I currenlty work as a nursing supervisor in a nursing home and over see 128 residents. When I have a nurse call out I work on the floor. I have 32 patients and yes the med pass is endless, not counting doing all the treatments, dressing changes, creams, resp. treatments and so on plus the charting and doctor calls. It is not easy I feel like I am just pushing pills. That's on a good night, what happens if something goes wrong with one of the resident's like a fall or someone has to be hospitalized or an admission or 2 comes in than that really stresses your night. I feel your concern, I don't think it is going to get any easier though.