There are some days when even at double pay, its not enough. I'm talking a 12 hr shift where I get no break for lunch or even to pee but maybe once a shift. Start with 4 or 5 pts, discharge/admit all day, the bed never gets cold before I have another slip, drug seeker getting morphine/dilaudid q hr, FSBS on all pts, missing meds, multiple piggy backs, dopamine, cardizem, or heparin gtt, chest tubes, drsg changes, bed alarms/restraints, isolation for MRSA, H1N1 or C-diff, pt pulls out IV/Foley/NG. Family with multiple requests are the worst "when is the Dr coming? What time is my fathers test? When do we get to go home? Can you change the sheets, bring another blanket/pillow/socks, Can I have some more water/coffee,ice? I didn't get anything to drink with my meal... I love my job and for the amount of work I (and everyone else) does, a pay cut would be like a slap in the face.