Boxer_Courage

1:14 is insane, I'd find another place to work-there are plenty where you won't have that load. I'm not sure how you can do anything for anyone with 1:14. Most places I've worked have been 1:3, or 1:4, sometimes climbing to 1:5-6 if you're understaffed. National Nurses United is pushing for legislation that requires 1:3 regular, 1:2 stabilized critical, and 1:1 trauma or not yet stabilized critical. I hope it passes.

What kind of security you have in your ER? -24/7 hospital based security officers that can't do much of anything, Thursday-Sunday the sheriff department has an officer here. Do you feel safe with patients? (Psych/ETOH/Overdose) -yes. most psych patients are at least somewhat reasonable if you approach them the right way. ETOH/overdose can be different, but then you've got keep in mind, they're under the influence. Some of them actually seem kinda nice when see them not on something. If they're violent enough, it's a job for security and law enforcement. I'm not there to be an enforcer. Do you feel safe with their families? -yes. I rarely have any issues with family. Is the ambulance bay secure? -No Do you feel vulnerable on the off shifts? -No Is administration responsive to your concerns? -Depends on the level of administration. Unit management, yes. Though, there are higher levels of administration that I don't think really care.