For pete's sake, this is the most ridiculous discussion I've ever read, including the ADN vs BSN controversy. I've done every type of ICU nursing for 28 years, including management and educator positions, and I don't have a clue what you're talking about. The ICU I'm in now recovers neurosurgery,(ICP's etc), Cardiovascular Surgery (IABP's, complex drips and hemodynamics routine), we do CVVHD,(run by the nurses), we get GI bleeds, sepsis with MODS, post-codes from the floor, you name it, everything except PEDS. Two-thirds of our staff can competently take care of everything that rolls through the door. So are we thinkers are doers? I promise you, we are both!