Just curious.. why did you turn down the medsurg position. I would have started there before a rehab floor. You need to delvelop skills and med surg would help you to do that. I left an emergency psych position as a new grad. It was all psych and barely any emergency! I had a position in a hospital but I resigned because of multiple issues. I interviewed with several ED managers and they all said ," So, even though you worked in ED psych, you really have no skills?" What an insult because I did, they just weren't enough. Now- I work in a freestanding facility across from a brand new hospital. It has part subacute and part ltc. I only work as a subacute nurse never in LTC. I have 20 pts max with two cnas. I am responsible for everything unless there is a charge that shift. I do all meds, Finger sticks, ekgs, tube feedings, colostomies/illeostomies, cpm, wound care/wound vacs, traches with suctioning, chf protocol, neuro checks,pain management, respiratory txs, o2 therapy etc. I have learned more in the two months that I have been there than I ccan even tell you. I take off orders, put in IVs, call to pharmacy, call the drs, call for labs, deal with dietary and nutritionist as well as pt/ot. etc. btw did I mention 20 pts...!!!! I tell myself everyday when I want to quit " Hang in there, get your skills and move on" I would love to work medsurg because 6-10 patients would be a dream!!! If you are assertive and fast and practice safely which is key because if you don't trouble will find you, it is a great place to start. Again I came from ed psych which is a piece of cake compared to subacute care. I was told by HR that 1 yr of subacute would get me a job but LTC will not (back in the ED).