I recently left a telemetry floor and the nurse patient ration on a good day usually was 1-6, there were days when I had 7 and sometimes I might get 8 patients. Our floor never counted insulin drips as 2. If a patient was on a cardiac drip the most patient a nurse could have was five. And thats not counting the accuity level. It was constant stress on that floor. And to me I still consider myself a new nurse just having passed the state board last year. So I have only been a nurse for one year and came out of orientation with 6 patients and have been charge nurse at least 3 times. Last month a patient died in my care. His blood pressure was low but had been low doing his stay. I didn't remember the BP being low and I didn't recheck it. I only had five patients that day but their accuity was high. One of my patients the physcian had wrote orders for comfort measures only and to be put on a Demerol drip and another patient had a trach that needed constant suctioning and was on tube feeding and when I went to check the residuals I pulled back stool colored contents. So did I lose focus on the low blood pressure prehaps so. The patient died not as result of the low blood pressure, when his history was reviewed the physcian discovered he had a mass on his heart. Do I feel bad, yes because maybe he would have not died that day if I had rechecked his blood pressure and got him to the unit so that he could be stablized. I just know that some hospitals are taking risks when there are too many patients for one nurse to handle. Now I am looking for a new area to work in so that I can feel that I can deliver safe care to patients.