I work in an inner-city hosptial in Buffalo, 35,000 patients a year, average about 100 a day. We have a ratio of 1:5. Hall beds are the responsibility of the CN. Our hall use in total minutes went from 16% to 0.6% in two years once the CN's took them. We also opened a PRN express section staffed by a PA and nurse when warrented. In our busy season (jan-feb-mar) we often feel completely overwhelmed.