I can fully relate to mulitple pt loads Im in my second year out as RN wking on busy ortho ward which is a 30 bed unit of critical/trauma PTs. we get 5-6 pts each but because the hospital is so over full we are getting alot of outlie pts from different wards. this makes it extremely hard to keep on top of our work load particually when we are not familair with the nursing care for the pt if has nothing to do with bones. I have certainly learnt to pioritize my wk load. Pt safety comes first and if that means I have to miss a shower or sponge because I spend 20 mins finding out what to put on a 3rd degree burn by ringing the burns unit in my ortho unit that is what I do. those RNs who come on after me may have a maon becuase I didnt get through all my wk load oops might have missed a ECG that nedds to be done for the next day. but at least I go home satisfied that I did the best I could with my hours I had and that sometimes means missing out on lunch breaks.