Yes, the ICU is a bit different. I have to commend the staff up there, they have the patience of saints.
I'll give you the run down of my night....
1900: Meet in the staff report room. Here we get a brief report on all 14 patients in the department at the time. There we choose up patients and usually drink coffee.
1930: Get individual report from the offgoing RN that had out patients the previous shift
1930-2000: Initial assessment of our patients neuro checks. Give meds if they are ordered. Turn the gorked-out ones, suction them, check tube feeds. Dump urine.
2100: Chart (if you haven't already done that)
2200: Turn, suction tube feed. Dump urine. Give meds if they are ordered.
0000: Turn, suction, tube feed. Meds, dump that urine. Neuro assessment
0100: Chart. Bathe the gorked out ones.
0200: Turn suction tube feed. Urine, meds. (are we detecting a pattern here?) Draw Labs.
0300: ZZZZZzzzzz God I'm bored
0400: I think you know the drill now!!! Don't forget the urine!
0500: Write the NOTE (focused note about what happened during the shift)
0600: T/S/TF. Urine, meds. Fluff and puff. Make 'em pretty for days.
0700: Report to oncoming shift after they get group report and drink their coffee. Usually out by 0800.
I must say, last night I looked out the window at the skyline listening to my confused patient yell that I needed to untie her and her IV pump beeping for the millionth time. I wondered if I want to be a flight nurse badly enough to put up with this bullshit. Ugh.... yes, I do. But that doesn't mean I have to like it.