1:22 nurse/patient ratio?

Sounds like WAY too much to me.

I don't know.. I got very good at G tubes at one of my rotations but the most I could ever do in 90 mins was 9 which was the nurses patient load at a sub acute. Maybe if the meds are spaced out but still thats alot at the peds rotation we had with kids with trachs and g tubes was 1:6

Sounds dangerous. Run!

i had job with 26 mr/dd kids adults, stable, 24 of which had gtubes, one had a trach.
had 3 cnas on at night with me.
i had downtime at night, even with meds at at the same times as you mentioned.
i liked that job.
are you a new nurse?

Hmmm, I don't know. There are times when I'm the only nurse for about 26-30 children, with only maybe two assistants (they aren't CNA's, exactly). However, none of my children usually have anything severe going on physically; generally just severe behavior issues. It's an awful lot of kids to prepare meds for and give them to, though.

22 kids, some with trachs and a bunch with G tubes... I don't know if I'd enjoy dealing with that or not, but quite honestly with 3 CNA's, it does sound like you have pretty adequate help, especially if they are stable for the most part. I have to say though, again, it does suck to have to give a bunch of meds to all of those kids at 6 am, especially if you have to crush a bunch of meds, for the kids with G tubes.

I don't know that I would run from this job though... to me it really doesn't sound THAT bad.

Can you shadow a nurse for a few night shifts before you make a decision? I would want to see things for myself.

~Mel'