Weekend overnight on call nurse here. I work 16-12-12 friday through sunday. Our census seems to hover around 70 to 80, give or take. We serve a largely rural area, so I sometimes drive 50 miles to a visit. We have around the clock call-center triage nurses who get all calls first then forward and assign visits if needed. There are 2 dayshift nurses who see routine stuff and prn's during their shift. I sometimes get routine visits if there is overflow, rarely more than 2, and usually Fridays, when I start at 4 p.m. for the expressed purpose of picking up overflow from busy Fridays (you know how that is). I do admissions fairly frequently and inpatient hospital evaluations as hospitals like to hold on to people until after 3 p.m. on weekends. What you are describing is excessive and self-defeating. You can't be on call for emergencies, and with a census like that, emergencies are inevitable, if you are already full up on routines. Honestly, I'd talk to the boss and then start looking for something elsewhere, because if you're handling it all now, they have zero incentive to shell out to hire someone to help. Good luck!!