I worked on a very small pediatric floor, 7 beds but we expanded up to 12 if needed (I think that was the highest when I was there). Before I got there a baby was given an overdose of adenosine while they were trying to get her out of SVT. Luckily the baby did fine but evidently it was quite the Charlie Foxtrot. Up until then they would staff with 1 RN and one tech, some of whom were great and at least one who was lazy and irresponsible. After this sentinel event they decided there would be 2 licenses on the floor at all times but it still took about 6 months to fully implement. Nurses told me of shifts with up to 5 or 6 admissions with as many discharges as well as outpatient blood draws (bill checks, which also includes weight and VS). The point being, it didn't matter how bad it was until a baby came this close to dying, just like SherPPCN stated.