allnurses Guide herring_RN, ASN, BSN 3,651 Posts Specializes in Critical care, tele, Medical-Surgical. Has 51 years experience. Jul 16, 2015 Many states have this issue, and I'm frankly surprised the other poster hasn't seen it. My facility's policy is that on a tele floor, the ratio on days is 1:4, 1:6 on nights. Wanna know how often that policy is followed? Pretty much never because there isn't enough staff to pull it off. Even if they follow their policy I wonder whether patients are monitored and cared for the same at night.In my decades working nights we had less management RNs for back up, fewer housekeepers and other ancillary staff had us mopping, putting in orders, doing EKGs, and drawing blood, more sun-downer confusion, just as many admits and transfers, and patients were just as sick. It makes no sense to staff fewer nurses at night.