HOLY COW! Case load of 26! That is totally unreasonable. I have been working as a hospice nurse for over 10 years and I have found that there are some decent places to work and some places that will work you into a coma if you let them. My advice is do your homework and find a hospice that has more realistic expectations and preferably one without a daily quota. Having an on call team also is VERY beneficial. To me, a reasonable case load is no more than 15 patients in a geographically centralized area. Otherwise, in this job, you will get burnt out and bitter very quickly. Hope this helps. Good Luck