That's a lot of visits! Where I sub, if I see even 65 kids total (including meds, ice packs, etc), by the end of the day my hair is sticking straight up, my pen has no ink, and I'm mumbling incoherently.
It's a tough question: At what point does this nurse just make things harder on herself?
Reminds me of what I was told when I started floating to ER: "Stop being so nice to them. It just makes them come back."