Hi there, I am working in a 27 ICU at a Spanish Hospital. Usually we have a 3:1 ratio even with more than 40 % intubated patients. I try to convince to my boss to decrease our ratio which only happens when we have an outbreak. The problem is that when the outbreak is controlled the ratio increases again. I am studying scores that can be associated to nurse work. Do you use Omega or TISS score in your ICU? Thanks a lot, Auro