Is it time to go...and if so where and how?

Volunteer to get pulled to other floors. Working on other floors will enable you to get a feel of how they work, and you can ask the staff how what they like/dislike about working there. Then keep an eye on the job openings on the floors you like, and snatch one up when it comes along. I've done this before, and it worked for me.

Consider travel nursing, huge perks, googled travel nursing agencies, , with your experience . I'm sure their is something out there to picque your interest, I did it for 4 years, loved it, good luck..