I used to work at an ICU in a small town in NM. Needless to say, most of our "ICU" patients are very low acuity, if we even get patients. There would be days where we would have no patients at all for a week. Sitting down for 12 hours watching rhythm strips and waiting for the rapid response beeper to ring(we do telemetries and rapid response as well) can get extremely boring. When we do get patients, most, if not all of them are SAC patients. Our patient:nurse ratio is 2:1, it's like having 2 SAC patients in a very controlled environment. Anything higher acuity goes flown out to bigger hospitals.