I've been an Emergency Department nurse for about 12 years and I love it. Right now I'm dealing with a back injury (herniated lumbar disk) and I'm afraid I may not be able work in the ED for quite some time. The ED is such heavy work and so fast paced, therefore incredibly hard on the back. I've been considering the PICU for years anyway, as I'm always drawn towards the pediatric patients in the ED. Just how heavy (literally) is a PICU workload? I know you have adult sized patients at times. And if you're working in the San Francisco Bay area (south peninsula) area, can you recommend where to get trained?