Wow and I thought I had it bad with my ratio of 4:1 without the help of nursing aids. I too am a recent (Feb) nurse and still consider myself a fish out of water but there is something seriously wrong at that hospital. Safe patient care is not a priority for them and neither is nurses sanity. I can see why the turnover rate is so high. Do you have a nurses union at the hospital? Dept of Health for the state? Somewhere else to turn with your concerns other than the hospital management since they do not seem to care. Good luck