Safe RN-to-Patient Staffing Ratios

Large group of nurses outside The Capitol Building hold signs "Safe Staffing Saves Lives"

RN Staffing Ratios: A Necessary Solution to the Patient Safety Crisis in U.S. Hospitals

NNU’s proposal for minimum, mandated, nurse-to-patient staffing ratios protects our patients’ right to nursing care. Read our booklet to learn more.

Two nurses standing at podium with stacks of paper report

Minnesota nurses release latest safe staffing report

In early May, Minnesota Nurses Association nurses shared the results of their annual report on Concern for Safe Staffing forms which paint a bleak picture of the crisis of understaffing by hospital executives in Minnesota health care facilities.

Safe Staffing Saves Lives

Protecting Our Front Line: Ending the Shortage of Good Nursing Jobs and the Industry-created Unsafe Staffing Crisis

In this report, National Nurses United describes how the hospital industry has driven registered nurses from the bedside.

About safe staffing ratios

Graphic of recommended nurse to patient ratios by unit

Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act

Read our fact sheet on legislation that would protect patients and improve health care by setting mandated, minimum, registered nurse-to-patient staffing ratios.

Group of nurses inside hospital hold signs "Safe Staffing Saves Lives"

The science of ratios

Decades of studies have shown that more nurses equate to lives saved and fewer complications. Researchers have been focusing on what exactly is the mediating link between increasing RN staffing and improved outcomes.

Learning from the California experience

In 1999, the registered nurses of the California Nurses Association successfully sponsored and lobbied the California Legislature to pass A.B. 394, the historic bill that made minimum, specific numerical staffing ratios the golden standard in the Golden State.

What does the California ratios law actually require?

The CNA-sponsored safe staffing law, has multiple provisions designed to remedy unsafe staffing in acute-care facilities.

RN Staffing Ratios Whitepaper

Learn more by reading NNU's staffing ratios whitepaper.

The Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act would set specific safety limits on the numbers of patients each registered nurse can care for in hospitals throughout the United States.

Send your members of Congress a message telling them to pass this legislation and put an end to the unsafe staffing crisis!

Videos

Safe staffing ratios protect patients and nurses

Safe RN ratios have been proven to improve the quality of care and nurse recruitment and retention in California hospitals.

Join our fight for safe staffing

We need a national nurse-to-patient staffing ratios law now more than ever.

Safe staffing ratios help nurses address disparities in health care

Studies show that staffing ratios save lives, yet understaffing is a major issue RNs struggle with every day. Together, we can change that.

Join our Safe Staffing Rapid Response Team to be part of a dedicated team of online volunteers. Members of the team will get first notice about developments and news regarding safe staffing  and will be ready to take action both online and in their communities.

Nurses outside hospital hold signs "Keep nurses and patients safe"

'Treat us better': Nurses flee hospital jobs because working conditions aren't safe

Nurses know the United States is not feeling a true nursing shortage, only a shortage of nurses willing to risk their licenses or their patients’ lives by working in unsafe conditions.

Nurses outside hold signs "Safe Staffing Now"

Nurses urge federal government to address hospital staffing crisis

RNs from across the country explained the understaffing crisis at a Congressional briefing, which accompanied the launch of a new NNU report.

Nurses picketing for safe staffing

The truth about the Twin Cities’ health care bed shortage

Hospitals have traditionally run with minimal staffing and at maximum capacity. ER waits and closures, due to lack of staffing, were not new with Covid-19. Those practices have been in place for several years before Covid-19 happened.

Press releases

Saint Joseph nurses say Providence is violating California’s safe staffing law, which mandates safe RN-to-patient staffing ratios. Ongoing payroll errors have resulted in missing pay for hundreds of nurses.
Registered nurses at Providence Saint John’s Health Center will hold an informational picket to protest the administration’s refusal to address chronic short staffing, which jeopardizes patient safety.
Florida Medical Center nurses have been in negotiations since March 2022 for a new contract with little to no movement on key issues.
Nurses have been in contract negotiations with AHMC since December 2021. AHMC management is impeding any real progress by refusing to address the nurses’ concerns and by canceling scheduled meetings at the last minute.