I really appreciate your input on this issue. I understand exactly where you are coming from. As of today, 2 recruiters are contacting the hospital that did this and ask why I received the ICU "competency exam" instead of the med/surg which is my background. I spoke with a large agency today, and they had just had a meeting, in which they decided to no longer send their staff to this hospital because of the problems this "wonderful" test is causing. They also said, it is NOT an indicator for how well the nurse will do. All it does is prove they can take a test. If you fail that test, you are considered "unsafe"...well heck yea I would probably be "unsafe" in a way if I walked into an ICU to work without any training. And that is another issue. The hospitals dont want to "waste" their time educating a traveler, or agency nurse. They can't see the forest for the trees. They want improvedments in patient care, and yet they cut off their nose to spite their face! That is something I complete don't understand. If you are in the profession for the right reasons, then I would think if you have a travel nurse that comes to work in a facility on a NEED basis, that the hospital would be more than eager to help this nurse if she wants or needs to learn some things. That is the type of action that makes nursing better for everyone. So what this boils down to is the test results stated the obvious; I failed the test because I am not (as of yet) competent to work in an ICU ( and I wasnt applying for an ICU job Grrrr). well they could have saved 150.00 and just asked me! I am competent in Med surg/tele and that is all so far! After this ordeal, I have made a decision to NOT even consider working at a facility that uses this test to hire and fire job candidates. And apparently, agencies are trending towards this as well as nurses!