Thank you for your response. We are in the midst of revising our policy as in the past critical care nurses were floated to medsurge units with pt ratios 6-8:1. We have researched articles from different nursing resources and are able to support our proposals. In fact a legislation S-73 - The RN Safe Staffing Act has been reintroduced by ANA to ensure safe staffing plans similar to California's nurse patient ratios.