I did not mean for this thread to be mainly about unionizing but about what kind of staffing you have in your departments and do you close beds? Is your hospital always full and overflowing? We have been doing the bed shuffle for a couple years now. Their is an admit or transfer to ICU but we have to wait for a patient to be transferred out of ICU even though they have been PCU/med status for 1-3 days, sometimes we end up discharging them from ICU? Some days we start with 5 - 7 non- ICU patients out of 16 and end up with all ICU status patients by the end of the day with the charge nurse taking patients and nurses missing lunch etc. We work 12 hours with maybe a 30 min lunch if we are lucky. We are also lucky to get out close to time