Hi all, I work on an ICU Stepdown unit with wonderful coworkers. After reading about nightmare orientations/preceptors/units, I feel even more grateful. My team is wonderful, we help each other and don't let anyone drown. No gossip. My orientation was excellent.The downside is, it's a county hospital and we deal with many behavior issues. I love caring for most of our patients, working for a vulnerable population, etc, but the abuse is getting to me after 4 years. A huge percentage of pts come in high on meth or withdrawing from it, causing labile behaviors. They don't want to be bothered, scream at us, make verbal threats, sometimes get physical. Also deal w/ etoh withdrawal. My anxiety is so high when I have to go into these pts' rooms, even when they're just irritable but nonviolent.I am worried if I get a new job I will never find these team dynamics again. Maybe it would be worse to have a less stressful jobs but a bad work culture. Maybe it's worth dealing with the anxiety/fear? I'm looking for honest answers about how rare people think it is to find a good work culture, and any recommendations on what I should do. Thanks so much!!