1:8 on nights? Thats crazy! It sounds like my hospital. I work on a Observation/Tele/Peds/overflow or what ever come sin the door. I work nights and I've been working nights for 12 yrs now. It's not getting any better. In fact it's getting worse. At night it's basically 1:7 our ratio. there is no unit clerk or aide.we have tele monitors but they are monitored on another floor. We have this little red hotline phone that rings if something is wrong. Most of the times, yu can't answer that floor becuase you are stuck in aroom giving patient care. we also have computer charting which sucks. It freezes alot and it always goes down at 3:30am then goes back up in 10 minutes. They crab about overtime but I can neer getout of there at 7:30a. Your floor needs more nurses. Especailly wiht the cardizem gtts. You got to monitor their VS frequently wiht that. Everything ios about cutting corners now. You know who pays for it? The patients and the nurses. And thats sad.