Just as patients are entitled to high quality care, so as nurses, we should be able to give the time and have the facilities to provide it. FACT:there is a worldwide nursing shortage.If we continue to perform work whilst unpaid just to meet the workload then in turn we make the situation worse for ourselves in the long run.What should we do? As a collective continue to submit written complaints citing patient acuity and numbers every single shift you work which is inadequately staffed and send it to your unit managers.Keep your own personal diary describing your workloads and events.Prioritise your workload,perform the essential tasks first.Since when in the rulebook does it say your patients must be showered on the day shift?I say these things because a tired and unhappy nurse can and does make mistakes!You MUST think about yourselves and ensure that your practice is safe practice.Allow the patients to make complaints and encourage them to send their letters to the powers that be.DO THE PAPERWORK so that you and your colleagues get paid overtime ALL THE TIME! It is true when they say that the "squeaky wheel gets the oil".It takes time but in the end you'll benefit.After all, are the managers going risk a big law suit if something happens to a patient as a result of poor staffing?If you have the documentation at least you cover yourself.You should discuss these problems with your unit manager and colleagues.Do you have unit or ward meetings as the forum for issues?This i'd encourage as well.Nurses work effectively as part of a team and as such need to work together to solve problem issues and HELP each other out!If you don't ask you won't receive. After twenty years though i still would like an alternative career - but then again i've been thinking that since i was a second year student! It does have its rewards.