Just wondering if anyone else has these kind of problems. I had 5 patients last night. 4 out of the 5 were "ringers". Patient 1 had dementia, would call out because she was worried no one was there. Patient 2 had MR and needed help to the potty chair four times, wouldn't use the call-bell, would just starting yelling, off and on throughout the night for help. Patient 3 was confused and would hit the call bell often for no reason at all. Patient 4 was flaccid on her left side and called to be put on the bedpan to pee about 15 times during the night. I ran all night, and was dead tired the next morning. Four of the patients had FSs with one of them being every 4 hrs. CAs don't work at night, the clerk leaves around 900pm and the charge nurse leaves at about midnight. And to top it all off, another nurse that i often help out when she is busy came up to me about 4 hrs into my shift and asked if I was doing okay since I had more patients than everyone else. Two of the nurses had 3 each, another 4 and at least one of them also had 5. WHAT? I talked to my manager about instituting some kind of acuity based system and he just said that they had done it years ago and that it didn't work. "If we did that you would have about 8 patients apiece." As it stand now, i come and get beds, say 20-24, and it doesn't matter what kind of patients are in those rooms. Is this normal? We are suppose to have at least one CA during the night if all of the beds are full but usually when I come in, there around 6 empty beds, which are soon filled by the middle of the night, so I have only seen a CA work 2 times at night since i started working there in November.