Wow! I seriously shouldn't complain. When I first started as an RN, I worked on an Ortho/Trauma floor and had a 1:8 ratio which was HEAVY. Then in January of 2004, California mandated a 1:6 ratio. The hospital I work at now (still in Ortho but mixed w/ General Surgery) sticks to giving us 1:5 on all shifts except of course if someone calls in sick or if we're just really short staffed. But only once or twice have I had 6 patients at this hospital since the ratio went into effect. We do primary nursing w/ a 1:5 ratio and a "Unit Assistant" who takes vitals and helps out within the unit. One of our travelers was saying that she interviewed w/ a hospital in NY and their ortho floor had a 1:9 ratio. Yikes. Gosh...I'm not sure what part of the country everyone is from but I guess I should consider myself lucky to be maxed out at 5 patients.