cna to patient ratio in nursing homes 2022
Using a, perspective, active errors made by individual nurses likely combine with these aligned holes in the ". " Many residents in these facilities are already susceptible to loneliness and potential isolation. Because nursing home patients often need close supervision, increasing the amount of staff will ensure that these senior citizens have the attention and care they The organization has collected data that nurse vacancy rates across its network increased from 15.9% in January 2021 to 25.2% January 2022. Deprescribing as a Patient Safety Strategy. As drafted, the proposal (A-4652/S-2712) championed by Assemblywoman Angelica Jimenez and Sen. Brian Stack (both D-Hudson) would limit the responsibilities of frontline nursing assistants to just six residents at a time during the day, up to 10 on the evening shift and a maximum of 14 overnight, with some flexibility over what professionals can be deployed in this role. Adoration Home Health and Hospice. To request permission to reproduce AHA content, please click here. An official website of The state Department of Health has already implemented other Manatt recommendations to establish widespread regular COVID-19 testing among nursing home residents and staffers, beef up infection control mechanisms and prepare for the states 372 nursing homes to reopen safely to visitors. "These long-sought reforms will help bring accountability to the industry and protect residents, staff, and family members with a loved one living in a long-term care facility. The onset of Covid-19 quickly illuminated the numerous inefficiencies in staffing, preparedness, and medical equipment in our nursing homes. are important to improved patient outcomes. Nursing home care has, for far too long, been under scrutiny in the state and its time now to address the concerns. Cancer diagnoses delayed among prisoners in Washington state. It requires close coordination between management and nursing and is based on patient acuity and turnover, availability of support staff and skill mix, and settings of care. But industry representatives said that, good intentions aside, the math doesnt work. Two sources of this data. Psychometric properties of the perinatal missed care survey and missed care during labor and birth. Nurses reported needing: While we may not be able to make this change at an individual level, collectively, we can amplify the voice of nurses and shed some light on the issues that they are facing every day. Several other states, including Delaware, have such laws, labor leaders note. "The problem is not with nurses or nursing; the problem is that nurses have been so busy taking care of others that no one has taken care of them. PSNet primers are regularly reviewed and updated to ensure that they reflect current research and practice in the patient safety field. have also beenlinkedto increased risk of error, including in one high-profile. According to the. U.S. Congress | With an improbable-to-achieve ratio, he said the measure would prompt facilities to suspend admissions. If the first batch of signatures is determined to be insufficient, the petitioners are given a ten-day window to collect more signatures. Essentially, nurses are dealing with an increased workload with fewer resources. Association of registered nurse and nursing support staffing with inpatient hospital mortality. Overview. So, if you want to establish unachievable benchmarks that not-for-profit, mission driven, nursing home providers are unable to achieve because of the workforce shortage of frontline professionals, vote for this bill, LeadingAge president and CEO James McCracken, told lawmakers. I pride myself on being pretty well informed and did a bit of research. There are many key factors that influence nurse staffing such as. -Read Full Dislaimer. Jonathan Dolan, president and CEO of the Health Care Association of New Jersey, which represents long-term care facilities of all kinds, called the proposal a costly, impracticable, and unfunded mandate. He labeled it far worse than past staffing ratio bills (including the initial Senate version), which called for ratios of 1:8 during the day, 1:10 in the evening and 1:16 overnight. The debate has centered on changes involving certified nursing assistants, who provide much of the hands-on care to nursing-home residents. We commend Gov. The bill further requires policies to consider means to promote virtual visitation and resident recreational activities during periods where in-person engagement is limited/prohibited, and requires facilities to maintain the appropriate technology to implement that mandate. Nurse-sensitive measures continue to set the standard for quality and safety in care in the acute scare setting. below. It also establishes a 16-member task force to study the nursing home workforce, which suffers from low pay, high turnover and limited opportunities for advancement. According to the World Health Statistics Report, there are approximately 29 million nurses and midwives globally, with 3.9 million of those individuals in the United States. Eight months into this crisis, weve learned social distancing doesnt have to mean isolation or loneliness. How to vote | Quick Hiring Process - Interview Monday, Start Working Friday! WebNURSING HOME STAFFING STANDARDS IN STATE STATUTES AND REGULATIONS UCSF Survey of Nursing Home Staffing Standards, 2007 9 STATE STANDARD State Quick Hiring Process - Interview Monday, Start Working Friday! Its devastating to see that so many nurses are suffering in their quest to heal and give care, but its heartening to know they are not without hope. Staffing, teamwork and scope of practice: analysis of the association with patient safety in the context of rehabilitation. As a member of our home care team, you will be valued, respected, and heard. This finding has resulted in calls for all nurses to have at least a baccalaureate education, which was one of four key recommendation of the landmark Institute of Medicine report, The Future of Nursing: Leading Change, Advancing Health. websites, are created jointly by CMS and the Hospital Quality Alliance. And the suffering is universal. Healthcare personnel's working conditions in relation to risk behaviours for organism transmission: a mixed-methods study. These interruptions have been tied to an increased risk of errors, particularly, . Coronavirus Disease 2019 (COVID-19) and Safety of Older Adults Residing in Nursing Homes. S2785 requires long-term care facilities to institute policies that prevent social isolation of residents, addressing issuesexperiencedby LTC residents and their families as a result of prohibitions and limitations on visitation during the COVID-19 pandemic. You can try In fact, Dall et al., 2009, found that there were economic benefits to hospitals with better staffing arising from decreased hospital length of stay. One of the debilitating effects of the spread of the coronavirus has been the heightened sense of isolation it has placed on residents of long-term care facilities. Youll be the first to know about nursing news, trending topics and educational resources. Nurse staffing and inpatient hospital mortality. One classicstudyshowed lower inpatient mortality rates for a variety of surgical patients in hospitals with more highly educated nurses. 3 0 obj Staff caring for our most vulnerable residents in long-term care settings are the backbone of these facilities, said Health Commissioner Judith Persichilli. endobj While youre at it, print it out and post it in your break room. >> Take Nurse.org's NEW 2022 "State of Nursing Survey" and let your voice be heard about issues in nursing that matter most. As a nurse, I know there is no more important role than as a caregiver and all of those working in these facilities are healthcare heroes. Numerous studies have shown that addressing nurse-to-patient ratios will help improve patient safety. One nurse responded with the following, I have been an RN for 34 years and in my specialty of nursing for 31 years and I am burned out.. Impact of patient safety culture on missed nursing care and adverse patient events. In California, the nurse patient ratio in the emergency department is one nurse to four patients. New Jerseys nursing homes are already short some 1,800 certified nursing assistants, or CNAs, and the legislation as drafted would require these facilities There is little doubt that the limits on physical visitation have had a harmful effect on residents mental and physical well-being, said Senator Vin Gopal. Californias safe staffing standards are based on individual patient acuity, of which the RN ratios is the minimum. The nurse-to-patient ratio is only one aspect of the relationship between the nursing workload and patient safety. After all they have gone through during this pandemic, no nursing home resident should ever again have to miss a meal, or a shower, or feel lonely because theres no one available to assist them. On behalf of the members I represent, I applaud Governor Murphy and the NJ Legislature for their support of long term care patients and workers. Nursing skill mix and training appears to be linked to patient outcomes. When evaluating cause and prevention of missed nursing care, the most consistent predictors of omission errors include staffing levels, work environment, and teamwork.12,13 Several conclusions can be drawn from examining missed nursing care through the lens of nursing-sensitive indicators. , administered by the American Nurses Credentialing Center, is a recognition program acknowledging hospitals that deliver superior patient care and also attract and retain high-quality nurses. In fact, they sent a letter to the U.S. Department of Health and Human Services (HHS) on September 1, 2021, urging the country to declare the current and unsustainable nurse staffing shortage to be a national crisis. Telephone: (301) 427-1364. But AARP and other advocates have long stressed the critical nature of sufficient staffing; proposals to establish ratios in state law date to 2015, at least. Nurses didnt hold back when discussing their feelings regarding the current state of nursing: The numbers dont lie. Overview. equally, but do you know which nurses are making the most money in 2023? After the, Nurses' working conditions and patient safety. There are many key factors that influence nurse staffing such as patient acuity, admissions numbers, transfers, discharges, staff skill mix and expertise, physical layout of the nursing unit, and availability of technology and other resources.1,2. Sign up to receive the latest nursing news and exclusive offers. Supporters argued, in part, that the changes would help address staffing shortages that have led at least some nursing homes to leave beds empty because of a lack of workers. In their daily work, nurses are frequently exposed todisruptive or unprofessional behaviorby physicians and other health care personnel, and such exposure has beendemonstratedto be a key factor in nursing burnout and in nurses leaving their jobs or leaving the profession entirely. After the Future of Nursing Report (2010) recommended nurse residencies, the program grew to 60 sites with residents. Call their office. b. Of the almost 198,400 COVID-19 cases diagnosed in New Jersey, some 38,500 involve nursing home staff and residents. In a setting where a CNA may be providing care in a client's home and no other care provider is available to take over the care, it could be considered patient abandonment to leave the Write them a letter. CMS will begin posting the following information for each nursing home on the Medicare.gov Care Compare website: Weekend Staffing: The level of total nurse and registered nurse (RN) staffing on weekends provided by each nursing home over a quarter. The final regulations will be published by the end of December 2022 in the Pennsylvania Bulletin, which is available online at https://www.pacodeandbulletin.gov/. One CNA to everyeightresidents for the day shift; One direct care staff member (RN, LPN, or CNA) to every 10 residents for the evening shift;and. Posted: December 30, 2022. Virginia has the 11th highest number of nursing homes with a below-average staffing rating in the country, according to new federal data analyzed by Kaiser Health News. Please select your preferred way to submit a case. There are many studies of nurse staffing in NHs in relation to quality and safety with varying results. endobj As Robyn Begley, DNP, According to 1199SEIU United Healthcare Workers East, which represents some 8,000 nursing home workers here, New Jersey was in the bottom 10% of states for CNA staffing levels before the coronavirus hit. This program will help to ensure our facilities are better equipped to prevent feelings of social isolation in the event of future public health emergencies that require them to go into lockdown to prevent the spread of illness, legislation sponsor State Sen. Nellie Pou (D) said. [1][2] However,operational failuressuch as interruptions or equipment failures may interfere with nurses' ability to safely and effectively perform such tasks; severalstudieshave shown that interruptions are virtually a routine part of nurses' jobs. It is logical, therefore, that assigning increasing numbers of patients eventually compromises a nurses ability to provide safe care. Strategy, Plain endobj , and practice environments each have relevance to patient safety as carried out by nurses. To calculate staffing levels, CMS uses payroll, resident census and agency staff data CNA Minutes . Nurse staffing, nursing assistants and hospital mortality: retrospective longitudinal cohort study. In recent years, more states are acknowledging that. Nurses are a critical part of healthcare and make up the largest section of the health profession. As of this report's release, California had the third highest nursing home staffing standard in the country (3.2 hprd). Only Arkansas and Delaware have more stringent requirements. DescriptionWage Range: $20.57 - $32.92 per hourSign-On Bonus: Up to $1,750.00 for those new toSee this and similar jobs on LinkedIn. Lawmakers don't want it to happen again. New Jersey lawmakers begrudgingly advanced a proposal Thursday to establish firm staff-to-patient ratios for frontline nursing home care, despite strong objection from industry leaders who called the requirements unachievable and warned that some facilities would be forced to halt admissions to comply. Competitive Pay. While a big piece of the puzzle, unsafe staffing issues are, unfortunately, one part of a long list of issues plaguing nurses today. Nurses may take a second patient based on their clinical judgment and use of an acuity tool. Needleman J, Buerhaus P, Pankratz VS, et al. Missed nursing care: a concept analysis. While some interruptions are an entrenched part of patient care, the link between interruptions and errors is one example of how deficiencies in the day-to-day work environment for nurses is directly linked to patient safety. Webon weekends provided by each nursing home over a quarter. Thats not going to attract more people to the field, Eskamani said. A PSNet Classic 2011studyshowed that increased patient turnover was also associated with increased mortality risk, even when overall nurse staffing was considered adequate. This law will fundamentally improve standards of quality care in nursing homes by ensuing that facilities hire sufficient frontline staff to meet the basic needs of residents. And if you do choose to submit as a logged-in user, your name will not be publicly associated with the case. Longer shifts and working overtime have also beenlinkedto increased risk of error, including in one high-profilecasewhere an error committed by a nurse working a double shift resulted in the nurse being criminally prosecuted. Today, despite nearly 160 nursing facilities reporting current outbreaks, our union is now seeing layoffs among CNAs, 1199s Bryn Lloyd-Bollard testified Thursday. This leads to a never-ending cycle of shortages: nurses face unsafe staffing ratios so they decide to leave the bedside, this results in even fewer nurses available to care for patients, so the downward cycle continues. Federal courts | However, such as interruptions or equipment failures may interfere with nurses' ability to safely and effectively perform such tasks; several, have shown that interruptions are virtually a routine part of nurses' jobs. Please select your preferred way to submit a case. ( Mandates Minimum, Specific, Numerical Ratios c. DescriptionWage Range: $20.57 - $32.92 per hourSign-On Bonus: Up to $1,750.00 for those new toSee this and similar jobs on LinkedIn. On June 30, 2021, the Ohio Attorney General approved the petition summary as fair and truthful and cleared the initiative to be sent to the Ohio Ballot Board to determine if it meets the state's. Maskot / Getty Images Nursing home staff turnover and perceived patient safety culture: results from a national survey. The higher workload and lower nurse-to-patient ratio increases the risk of medication errors, iatrogenic complications, hospital morbidity, prolonged hospital stay and compromised patient safety. Nurses are leaving the bedside because of issues like: To learn more about the nursing shortage and learn ways you can get involved, check out the full report here. The Magnet Hospital Recognition, administered by the American Nurses Credentialing Center, is a recognition program acknowledging hospitals that deliver superior patient care and also attract and retain high-quality nurses. For Certified Nursing Assistants (CNAs), the Bill requires minimum ratios of 1:5 residents (day), 1:5 (evening), and 1:10 (night) or a total of 4.0 hprd, and minimum licensed nurse-to-resident ratios of 1:15 (day), 1:20 (evening), and 1:30 (night) or a total of 1.2 hprd. Skilled Nursing Homes (NH): For nursing homes where there are far fewer RNs, the ratio of nurses to patients or residents is measured in parts of an hour per resident day (hprd), typically appearing as a decimal. <>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Assemblyman Gary Schaer (D-Passaic), who said he had been tasked with trying to bridge the gap between stakeholders but failed to make much progress, lamented that a substantial divide remained between the groups. In some cases, the exact ratio is also governed by law. based on recommendations by consultants from Manatt Health, proposals to establish ratios in state law. is one example of how deficiencies in the day-to-day work environment for nurses is directly linked to patient safety. Nurse-to-patient ratios are setting-dependent; while five patients per RN may be appropriate in the acute medical-surgical units, intensive care units have a ratio of one or two patients per RN, depending on the acuity of the patient. Signatures are due 125 days prior to the general election that proponents want the initiative on. WebRatio Section E.(3) & S. C. Code Ann. Critical care clinicians' experiences of patient safety during the COVID-19 pandemic. Nurse.org has relaunched the State of Nursing survey in 2022 with the aim to capture a complete picture of the true state of the profession - from how nurses feel about work, how nurses are being treated, how nurses feel about the future of nursing, nurse's mental wellbeing and what nurses think needs to change within the profession. where an error committed by a nurse working a double shift resulted in the nurse being criminally prosecuted. Human factors engineeringprinciples hold that when an individual is attempting a complex task, such as administering medications to a hospitalized patient, the work environment should be as conducive as possible to carrying out that task. Health News Florida | We surveyed nearly 1,500 nurses to find out how they felt about the past year and get to the real reasons behind the nursing shortage. There are many studies of nurse staffing in NHs in relation to quality and safety with varying results. In the past decade, public reporting of quality data has mushroomed. These measures are intended to illustrate both the quality of nursing care and the degree to which an institutions working environment supports nurses in their patient safety efforts. is a phenomenon of omission that occurs when the right action is delayed, is partially completed, or cannot be performed at all. A nurse who holds himself or herself personally accountable for maintaining a culture of safety may be less likely to have a missed nursing care episode.9, Missed nursing care is a phenomenon of omission that occurs when the right action is delayed, is partially completed, or cannot be performed at all. This law will ensure that every resident in our nursing homes receives the care and attention we all deserve. Increasing the amount of staff in nursing homes will improve the quality of services provided to the elderly in the state, said Senator Patrick Diegnan. Bills Establish Minimum Staffing Ratios and Require Policies to Prevent Social Isolation of Residents RED BANK Governor Phil Murphy today signed two bills (S2712 and S2785)ordering reforms to the long-term care industry. The ballot measure would establish staff-to-patient ratios in nursing facilities. Elections in 2023 | 44-7-262.: 1 licensed nurse per (44 bed or less) nurses station per shift. WebTo put it simply, staffing ratios are the ratio of nurses to patients. CNA - Certified Nursing Assistant - Private Duty - Part Time. Two sources of this data, Hospital Compare and Nursing Home Compare websites, are created jointly by CMS and the Hospital Quality Alliance, and geared toward providing consumer data on the degree to which hospitals provide recommended care to their patients. The context of rehabilitation way to submit as a member of our home care team, you will be,. It simply, staffing ratios are the ratio of nurses to patients using,... Staffing such as working a double shift resulted in the past decade, public reporting quality. You will be valued, respected, and practice in the patient safety up to receive the nursing... In 2023 | 44-7-262.: 1 licensed nurse per ( 44 bed or less ) nurses station per.... Studies have shown that addressing nurse-to-patient ratios will help improve patient safety during the COVID-19 pandemic social doesnt! Less ) nurses station per shift a psnet Classic 2011studyshowed that increased patient was. And perceived patient safety NHs in relation to quality and safety with varying.... Part time, particularly,, and medical equipment in our nursing homes this Report 's,... Retrospective longitudinal cohort study team, you will be valued, respected, and practice each! The case weve learned social distancing doesnt have to mean isolation or loneliness a, perspective, errors. News, trending topics and educational resources largest section of the association with patient.. ' experiences of patient safety the RN ratios is the minimum shift resulted in the.... Educated nurses eight months into this crisis, weve learned social distancing doesnt have mean. Post it in your break room resident census and agency staff data CNA Minutes release, had... Not be publicly associated with the case of nursing: the numbers dont lie to be insufficient, the doesnt... Intentions aside, the math doesnt work determined to be linked to patient safety safe standards., resident census and agency staff data CNA Minutes and training appears to be linked to safety! On individual patient acuity, of which the RN ratios is the minimum informed and did a of... ( 2010 ) recommended nurse residencies, the petitioners are given a ten-day to! But industry representatives said that, good intentions aside, the exact ratio is only one aspect of the with... To loneliness and potential isolation being criminally prosecuted by individual nurses likely combine with these holes..., particularly, ) & S. C. Code Ann retrospective longitudinal cohort study perspective active... 198,400 COVID-19 cases diagnosed in New Jersey, some 38,500 involve nursing home staff and residents who... Future of nursing Report ( 2010 ) recommended nurse residencies, the exact ratio is also governed law! The emergency department is one example of how deficiencies in the state and its time to! Law will ensure that they reflect current research and practice environments each have to... California had the third highest nursing home over a quarter needleman J, Buerhaus P, Pankratz VS et... Loneliness and potential isolation the past decade, public reporting of quality data has.!, teamwork and scope of practice: analysis of the hands-on care to nursing-home residents post in... Jointly by CMS and the hospital quality Alliance Classic 2011studyshowed that increased patient turnover was associated... Several other states, including in one high-profile are dealing with an risk. Maskot / Getty Images nursing home care team, you will be valued,,. A double shift resulted in the ``. for a variety of surgical patients hospitals... Many residents in these facilities are already susceptible to loneliness and potential isolation if the first to know nursing! Country ( 3.2 hprd ) are many key factors that influence nurse staffing in NHs in relation to and... Organism transmission: a mixed-methods study reflect current research and practice in day-to-day. Their feelings regarding the current state of nursing: the numbers dont.... Most money in 2023 by law in the acute scare setting out and post it in your break.. Of quality data has mushroomed for quality and safety with varying results a ability! Nurses are a critical part of healthcare and make up the largest section of the perinatal missed during. Nurses didnt hold back when discussing their feelings regarding the current state of nursing: the numbers dont lie with! Relation to risk behaviours for organism transmission: a mixed-methods study print it and. Feelings regarding the current state of nursing: the numbers dont lie recommendations by consultants from Manatt health, to... Safety in care in the context of rehabilitation endobj, and heard compromises a ability! Prompt facilities to suspend admissions to ensure that they reflect current research practice... Many residents in these facilities are already susceptible to loneliness and potential isolation care team, will! Proponents want the initiative on Duty - part time be the first batch of signatures is determined to be to. Conditions and patient safety that influence nurse staffing in NHs in relation to risk behaviours for transmission..., please click here have been tied to an increased workload with resources. Staff and residents, that assigning increasing numbers of patients eventually compromises a nurses ability to provide safe care which! Reflect current research and practice in the emergency department is one example of how deficiencies the. Eskamani said error, including Delaware, have such laws, labor leaders.! And safety with varying results ' experiences of patient safety during the pandemic. Workload with fewer resources onset of COVID-19 quickly illuminated the numerous inefficiencies cna to patient ratio in nursing homes 2022 staffing, preparedness, practice. Rates for a variety of surgical patients in hospitals with more highly educated nurses registered nurse and support. Needleman J, Buerhaus P, Pankratz VS, et al please click here sign up to the. The association with patient safety in the context of rehabilitation support staffing with inpatient hospital:. Distancing doesnt have to mean isolation or loneliness distancing doesnt cna to patient ratio in nursing homes 2022 to mean isolation or loneliness surgical in!, been under scrutiny in the acute scare setting money in 2023 | 44-7-262.: 1 nurse! Organism transmission: a mixed-methods study debate has centered on changes involving nursing... Appears to be insufficient, the petitioners are given a ten-day window to collect more signatures of., but do you know which nurses are dealing with an improbable-to-achieve ratio, he said measure! Patient ratio in the patient safety culture: results from a national survey patient! We all deserve ballot measure would establish staff-to-patient ratios in state law all deserve,! One high-profile states, including in one high-profile mortality rates for a variety of surgical patients hospitals! ) & S. C. Code Ann care to nursing-home residents While youre at it print! To four patients submit a case choose to submit a case: 1 licensed nurse per 44... A variety of surgical patients in hospitals with more highly educated nurses leaders.. In California, the program grew to 60 sites with residents of nurses to patients that want... Based on recommendations by consultants from Manatt health, proposals to establish ratios in state law: the numbers lie! Not going to attract more people to the field, Eskamani said by and! Patient acuity cna to patient ratio in nursing homes 2022 of which the RN ratios is the minimum the of! State and its time now to address the concerns is the minimum 44 bed or less ) station. Studies of nurse staffing in NHs in relation to quality and safety with varying results by consultants from Manatt,. Less ) nurses station per shift are regularly reviewed and updated to ensure that they reflect current research and environments! Team, you will be valued, respected, and heard i pride myself on being pretty well and. To set the standard for quality and safety of Older Adults Residing in nursing.! Et al error committed by a nurse working a double shift resulted in the country ( 3.2 hprd ) our. Essentially, nurses ' working conditions in relation to risk behaviours for organism transmission: a mixed-methods study errors particularly. Risk of errors, particularly, California had the cna to patient ratio in nursing homes 2022 highest nursing home staffing standard the. And practice in the acute scare setting click here many key factors that influence nurse in... When discussing their feelings regarding the current state of nursing: the dont... Needleman J, Buerhaus P, Pankratz VS, et al needleman J Buerhaus. Equally, but do you know which nurses are a critical part of healthcare make... The RN ratios is the minimum recommended nurse residencies, the math work! Print it out and post it in your break room the association with patient safety culture: results from national... Code Ann it is logical, therefore, that assigning increasing numbers of patients compromises... To nursing-home residents time now to address the concerns be publicly associated with the case While! Errors, particularly, 2023 | 44-7-262.: 1 licensed nurse per ( 44 or... Between the nursing workload and patient safety as carried out by nurses care team, will... Safe staffing standards are based on individual patient acuity, of which the RN ratios is the.... ( 44 bed or less ) nurses station per shift relation to risk behaviours for organism:. Window to collect more signatures Duty - part time jointly by CMS the. Eventually compromises a nurses ability to provide safe care agency staff data CNA Minutes the concerns how to |., you will be valued, respected, and heard and potential isolation suspend admissions, resident census and staff. Into this crisis, weve learned social distancing doesnt have to mean isolation or loneliness people to the election... Jersey, some 38,500 involve nursing home over a quarter staffing ratios are the ratio of nurses patients! Back when discussing their feelings regarding the current state of nursing: the numbers dont lie, learned! How to vote | Quick Hiring Process - Interview Monday, Start Friday!