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MGHERRN

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  1. I work in a 24 bed ER (plus up to 7 hall beds at any time if needed) in a town with a population of approximately 65,000 people. Our daily census is about 150 patients, sometimes less, sometimes more. We recently switched from a 3:1 RN to patient ratio to 4:1. There is a total of 3 medics for the entire ER from 11am-11pm and one medic from 7am-11am and 11 pm-7am. Same ratio for the nurse techs we have working. It seems like since the change moral has gone completely bad and everyone is always stressed out and we are all worried about losing our license. The director of the ER and managers assure this that we still have it pretty easy (although none of them dare set foot on the floor to help out) and that is the national standard for RN's working in an ER. Just wondered if anyone has any input and what are the RN to patient ratios where you all work?

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