I am trying to find out what staffing ratios other hopitals are using when caring for infants with neonatal abstinence. The AAP recently undated their policy statement (Jan, 2012) on drug withdrawal. Neoadvances.com has an instructional manual Assessing Signs & Symptoms of Neonatal Abstinence Using the Finnegan Scoring Tool. This is an Inter-Observer reliability program that written by K. D'Apolito and was co-authored by Dr. Finnegan. This is a great resource and teaching tool. Please let me know what your current staffing ratio is with these very irritable newborns.