One of the issues within my organization that remains unresolved within my organization is the assignment of patients to nurses based on their acuity. This problem persists within the hospital and no one has been able to come up with a reasonable solution on how to resolve it. As this problem worsens, the hospital has faced several challenges due to the unfair and unresolved mission of the charge nurses. Favoritism has been identified as a major cause of this ongoing problem whereby the charge nurse favors certain staff members with less severe patients over other staff members. As the hospital continues to face different challenges daily, such as staffing difficulties in different shifts and units, conflicts between staff members, increased budget, secondary, in case a nurse disagrees or refuses to accept an assignment justified by other nurses that a particular nurse is assigned to a very serious patient. In the event that complaints regarding the assignment reach the Director of Nursing or Manager, the nurse does not have the opportunity to have a one-on-one discussion with the charge nurse to find out where the errors were made so that corrections can be made. future references. This type of case is usually considered a patient abandonment if the case has already been submitted to the disciplinary committee meeting and the manager usually represents the charge nurse at the meeting and in most cases this is usually the charge nurse who speaks against the nurse due to her type of authority. of leadership within the company. As a result of this persistent unfair assignment, many employees were fired or disciplined when they spoke out about the assignment they had been given. Another incident where patient acuity reporting has been an issue is when nurses are transferred to a different unit than their usual unit. Each time a nurse is transferred to another unit, they are assigned to the most serious patient on that unit and