That seems like a normal ratio for that kind of unit. It can be very overwhelming especially for the first few months. I suggest trying a few different methods to organize your time and see what works for you. Don't forget that it's not the only nursing job out there, and you will be all the more stronger for learning how to give that many medications to that many people! Also, leaving the bed up is a simple mistake, if the patient didn't fall, no one was hurt, learn from it and don't beat yourself up. And, you caught that you took the gluccometer home. And brought it back so all is well. I accidentally threw out a whole ring of supervisor keys once! Took hours to find them, but I survived it! Keep it up and I think you will get through this a stronger nurse! And if after enough time has passed to help your resume and you still feel unsafe there, you can look elsewhere!