I agree that it definitely varies by floor/setting. My floor is primarily babies / young children usually under 2. So having a 4 patient assignment with babies is pretty similar to day shift in that they still have to wake every 3 hours to feed, change diaper, vitals q4h, IVF, up to q1h assessments for certain illnesses, meds, etc. Meds are usually q6h or q8h around the clock so just as many as dayshift. I will say though even if I'm personally doing the same interventions as dayshift it tends to be a quieter, slower shift (on a normal night with none of my patients acting up) due to the fact that its night and it's quiet, parents are sleeping, there aren't constant visitors like dayshift (PT, OT, Speech, Consults), there aren't road trips (OR, IR, Radiology, Swallow studies, endoscopies), and there generally aren't changes in plan of care throughout the night unless it's an acute issue. For me, a typical night is much calmer because of this but definitely still steady with things to do every hour. Also, babies and kids love to keep you on your toes and crump in the middle of the night!