I am looking for any information on restructuring nursing staff for efficient, safe and cost effective patient care delivery. Specifically nurse patient ratio on a general Med-Surg unit. We are currently using a modified primary assignment with skill mix of RN, LPN and NT. There is a Charge or Desk Nurse. Our LPN's are IV certified and able to deliver care within the full limit of their licence. We are faced as all hospitals with down sizing our FTE's. We utilize walking rounds, and are in process of moving away from the Kardex system. This is a 22 bed unit;, can anyone share their experiences with staff numbers for the 3 shifts? I am new to this BB and would appreciate any response. Thanks in advance.