Provide direct patient care across ICU float cluster units including medical/surgical/trauma ICU, cardiothoracic ICU (including lung transplant and ECMO patients), and neuro ICU, with a 1:2 nurse-to-patient ratio; may also float to MedSurg/Tele units at a 1:4 ratio. Pass a Day 1 SIMs Lab assessment (pass/fail) covering Foley catheter insertion and central line dressing changes with strict sterile field technique; also complete educational modules on lifts, restraints, and wound care.