Interesting. I'm not aware of any data to support the latter (sticking to a plan and outcomes) If anything I'd suggest that the ability to pivot and avoid fixation bias is a good thing. (So maybe variability is good?)

What if you have a continuous night float system (ie day intensivist and night) That's a bit of tension... I suspect, based on personal experience the do less person stands back and allows for more.

Adults only : Assuming not cold or some other extenuating circumstance never more then 30 minutes. Hopefully by this time we have engaged family and if possible they are present. Just imo

I like this as a response.

I'm having trouble understanding this (negative pleural pressure). Are we talking about spontaneous ventilation or iron lung?

Shouldn't I see different types of oil, quantities, and times in oil. Needs at least 10 more pots.

Don't forget about stickers and crying children (and parents) slowing down your room turnover.