Thanks for replying. There are no mandated ratios where I live, otherwise my job would be sooo much better, we run postpartum with 2 nurses to 18 pts, antepartum with a 1:5 or more, which are all against any recommended ratios by AWHONN which establishes those guidelines. We don't have any staffing committee, our nurse manager pretty much decides, although she will of course claim that we are well staffed and that it isn't her fault if people "call out", but just for example, I have been on limited duty working only part of the day for over a year now, and she had never covered the remainder of my shift. I think that she must like that people have become resentful of me for this, since people from the next shift have told me that they would be willing to cover it, if she scheduled them that way. Also, this way I am forced to try to complete a whole shifts work in less time. The real problem with her not following this guideline is that I have actual physical disabilities (such as not being able to lift more than 20 lbs) which I think should preclude me from being alone in PACU with a fresh postop. For pete's sake, if they've had General- I can't even raise the head of their stretcher, and if spinal or epidural, I can neither turn them nor lift their legs to check for vaginal bleeding. It seems completely unsafe to me, but no one seems to want to support me. Recently a coworker hurt herself and can't lift and she has a cast shoe on one foot--but she frequently is assigned to PACU also. The nurse manager says there's no reason we can't "sit there and take vitals". That's why I have been trying to get documentation to take to her bosses. I have been reluctant to just go right over everyones head to public health or JCAHO, despite supposed protection for whistle blowers.