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I have been working at University Medical Center (Lubbock) full-time (Less than a year)
The nurses can make out their own schedule as long as there is sufficient coverage. Friendly and supportive management.
Distribution of assignments are not based on patient acuity. One nurse may have 3 lower level patients and one might have 3 higher level. Same amount of time but a lot more demands of the higher level.
Advice to Management
Consider placing a patient care tech on each unit. The patient's and their families appreciate the care provided by the PCT's The nurses would be able to complete their assignments without feeling overwhelmed with completion of the total care patients.