I've been in nursing long enough to know that any acuity system is a complete joke, but lately it seems worse:confused: I work on a very small adult psych unit: our maximum capacity is 14. Regardless of the census, staffing does not change unless the census is low. Then the bosses break their butts, giving low-census days. When the census gets to ~four, staffing is identical to the staffing for fourteen, no matter what the acuity:( At times we are short-staffed, because, as everyone knows, "...nothing ever happens on midnights":rolleyes: Tonight was a perfect example: the census was seven but we had two 1:1s, two geriatrics (well on their way to dementia), two very nasty bipolars, and one delusional disorder NOS. There was me, the tech/CNA and the security guy. That was it!Anyway, to get back to my topic (but thanks for letting me vent), is there anyone anywhere in whatever specialty who has staffing based on the unit acuity? I'm afraid one night all Hell will break loose, and there we'll be: all three of us:uhoh21: To make matters worse, none of us are youngsters:uhoh3: I guess I need reassurance from my on-line peers that I am not alone in my frustrations.