Finding my place

Think about what you like from your past jobs and experiences. Was it teaching patients and families, or precepting new employees? Was it all about the hands-on care? Implementing positive changes on the unit? Etc. Then look for areas of nursing that will utilize those interests frequently, and see how they feel.

I liked having challenging pts that kept me thinking critically (as much as you can on a surgical floor, that was more like a prog unit with a higher ratio). I liked educating pts and families and clearing that fog so that feel involved in the POC. And, I like always looking to improve my work environment; I hate not knowing why we do something. I want to know the why and fix it if it's not EBP. I just don't really know how to translate all of that into a job.

Go ICU if you want a challenge. You've got experience and will likely transition better than, say, a new grad because you've already got assessment, prioritization and time management skills.

ICU or shock trauma, maybe? And it sounds like there is a strong career in management or research for you in the future.

I don't think we have any sort of shock trauma? Only level 2 trauma centers around here. I might try to go to either the surgical/trauma/neuro ICU or the MICU (less desirable of the two) for the experience. I've had multiple mentors and friends tell me I'm headed for management or something higher in nursing (not that floor nursing is low, but something climbing ladders or what have you). My confidence tells me that's a no, but we shall see. :)