A small group of newly qualified nursing professionals have abandoned their posts at a major public medical facility in Trinidad and Tobago, stepping down over what they describe as unsafe, unregulated working conditions that put their professional licenses and patient safety at severe risk. The Trinidad and Tobago National Nursing Association (TTNNA) president Idi Stuart confirmed the departure of the three nurses in an interview with the Saturday Express, shedding light on the systemic staffing gaps that led to the early exit of three of the 61 newly hired registered nurses at the North Central Regional Health Authority.
Stuart explained that all newly hired nurses were assigned to the Eric Williams Medical Sciences Complex in Mt Hope, where they were immediately subjected to working conditions that violated both international nursing standards and onboarding promises made during orientation in April. During their hiring process, the new nurses were guaranteed a structured transition: they would only work weekday morning shifts, gradually acclimate to their roles, always work under the supervision of experienced senior staff, and share shifts with at least two to three other colleagues. None of these commitments were honored once the nurses began their roles.
Instead of the ideal 1:4 nurse-to-patient ratio outlined in global nursing best practices, the facility requires all nursing staff to operate under a 1:6 ratio, a burden the TTNNA has already asked members to tolerate temporarily while the health authority addresses chronic staffing shortages. For the newly licensed nurses, however, the strain extended far beyond an elevated patient load: the three professionals were left to manage their assigned wards entirely alone, with zero ongoing supervision from senior or head nurses – a violation of standard onboarding protocols.
Industry best practice mandates that new graduate nurses remain under close, structured supervision for a minimum of three to six months after starting their first role. Most other regional health authorities across the country maintain formal monitoring departments to support new hires during this transition period, recognizing that it takes an average of two years for new nurses to develop the confidence and clinical competence to practice independently. Leaving a newly licensed nurse unsupervised creates avoidable risks: if a medication error occurs or a critical patient emergency unfolds, the nurse faces professional disciplinary action that can result in the loss of their hard-earned license, all for failures rooted in systemic understaffing, not individual error.
Stuart emphasized that the unmet onboarding commitments and unsupervised working conditions left the three new nurses with no other choice. They were forced to bear full responsibility for critical events like patient cardiac arrests, seizures, and end-of-life care – situations that even experienced nurses struggle to manage alone, and that should never fall to an unsupervised new graduate. With errors all but guaranteed under this structure, the nurses chose to step down rather than risk their professional futures. They now plan to pursue employment opportunities at other regional health authorities that can provide the structured support and safe working conditions necessary to deliver quality patient care.