I work in a very busy Level I Trauma Center. I have worked all the units, but took a job as night shift PACU nurse two years ago for a little break. Compared to working the units, this is generally a sweet job. The problem is, they only staff one nurse on nightshift weekends after 9 pm. When I first took the job, I was always alone, even during the week, but we are so busy now, doing scheduled surgeries through midnight, that they added a second nurse Mon-Fri. Problem is, I'm getting my butt kicked on the weekends. Thank God I have unit experience, because I am now bedding unit patients (we are constantly on divert with overflow unit patients) as well as recovering emergency surgeries. I have reported these safety issues to my manager and she has told her manager, but they say they have no FTE's to apply to nights. It's getting real dangerous, not only do I not have another RN to back me up or help, but I don't even have a secretary to put orders in or answer the phone. So far I've been holding it together, but I had a real bad incident with an overflow trauma last week that was still bleeding with an H and H of 4 and 11, and I was calling for emergency release blood and pushing LR and starting pressors, etc. and I had another patient in there recovering from a general surgery who got totally ignored. Administration didn't even care about that, and I'm lucky I didn't lose that patient. Many other instances are occuring to varying degrees of danger, they are even sending me rapid responses and codes from the floor. Other PACU's in the area that don't operate all night and call in their nurses for cases, call in TWO nurses just to recover their one surgery patient. I am managing unit patients and surgery patients alone. I've been told that is a standard to have two nurses in a PACU at all times if we have a patient. Whose standard? Who do I contact or which agency's name do I use to my manager to get her attention? Is it a standard to have two nurses in a PACU at all times? My administration says that we are not required to have two nurses in there. I don't know what to do, but it is getting worse. I appreciate any help.Thanks.