I work in a small rural hospital in Missouri, 100 beds. Our average census is anywhere between 30-50 pts. I and other staff have to take turns with on call and low census, when patient census is low. Sometimes this is a weekly ordeal. Our patient to nurse ratio is 4:1, and I truly love to work for this facility, although I still have bills to pay and PTO can only go so far. What are other nurses doing or are facilities doing during the slow times to help their staff get by? Are there any special policy's other hospitals have that deal with this sort of thing?