Hi, I am wanting to find out how sitters are counted in the productivity index on the Med-Surg unit. Are they considered as part of the staff on the floor so they cannot be replaced if pulled from the floor to set? What is the average nurse to patient ratio on the Med-Surg floors and how does using staff for sitters impact those numbers? Do you use acuity or a strict matrix for staffing. In other words I'm allowed an 8.4 for my PCH and regardless of staffing needs I'm expected to stay at or below that 8.4. Just want to know your thoughts.