I will be starting on an Ortho unit next week as an LPN, after working in LTC for the last 6 years. I'm not really sure what to expect as far as patient ratios and care responsibilities. My unit manager told me I could expect to have 5 pts. a shift and work with another LPN, RN and at least 1 CNA, my curiosity is who passes the CNA's med's on most units, LPN or RN? and how often in acute care settings are ratios ignored d/t poor staffing?