We do it on our floor and I'm not a fan at all! It's too many patients needing IV meds and assessments trying to keep on top of everything and notify the dr of pertinent info so you run all day long while the LPN's and aides are regularly taking breaks. I rarely have a team where the other members pitch in and help when "their work" is done. If I go in a room to do an assessment or give a med and someone needs help to go to the bathroom I stop and help them tying me up for several more min putting me behind on all the pts needing assessments or IV meds already waiting but yet if I go find an aide who isn't doing anything (or if they are on break) the pt gets mad having to wait or the aide spreads it around the RN is too good to do that which isn't true. The RN can do everything, the LPN most stuff except IV pushes, and the aide only basic care so somehow it always ends up falling to the RN to make sure everything gets done. We have a big problem on our floor with LPN's esp not pulling their weight. I'm not saying it's LPN's in general and we do have a couple that work hard but on our floor most of them will pass their meds and sit at the desk literally ignoring call lights and when the RN's say could you please check that because the aide is busy and I have to pass an IV med they get mad and roll their eyes. The RN's that delegate and ask the aids and LPN's to cover stuff regularly get talked about as being too good to do it themselves. I regularly help with taking pt's to the bathroom, bedbaths, changing linens, giving pain pills, doing dressings, etc so they'll see me as a team player but yet every night I'm working over to finish up my charting while they are going home on time so I'm starting to think I may just have to become one of those nurses who quits being nice, get talked about, and get out on time. It' s all the politics that create the problem. I just wish I had my own group of a few all to myself! Also, sometimes patients will ask another team member for IV pain med that will not get relayed to me in a timely manner so the pt is mad by the time they've had to ask again or someone remembers to tell me. Another thing is when the dr asks if the pt has trouble with something like swallowing pills, eating, etc and I have no idea because I haven't had time to be in their room enough to even spend time with them and since I'm not passing the pills, if no one tells me, I have no idea making me look stupid. The few times I've had 5-6 all by myself I feel like it's such an easy day and I'm able to keep on top of everyone. I don't recommend it. Our floor is the only one in the hospital that does it and all the RN's that get pulled down to our floor complain they never want to come back-it's just so over-whelming.