Possibly switching from IMC or a step-down Crit Care unit to ED

What you're describing it pretty much what I just did. I spent a bit shy of a year in a step down critical care unit and jumped over to ED a few months ago. My weakest points are vents, some of the drips (mainly only worked with levo, cardene, cardizem, insulin previously), and peds. Oh dear, the kiddos are my worst... *cringes* But it's fun and I'm learning. Good luck with your switch! I've already had to use my "inpatient skills" a few times since some of the other staff have been off the floors for so long.

It's interesting that you talk about the kiddos. . .are you in an area without a major Children's hospital? I'm wondering what would happen to me in that situation if I relocated, what a HUGE disadvantage/fumbling idiot I'd be with kids. . .