Lano1

Apologies- I have a unit of four patients that I care for.

So I'm a house supervisor for a 134 bed hospital. I'm responsible for management of around 24-26 employees and all patient issues requiring extra attention as well as administrative duties. I manage all codes,training of new staff, discipline actions etc. I'm also screening, placing and obtaining all admissions. For the past year I've been expected to also take on a unit of patients. I'm exhausted and have expressed to my DON and other management that this needs to change as its not safe for my patients or me for that matter. I'm ready to either step down or quit. I don't want to leave my job as I really love what I'm doing but I feel I'm jeapordizing my license. All advice welcome.

This is my first post so sorry if this is a dead horse topic. I'm a house supervisor in an acute psych facility. Our staffing ratios have recently been reduced, harshly imo. Staff injuries are up, but so is pt acuity. As there are no staff ratio laws where I live I am looking for some perspective. We generally run 1 run and 1mht at 15 pts. Anything over 15 we get a second Mht. A 3rd Mht is only allowed at 28 pts. I have had administrators begin to try to cut staff about 8 hours into my shifts recently - even if our census justifies the staff- and I'm very concerned about patient and staff safety. As a supervisori do my best to advocate for my team and feel I am fighting a loosing battle. Any opinions would be greatly appreciated.