to chart as "late entry" on your next day in. Again, I'm getting the heck out of dodge. Don't like L&D much anyway, had an interest and perhaps a better place would have sparked a love for me--I absolutely LOVE the majority of my patients! The horrible management, unsafe practices and overall not caring about safety has made me very leery.
Posting from my phone, ease forgive my fat thumbs!