You are correct, TammyG, there is a learning curve, but ordering equipment, calling docs, calling pharmacies, etc., is pretty much the same everywhere. I have a new spiral notebook for each assignment. In the front, I write down all the contact numbers and names of managers, staff, DME, pharmacy, docs, etc. that I will need. And, I always have a contact to ask every stupid question that I might have. Ramping up does not take nearly as long as you might think. Honestly, it is the same job in each location, just with a different cast of characters. And, traveling is a wonderful experience.