Generally I have 5-6 patients on days 7a-7p and we do all our own transport. We generally have an aid for every 12 pts but depending on who it is, it's hit or miss how much help we get-- and thanks to my 1:1 we had 1 aid for the entire floor. I have been an RN for 4 years and 6 pts. still feels like too many. There's always someone getting their meds/treatments late. Last pt assignment I had included a titrated to clear CBI with tons of clots and next door a pt with diverticulitis that perfed (found that out after I gave her the oral contrast and wheeled her down to CT myself) who was on Q1h dilaudid (had to do pre op bath, print out pre op paperwork, etc.), an OD pt on a 1:1 with the reason she ODd raising hell (husband) trying to get in to see her, an MR pt who was digging in her brief and smeared it in her hair, ears, face WHILE HER SITTER WAS THERE, and a 20 year old who had surgery to correct a torsion of his testicle who was terrified to pee so I had to go in the bathroom with him every time and make sure his surgical scrotal support didn't loosen while he peed. His pain would probably have been better controlled if his mother didn't have him convinced that if he takes a vicodin he will end up turning into a junkie!