I see this has been brought up a few times, and we are in a similar situation. I work a weekend shift and there are times when there is only one nurse staffed. We have 2 people on call, but are expected to use the OR RN as the second nurse. If I know enough ahead of time, I always call my call person in to be my second. But, there are times when something happens and for whatever reason I can't get my second PACU nurse there in time. The OR nurse stays for a bit and then leaves. In my opinion, I should never be alone with a patient because we all know things can change quickly. No one supports the 2 nurses at all times thing. I've looked at the ASPAN standards, you can use the OR as second, but they can't provide care because they aren't a PACU nurse/not ACLS trained. My question is, how did you convince management that two nurses should be followed? I can show them the standards, but it seems to be a bit of a gray area. What did you use to present a strong case for always having two pacu rns?? Thanks!