Keywords: RN, Registered Nurse, IMCU, Intermediate Care, Telemetry, SDU, Step Down, M/S, Medical Surgical, CarePlex, Hampton, Talroo- Nursing, Monster, New Grad, IMCU, Intermediate Care, Progressive Care, Stepdown, Hampton, Nights shift, #new grads. Our patient population includes COPD, CHF, R/O MI, respiratory failure, GI bleeds, pancreatitis, renal failure, liver failure, multiple organ failures with or without sepsis, and surgical populations, with vascular and ENT surgeries, primary stroke center, being the most common.