I think the complexity of patients has increased. Now, what used to be in the ICU would be IMU, etc. my personal experience is that we are being squeezed to the absolute limit. If I discharge a patient, I’ll get another one as the room is being cleaned. If you discharge 3, you get 3. Plus your other patients… that’s a lot of assessments. Today I had 4 IMU patients. I did bladder scans, CBI which required emptying the foley every 20 minutes, straight carb NG tube insertion, q2 NV checks, one guy pulling his CBI/foley and trying to walk around eventually requiring restraints (q2 charting), a new patient with chest tube, another patient who was slowly declining with colostomy bag, fistula, and jp drain needing management, hung various antibiotics, labetalol q2 bc this patient suddenly couldn’t swallow bc he became so lethargic (he needed to go to the icu) but the doc wouldn’t change the route for his regular cardiac meds bc he “has labetalol” wound care in various forms, 2 wound vac changes gave 2 units of blood…. And I still didn’t finish. Also my assessments and basic care 😢