I'm currently a med surg tele nurse with almost a year of experience on this floor. I have 6 pts per shift, all of whom have varying levels of acuity. Sometimes I'll get heavy surgical patients, basic medical diabetes and cellulitis-type pts, and even psych (DTs mostly and suicide). I feel like I'm a med passer and that's about it. Sure, I spend time with my pts and their families, bonding and what not. But when it comes to taking care of acutely ill pts, the others tend to get left behind. I really liked being with one of my pts tonight. He is very sick, dialysis and surgical pt. Wound vac, foley, PICC, tube feed, g-tube, HD accesss cath, infusing heparin and 0.9. I had to manage all his lines and tubes, checking the meds, flushing them through the PEG, etc. I really enjoyed that and I had to put a lot of thought into what I would do and prioritize. He was only 1 of 6 patients, the other 3 demanding pain medication and getting angry with me because I couldn't bring them their pain med immediately. I'm getting sick of this, quite frankly. I don't know if it's pt ratio, short staff, or acuity that bothers me the most, but it's getting to be tiring. I like working with fewer patients that are really sick. I feel like I have a chance to use critical thinking skills and assessments that I feel I lack on my current floor. I like managing lines and tubes, and working with technology, on a more independent basis. I have a very limited view of what an ICU nurse does, but it's always something I've been interested in. What kind of qualities make for a good ICU RN? I'm thinking about applying and doing a transfer as soon as I'm able, but I feel like I have more learning to do to prepare myself to be successful. Any advice or suggestions for how I should proceed? Thank you in advance!