My mistake, I obviously did not read the agreements properly, thought the big hospitals also went up in ratios for afo shift, as I worked in a level one in the country (I think its 1B or something like that and always had 6 patients in the evening no matter what the acruity and 8 of a night.
Had 7 for theatre one night and just me, I was a casual on nurse bank, first time and only time, I walked off a shift crying. They do not do teams, but just work individually at this hospital. Complained to the night supervisor, who was 24 and just finished her grad year!!! that this was dangerous practise and I wanted help as no -one was covering my patients while I was up and down taking and collecting patients to theatre, when I had a few seconds racing by her sitting at the ward desk.
The cases were, 2 obstructed bowel, appendix, 2 cholestectomy 2 and 1 fractured nof, remember it well. Kept the handover sheet under lock and key at work, just in case anything ever happened. Oh and the other patient was day 2 after hip replacement. Did not have enough dinamaps or spygmos to even help take obs. I stuck to pain relief (after insisting other nurses check the dd out with me, then and there and that the crossword had to wait) and obs, iv's well if they ran out too bad. None had epidurals.
Walked up to the ''executive officer for nursing'" that morning around 9am after giving handover (on coming day staff were gobsmacked I was given these clients by myself) and finishing notes, no breaks for 14 hours and burst into tears, was told I was in burnout, really, after a shift like that, I realised then ratios are not everything, instilling and promoting and insisting on teamwork is....and do not have a nurse straight out of a grad year as night c-ordinator. Quit shift work and that 'public'' hospital after that.