i have worked as an RN for 16 years, before that I was a tech/PCA in a level three neonatal intensive care for 10 years. When I started my RN career I worked in Florida where my RN salary was 28 cents difference than my salary as a tech in NICU [in michigan]. I have worked primarily oncology, medical oncology, surgical oncology oncology critical care, and BMT during my career, as well as NICU and postpartum mom baby. NICU ratios were 1-4 in a level four NICU in florida, PPMB was 1-8 couplets, [i worked nights].
When i went back to oncology as a travel nurse the ratios were 1-6/7 with or without tele.
Now where i work is a 22 bed unit in Texas where i am a night charge, and routinely take up to 7 patients with chemo and or blood product transfusions, plus charge. We are lucky if we staff with 4 nurses, even though are ratios are supposed to be 4-1. We usually have one tech, sometimes 2 and when we are short nurses, staffing will give us 3 techs. Day shift is staffed with 5-6 nurses and always three techs, giving them a ratio of 1-3/4.
What bothers me though is that the day nurses think that they are superior and have more difficult jobs because the patients aren't sleeping.
It doesn't matter if the patients are sleeping or not night shift does not have the availability of resources that the day shift has.
I love my job as an oncology nurse it is my passion and i love my patients but the ratios here have to be adjusted. Ohhh and we are considered one of the best hospitals in Texas, and have magnet status too