Im in Maine and statewide there is low census, many hospitals have had layoffs here, mine is still trying not to by not filling empty positions, decreasing shift differentials and two months without accruing choice time, changing the staffing grid, floating even more, etc. Defnitely scary. My vacation time is being used up for on call or called off. I don't understand where all the sick people went? Not seeking care due to economy? Pt teaching improved and they are actually taking care of themselves?