I have worked and cared for as many as 10 patients in one shift on a busy cardio/pulmonary unit (sick calls left us short-staffed). This was becoming more and more frequent. I would leave in the morning wondering what I missed. We threatened union action and low and behold patient ratios dropped to 1:5/6. More manageable, but not always safe based on acuity. Politicians all talk a good game, but then they have the monetary resources to hire private duty nurses. I have witnessed poor patient care, missed medications, and unsafe practices strictly related to nurses trying to care for too many patients at one time. Until we, as a nation of nurses unites, this problem will not be solved.