The unit I work on has 26 beds/chairs. As charge, my responsibility is #1 - overseeing all patient care, as it is my license on the line. In my unit there is at least one other RN working - maybe giving meds, maybe taking patients (3 is the max for anyone, nurse or tech). This is great because I always have a second RN opinion. Never, is the charge nurse assigned to patients, unless there is an extreme situation which fortunately does not happen often. Besides that, I must implement all standing orders, take all doctor's orders and transcribe them, run the code if it happens, deal with countless transportation issues, and then deal with all the other BS that happens in between. As a charge nurse, you know what I mean. :) It is very hectic I would worry about my license if I had to take patients and be responsible for every other patient and staff member.