In general, no matter where you are, more than 1cna:8pts. is too much. However, it depends on the acuity of the patients and how much the nurses expect you to do. If you have to do all basic care, v/s, ambulate in halls, oob to chair x 3, etc. then no more than 4 patients per cna would be appropriate. I've been the victim, along with my patients, to ridiculous ratios that did not allow me the proper time to take good care of my patients and had nurses that did not want to touch the patient. I've also had great experiences with some outstanding nurses that understood the amount of work I had and would clean a patient if they walked into the room to do wound care anyway. I've also had nurses call me to the room and stand there watching as I cleaned the patient so that they could do wound care. I've seen nurses looking all over for the cna when THEIR patient asked for a bed pan instead of just taking care of it themselves. So, my point is, it depends on what the nurses expect for the cna's to do and how acute the patients are. There is no such thing as a patient to cna ratio because we are there to assist the NURSES not the patients. By helping the nurses, we help the patient. But, the reason that we are bathing/changing the patient(which is part of every nurses job) is so that the nurse can get his/her job done and do the things that require a license. That is one reason why I hate when cna's talk back to the nurses. The nurse is our boss. We are there to do whatever we can, without going outside our scope of practice, to make their day more manageable. That is why the position of the cna was created. We are very important, but we should not forget our role.