Congratulations Kanani_Ikike for doing a great job. Nursing is ever unpredictable. We can have good days, and really bad days (mostly though). It is just sad that despite the obvious picture of a nurse struggling with 48 patients, still there is no action made to make work more tolerable and acceptable. That ratio is terrible, however, congratulations because you are a hero. Your patients may not be aware of that (and the rest of the people around you), but you should be proud of yourself. Stress is part of our job, but too much though could really hurt. We experience a roller coaster of emotions because we know that we could do better, only that we are time constrained. It is sad to know but that's the fact. And I salute you for dealing with that. You can do it! Go! Go! Go!