I work nights on a 30 bed ortho/med/surg unit. Some nights are:angryfire some aren't so bad. We have 2 RN's: 6 pts to 1 RN, no aide, on one team of 12 pts. Then the rest of the 18 pts are split at 11p to 2 RN's: 9 pts each RN & the PCA has all 18. At night we get dumps from the ED confused, c-diff, combative, pts with our fresh post-ops, next door. The ortho dr's thinks someday's its a nursing home the way it smells. Not only do we run with the ortho pts but the confused person next door keeps them up all night by her bed alarm and in turn they complain to us. Thats troubling. Its a no win situtaion on my floor some nights, but the time flies so quick some nights 12 hrs is nothing.