I am a nurse at a complex care facility- simular to LTC if not the same thing. I have 38 residents to look after on my floor, multiple with wounds to dress, diabetics with sliding scale insulin qid, urostomys, tube feed, etc. To cover breaks I would often have 74-75 residents to look after (mind you its only for an hour, and not all the time because we often carry phones with us on break so we can be reached anytime) This is a 6 floor building and I know that every floor has the same amount of work- some even worse. One floor has 8 diabetics with ss insulin to go with the rest of the workload. And management just keeps on trying to put more workload on. Like the previous posters wrote.. we fax physicians, vitals, adls, check labs, collect samples, process orders (no unit clerk or charge nurse here), deal with end of life care and of course regularly schedualed meds. Sigh.. when I can I am so going back to hospital care!