I go to a community college and currently have a license as a Certified Nursing Assistant. It is not unusual that I am assigned 8-12 patients at a time that require care in an 8 hour period. The difficulty arises when they all require different levels of care and my patient load is constantly changed. If I could get one set of patients, prepare a list of requirements for those patients to use as a check off, I could get a routine down, not make any errors or forget any thing, and then get my speed up. I was told "you can't accomodate lack of intelligence". I am not retarded, it just takes me a little bit of time to figure it out and then stay with the plan.