I work for acutes too in CA. It's my 4-th year after a job in PACU. We get paid x1.5 after 8 hrs and x2 after 12 hrs. and i hit double time as a rule. absolutely right, slower pace, more focused care, backup for the floor nurse, cna at hand, md on the phone, more autonomy, any delay is paid for, going around different hospitals is like visiting various kingdoms/palaces very exciting. DaVita Acutes differ from place to place. No all bosses are good, but they are not behind your shoulder most of the time.