I have to disagree with the above posting. I'm sure the lawyers and jury wouldn't quite understand that i'm just "improving my triage skills" by floating to the floor where I've never worked before, no orientation as to what paperwork I'm expected to fill out, what signatures go where, what discharge instructions need to be given ("initial here, here, and here please!") Oh right! When does one get time to go in, sit down and chat with the patient you've taken care of when they've been on death's doorstep down in the ICU? I know you're intentions were good in the above post, but not fully grounded in reality. We also have an suburban, small 150-bed hospital. Many times the ICU nurses staff every unit except L&D. The TCU nurses will sometimes float to ICU, but will only take the "lighter" patients ready to transfer over to step-down. The ER nurses DO NOT float over to ICU ("they do their own staffing"). Yeah, right. What really gets me is that floor nurses want "advanced skill" pay like the ICU nurses, yet "can't" float over to the ICU like we have to do for them. We're the ones that go everywhere, guess that means we're "flexible". Rolling my eyes right now!