I work on a gen medicine unit 21 patients. ratio is 5-6 pts per nurse.. usually have 4 nurses but sometimes they give us 6.. no secretary at night..we also are given 2 aids at night.. they are allowed to do blood draws, straight cath, enemas.. etc. as well as vs and turns .. day shift has a PCA.. and usually 4 nurses and 2 aids, secretary... we really have it made considering that they also pay very well..bonus if you work extra shift also..