I work 6p to 6a and I work LTC and Skilled my pt load is any where from 15 to 60.I usually have 3-4 vent patients and a couple just trach pts too. At my facility I give all 6am meds, which usually isn't more than 14 residents, and the day shift gives all 6 p meds. Our pharmacy schedules our meds as 06/0630 07/08, 11/12 16/17 and 20/21. which means we have from 0600 to 0900 to pass morning meds. it makes it a lot easier, the place i worked before i had 3 locked units 20 residents each I was responsible for giving all the 6am meds on 1 of the units and it was a royal pain to do 15-20 pts meds and try to give report all by 0630 so i wouldn't get into trouble for clocking out late.