I am curious how nursing in ICU is in the USA. I am a RN nurse -since '93- in th Netherlands and now in training for ICU. We only have one kind of degree of nurses working in hospitals. A nurse has to be at least one year RN if he wanted to start for example ICU. It is not possible to work on ICU without training or being in training. In the Netherlands we believe that we are a modern country and that we have a high level of healthcare. The schooling of basic nurse takes five year, than you are allowed to work in a general hospital, mental (= psychiatric?) hospital, institution for mentally handicaped, and district nursing. ICU training takes one year and a half, and recently, training is not including CCU anymore. On ICU we do ventilation. I read about respiratory therapist, I think we dont have that in the netherlands. The doctor and nurse determine the breathing mode (like ASB, CPPV, BIPAP, PCV, and SIMV)...... I would like to have contact with american (IC)nurses to talk about the differences between nursing in our countries.