I'm a med/surg tele nurse by origin, but I also float in ER, ICU, as well as all of the floors.One thing that irks me more than anything is being asked by management to call a physician and ask to "downgrade" a critical care status patient to a tele floor. Especially when the patient has just received admission orders for critical care. I understand the necessity of opening up unit beds when there are more patients than rooms and prioritizing, but this is how I feel.1. If the doctor wants them on tele, they would have ordered admit to tele or transfer to tele.2. If something happens to the patient when they are sent to the floor, then the doctor's going to be all mad at me because I called and asked.3. There is no true step down or progressive care here so there is a huge difference between a 1:2 nurse-patient ratio and a 1:6 nurse-patient ratio.4. Why can't management or especially the charge nurses, who have a better relationship with the docs, call instead of ol me, the float tele nurse who walks into a new shift and is pressured to call for downgrade orders?OK that's my vent... And yes I have told management and charge nurses before I wasn't comfortable with doing this and they tell me, "Oh, just throw it off on administration making you call..." Yeah, well I still get chewed out, not administration.