I am working in acute medical. It is not uncommon to end up to look after 15 patients on your own with no support whatever, an assistant will help if you call for support. Of course than you get the usual discharges/boardings resulting in admissions. To keep the story short, it is dangerous in all matters, care planning and delivery are scraping around the basic mark and documentation and Health and Safety went right out of the window!! So Oreo75 to answer your question, I am sure you are able to cope with nursing and you deliver great care but you get cut down in your efforts by this staffing levels to the point where you can only do whatever you can, perhapst often or most times reacting to care need instead acting/proacting. But please keep in mind that you do the best you can under these circumstances. There wont be much change to this situation untill the management structure within the NHS will change and NHS management is more focused on care delivery instead of selfpreservation and "Management by Helicopter". In addition I think nurses need to learn to fight for their causes better and stop hiding behind "no-strike" regulations and vote for industrial action. This should be really on RCN Manager minds!! You are right to be worried about your career and beeing frustrated. I think the most nurses are. To keep yourself save as possible I suggest you report this, even so it is a common situation. I don't know about your place but we have a "Serious Incident Report" system. I am using this system to report this staffing level and that care delivery is impossible under these circumstances, these reports are official and going up the chain of management as far as HSE or CEO. Inform the duty manager at start of the shift about the shortcommings. In addition I am going to the Senior Charge Nurse and complain about the shift (that is the nice description, you don't like to hear the original version :angryfire). That deals with the legal side of the matter. Please be adviced!!!! It is needless to say that in the "blame less or blame free" culture of the NHS of today I am not very popular with neither management nor Senior Charge Nurse.