It was my first case to travel out and treat an ICU trauma patient that morning. Enthusiastically, I entered the bay and greeted everyone in the room as I calmly organized the portable RO and dialysis machine near the patient. All I got back is just a stare and a room of silence. As the rest of the nurses finished their reports. I introduced myself and put out a hand shake to the primary nurse assigned to my patient. In return, he gave me a hesitant gesture, a straight look and then off he went for his list of task to do. Never did I had the chance to get his name. The only thing that identify's him was the badge clipped on the front pocket. During the course of the treatment, conversation went from simple question and straight answer . That's it. My presence felt like a nuissance before this man. I was an ICU nurse in the UK but never in my entire practice did we treat anybody inferior or unwelcomed in any patient care like this scenario. Everyone is part of the team. I realized that acute dialysis nursing seems like an after thought to most ICU nurse here in our hospital. Ideally, nurses are equal inspite their specialty. But today is an exemption. Perhaps, it maybe too premature to conclude because I have worked only for three months here. Time will justify whether or not my perception is valid.Time will tell...