I recently started working on a general acute unit with a ratio of 1 med nurse to 13 patients. We have some partial to total care end stage alzheimers and TBI, mild to moderate MR, your standard mood and psychotic d/o's with a good share of med-surg issues all around. It's draining and I work 5 8's which I hate. Getting two days off in a row is a monthly event. I need time to decompress. My only option to getting off the 5 8's looks like transferring units.How does working a dual diagnosis unit compare?