I work at a major tertiary referral center that is the area's only level I trauma center. Staffing in our ICUs used to be acuity based, but we've quickly adapted to these new so-called staffing models, requiring us to triple-up and I think it's ridiculous! Our normal assignments were 2:1 and 1:1 depending on acuity, i.e.; mode of ventilation, CRRT, or just fresh post-op traumas. I often am charge, with an assignment now and sometimes with an oriente or student. Up until we implemented a full time Rapid Response Team, the charge nurse from the ICUs were responsible for the RRT calls. What is the next responsibility that will be taxed onto the unit nurses? For an ever evolving profession, we sure don't seem to be moving forward right now.