Your job sounds like mine - I have 36 consumers in 6 group homes I am primary RN, Medical case manager do the assessments, IPs etc..,. I am pretty well paid and I have a lot of autonomy which is worth the headach. Budgets are tricky with this type of nursing because the funding comes from medicaid and medicare - the cost of caring for these folks continues to go up while reimbursements have remained static for the past ten years and health care reform is cutting deeply into these reimbursements as well so I wouldn't count on getting more help any time soon.
Hppy