I don't know how it is on the floors, but I work in an ICU and we certainly do full assessments and if we forget our stethescopes we feel lost and naked! Then again, my patients are tiny so it takes all of 90 seconds to do a head to toe assessment including vital signs.
But I hate to say it...recently when I was a patient in a med-surg unit, I think over the entire 24 hours I had a stethescope against my chest once, maybe twice. They took my temperature twice, and never once got a BP. I was in for a procedure that ended up being cancelled, so I wasn't sick or on any pain meds so I was "with it" the whole time. It was also near impossible to get a nurse in my room, probably because I wasn't really sick. My IV tape had all but sweated off and it was over 4 hours before I could get someone in to change it - and at that point I had undressed the whole thing and pressed the call button with my nose, asking the nurse to just bring me a Tegaderm and some silk tape so I could retape it. She flipped out on me! (Of course once she came and put the tegaderm on, she asked if I was okay to do the silk tape to secure it on my own, as she had to run.)
It was my first (and last) experience with that particular hospital.