Yikes, that seems a lot. Hospitals are not like this everywhere. Saying you have it good because your ratios are less bad than before equals- you are lucky to be beaten once a day when we were beaten 5x per day. If I was a sex trafficker this would be called normalization. The fact is, you are not trained to provide the same standard of care of the ICU or tele, and patients will not effectively receive the same level of care. For leadership to expect that is unrealistic and unfair. This sounds like systemic failure and should be treated as such. Leadership should have the integrity to tell you this sucks, and we're sorry, but here's our plan to change it, not- suck it up because it used to be worse. If there is no sign of the situation getting better, I would move on. Good luck.