MS/Tele ratios 1:5 - 1:7 lot of total cares, 0-1 CNAs on the floor, q4 VS and q4 tele strips, no one watches telemetry, RNs expected to “spot check” Tele and chart strips q4. Only 1 provider on site (ER), the rest to be paged at the main campus, mostly new nurses lack of experienced staff