Its 2026-2027 clinical staffing plan
Erie County Medical Center: nurse-to-patient ratios by unit
The staffing plan Erie County Medical Center (Erie County) filed with New York's Department of Health: for each of its 75 units and each shift, the planned number of RNs and the planned patients one RN cares for, set by a committee at least half made of frontline staff.
Every unit, every shift
Planned patients per RN by shift, the planned RNs and aides on the day shift, and whether the committee reached consensus.
| Unit | Day | Evening | Night | RNs (day) | Aides (day) | Consensus |
|---|---|---|---|---|---|---|
| Burn Unit located on 1st floor close to Operating rooms.Burn | 2.0 | None | None | 3 | 1 | Yes |
| 9 North Chemical Depend Detox unitChemical Dependency | 5.0 | None | None | 5 | 0 | Yes |
| MICU North located on the 12th floorCritical Care | 2.0 | None | None | 6 | 1 | Yes |
| MICU SOUTH located 12th floorCritical Care | 2.0 | None | None | 5 | 0 | Yes |
| TRAUMA INTENSIVE CARE located on the 1st floorCritical Care | 2.0 | None | None | 9 | 2 | Yes |
| Medical / Trauma Emergency DepartmentEmergency Department | 4.0 | None | None | 19 | 8.5 | Yes |
| GI procedure area (7-3 only)Endoscopy | 3.0 | None | None | 5 | 3 | Yes |
| 10 North Med Surg UnitMedical/Surgical | 4.0 | 4.0 | 4.0 | 6 | 1 | Yes |
| 12z2 Med Surg UnitMedical/Surgical | 4.0 | None | None | 5 | 0 | Yes |
| 6 North Med Surg/ Orthopedic unitMedical/Surgical | 4.0 | None | None | 6 | 1 | Yes |
| 6 zone 2 Med Surg/ palliative careMedical/Surgical | 5.0 | None | None | 4 | 0 | Yes |
| 6z1 Surgical Unit on 6th floorMedical/Surgical | 4.0 | None | None | 5 | 2 | Yes |
| 7 zone 1 medical/ surgical unit on 7 th floorMedical/Surgical | 5.0 | None | None | 5 | 0 | Yes |
| 7 zone 4 Medical SurgicalMedical/Surgical | 4.0 | None | None | 6 | 0 | Yes |
| 7z2 Surgical unit on 7th floorMedical/Surgical | 3.0 | None | None | 7 | 0 | Yes |
| 7zone 3 Medical unit on 7th floorMedical/Surgical | 5.0 | None | None | 3 | 1 | Yes |
| 8 z 2 Med/ Surg UnitMedical/Surgical | 4.0 | None | None | 5 | 1 | Yes |
| 8 zone 3 Med/Surg Surge UnitMedical/Surgical | 4.0 | None | None | 6 | 1 | Yes |
| 8z1 Med SurgMedical/Surgical | 4.0 | 4.0 | 4.0 | 5 | 0 | Yes |
| 9z2 Forensic Unit on 9th floor with Department of Corrections on site.Medical/Surgical | 4.0 | None | None | 3 | 1 | Yes |
| 9z1 Alternate Level of Care unitOther | 5.0 | None | None | 3 | 1 | Yes |
| Surgical ServicesOther | 3.0 | 3.0 | 2.0 | 10 | 2 | Yes |
| 4 zone 3 PsychiatryPsychiatry | 3.0 | None | None | 3 | 1 | Yes |
| 4South Adult Psychiatric unitPsychiatry | 5.0 | None | None | 7 | 2 | Yes |
| 4z4 adolescent psychiatry unitPsychiatry | 4.0 | None | None | 3 | 1 | Yes |
| 5 North Psychiatric unitPsychiatry | 5.0 | 5.0 | None | 7 | 2 | Yes |
| 5 South Psychiatric UnitPsychiatry | 5.0 | None | None | 8 | 2 | Yes |
| Comprehensive Psychiatric Emergency RoomPsychiatry | 3.0 | None | None | 8 | 5 | Yes |
| 8z4 Medical Rehab Unit acute rehab unit on 8th floorRehabilitaion | 5.0 | None | None | 3.5 | 2.6 | Yes |
| 12z3 Ventilator step down unitStepdown | 3.0 | None | None | 6 | 0 | Yes |
| Burn unitBurn | None | 2.0 | 2.0 | None | None | Yes |
| 9 North Chemical Dependency detoxChemical Dependency | None | 5.0 | None | None | None | Yes |
| MICU NorthCritical Care | None | 2.0 | None | None | None | Yes |
| MICU SOUTHCritical Care | None | 2.0 | None | None | None | Yes |
| TRAUMA INTENSIVE CARECritical Care | None | 2.0 | None | None | None | Yes |
| Medical/ Trauma Emergency DepartmentEmergency Department | None | 4.0 | None | None | None | Yes |
| 12z2 Med SurgMedical/Surgical | None | 4.0 | None | None | None | Yes |
| 6 North Med Surg/ orthopedicMedical/Surgical | None | 4.0 | None | None | None | Yes |
| 6 zone 2 Med Surg/ pallative careMedical/Surgical | None | 5.0 | None | None | None | Yes |
| 6z1 Med surgMedical/Surgical | None | 4.0 | None | None | None | Yes |
| 7 zone 1 medical surgicalMedical/Surgical | None | 5.0 | None | None | None | Yes |
| 7 zone 3Medical/Surgical | None | 5.0 | None | None | None | Yes |
| 7 zone 4 Med SurgMedical/Surgical | None | 4.0 | None | None | None | Yes |
| 7z2 Meg Surg post TICUMedical/Surgical | None | 3.0 | None | None | None | Yes |
| 8z2 Med Surg UnitMedical/Surgical | None | 4.0 | 4.0 | None | None | Yes |
| 8z3 Med/Surg Surge UnitMedical/Surgical | None | 4.0 | None | None | None | Yes |
| 9z2 Forensic unitMedical/Surgical | None | 4.0 | 4.0 | None | None | Yes |
| 9z1 Alternate Level of Care Surge unitOther | None | 5.0 | 5.0 | None | None | Yes |
| 4 South Adult PsychiatryPsychiatry | None | 5.0 | 5.0 | None | None | Yes |
| 4z3 Psychiatric Adult UnitPsychiatry | None | 3.0 | None | None | None | Yes |
| 4z4 Adolescent Psychiatry UnitPsychiatry | None | 5.0 | None | None | None | Yes |
| 5 South Adult Psychiatry unitPsychiatry | None | 5.0 | None | None | None | Yes |
| Comprehensive Psychiatric Emergency ProgramPsychiatry | None | 3.0 | 3.0 | None | None | Yes |
| 8z4 Acute Medical Rehab UnitRehabilitaion | None | 5.0 | None | None | None | Yes |
| 12z3 Ventilator unit/ step downStepdown | None | 3.0 | None | None | None | Yes |
| 9 North Chemical dependency Medical DetoxChemical Dependency | None | None | 5.0 | None | None | Yes |
| MICU NORTHCritical Care | None | None | 2.0 | None | None | Yes |
| MICU SouthCritical Care | None | None | 2.0 | None | None | Yes |
| Trauma Intensive Care UnitCritical Care | None | None | 2.0 | None | None | Yes |
| Medical/ Trauma EmergencyEmergency Department | None | None | 4.0 | None | None | Yes |
| 12zone 2 Med Surg UnitMedical/Surgical | None | None | 4.0 | None | None | Yes |
| 6 North Surgical/ orthopedicMedical/Surgical | None | None | 4.0 | None | None | Yes |
| 6 zone 2 Med Surg palliative careMedical/Surgical | None | None | 5.0 | None | None | Yes |
| 6zone 1 surgical unitMedical/Surgical | None | None | 4.0 | None | None | Yes |
| 7 zone 3 Med surgMedical/Surgical | None | None | 5.0 | None | None | Yes |
| 7 zone 4 med surgMedical/Surgical | None | None | 4.0 | None | None | Yes |
| 7z1 med surgMedical/Surgical | None | None | 5.0 | None | None | Yes |
| 7z2 Meg SurgMedical/Surgical | None | None | 3.0 | None | None | Yes |
| 8 z 3 Med/Surg Surge UnitMedical/Surgical | None | None | 4.0 | None | None | Yes |
| 4 zone 3 Adult Psychiatry unitPsychiatry | None | None | 3.0 | None | None | Yes |
| 4 zone 4 adolescent psychiatry unitPsychiatry | None | None | 5.0 | None | None | Yes |
| 5 North Adult Psychiatric unitPsychiatry | None | None | 5.0 | None | None | Yes |
| 5 South Psychiatric adult unitPsychiatry | None | None | 5.5 | None | None | Yes |
| 8z4 Medical Rehab UnitRehabilitaion | None | None | 5.0 | None | None | Yes |
| 12 z 3 ventilator/ step down unitStepdown | None | None | 3.0 | None | None | Yes |
Erie County Medical Center nurse-to-patient ratios by unit: common questions
What is the nurse-to-patient ratio at Erie County Medical Center?
By its 2026-2027 clinical staffing plan, on the day shift: medical/surgical units 4.0 patients per RN (New York's median hospital 5.0), critical care units 2.0 patients per RN (New York's median hospital 2.0), stepdown units 3.0 patients per RN (New York's median hospital 3.7), emergency department units 4.0 patients per RN (New York's median hospital 4.5), psychiatry units 4.5 patients per RN (New York's median hospital 6.0) and burn units 2.0 patients per RN (New York's median hospital 2.0). These are planned averages for each unit; the table lists every unit and the evening and night shifts.
Is Erie County Medical Center a union hospital?
Its plan reports a collective bargaining agreement covering clinical staff: New York State Nurses Association (1,438 employees, contract to 31 Dec 2027), CSEA (1,530 employees, contract to 31 Dec 2027) and AFSME (758 employees).
Did Erie County Medical Center's staffing committee agree on the plan?
Yes, on every unit and shift of the plan, by the plan's own answers.
Sources and method
The plan as the Department publishes it in its normalized form, read table by table. "Patients per RN" is the plan's planned average number of patients one RN cares for on the unit and shift; procedural units (a cath lab, endoscopy) plan few by their nature. Read 9 Nov 2026. Every New York hospital.
- New York State Department of Health, hospital clinical staffing plans 2026-2027, Erie County Medical Center (PFI 0210)
Cite this page
CareJobs.Now. (2026). Erie County Medical Center nurse-to-patient ratios by unit. Data as of 9 Nov 2026. https://carejobs.now/new-york-hospital-staffing-plans/erie-county-medical-center