Studies have found that for each additional patient assigned to a nurse, the patient has a 7% increase in the likelihood of dying within thirty days of admission and a 7% increase in failure relief (Nurses to Patients Report, n.d.). Research has shown that after implementing minimum nurse-to-patient ratios, there was less nurse burnout, greater job satisfaction, and improved ability to care for patients (Impact of Mandatory Nurse Staffing Levels on Patient Outcomes , n.d.). State laws and scope of nursing practice should be considered in terms of staffing (Mensik, 2014). The Ohio Department of Health has established staffing levels and facility policy for patients. Staff ratios help maintain safety, consistency, increase productivity, employee safety and satisfaction. Adequate staffing reduces employee stress (nurse-patient ratio,