I work 7pm to 7 am and almost all the pts have 2100 meds and many have 0200 and 0600 meds as well and i pick up a larger pt load at 2300 ( i generally go from 4 to 5 pts to 6 to 8) At our facility we still have paper mars so we have to recopy mars, do 24 hour checks, restock med rooms and we do more thourough assessments on 2 pts. (although day also has to on a couple pts) There is also less volunteer support and we take on a larger burden of adl cares with our cna partners than our day shift counterparts. I will acknowledge that the day shift has a heavier load in terms of meds , meals ect. but they also have a heavier support system. There are many days that i don't get breaks either..... For awhile we were also responsible for doing a full bed bath with our cna but that has 'disappeared' just by the fact that people quit doing them. I think our Cna's could still do this stuff but our system is setup on the night shift where they expect a nurse supporting them in 99 percent of adl cares. when i work days and pms the cnas often do more able pts on their own.