I am not yet off the floor (actually just now returning to the floor and school after a few years of unexpected leave) but am working towards my masters and being a CNM.
I also knew that floor nursing was not for me, and wanted a more active role in patient care as far as educating, multiple visits over time, etc. And I knew it had to be with OB/GYN- particularly the pregnancy/birth side of things.
So a few questions that led to me my answer of being a Certified Nurse Midwife that might help you:
-What type of patients do I want to work with
-How much contact do I want to have with the patients
-Do I want to be involved in patient education?
-Do I want to act independently or do I want the relief of having someone to answer to (this one is tricky- so many people think they must be fully independent, but when they are honest with themselves they realize they like having someone else taking on the heavy sweat work- which is not a bad thing)
-What type of atmosphere do I want to be in; such as general hospital, office, college, helicopter, ER, specialized, etc
-What type of co-workers do I want to work with (this one you obviously can't pick and choose, but it helps when interviewing to know what type of atmosphere you best thrive in with regards to peers and coworkers)
Anyway, asking myself and then answering those questions led me to know that I wanted to be in midwifery. So I'm finishing my degree and then starting on my masters. In the meantime I'm going back to work as a float nurse and hoping to get a lot of shifts on OB until they open a full position, which I'll stay in until my CNM is done.
Like you said, I'm nervous too! But if you don't have some fear in your life then you are generally in a rut. I'd prefer to keep growing and moving than to be in a settled situation. Good luck with your changes and hopefully answering those questions yourself will help you to find the nursing career that is best for you! If you go in excited to be doing it, chances are you will love it