Thanks. It sounds just like the US. I thought patient ratio would be different. Our numbers can be very good: 3-4 in observation, 3-4 in ED, 1-2 in ICU. They can also be very bad: 9 in ED I have heard a few times, 7-10 on general care. My brother worked somewhere years ago that gave him 10 patients, some who were very sick. Our pay usually starts at $24.00 hr. Nurses top at $53.00 hr at large hospitals. Most of us make something in the middle. Violence in ED is really out of control. Nothing happens to patients. Management doesn't support any solution. Do you think have good mental health services?