This is a tough one to answer because not only do you change as a nurse as your career progresses, but nursing itself changes over time. My first job, 40 years ago, was in ICU, and I loved it. My most recent job was in ICU and I hated it. Everything has changed: staffing ratios, pt/family expectations, management support, etc. I was a PICC nurse as an independent contractor for 15 years. Totally loved it. Putting in PICCs was a piece of cake, small sterile field, gloves and mask, 20 minutes and out the door. Now it's a major production, with the patient draped head to toe, nurse in sterile garb with cap, mask, sterile gown, a witness to make sure you don't break sterility, much more paperwork, etc. (all necessary, but makes things harder). When I did home health in the beginning, the paperwork was minimal and if you got a patient that needed IV antibiotics every 6 hours, you were there every 6 hours, for the duration of the therapy. You didn't need too many patients to make the big bucks, and most of the time you finished your paperwork and then watched TV with the patient. Then it became, "you're allowed 3 visits, teach the patient to self infuse". So you needed to see a lot more patients and do a lot more sign ups to make the same money, and you were always teaching, and the paperwork mushroomed out of control. Now I am a school nurse and I love it...but I can tell you, straight out of school, I would have hated it, because I would have felt that I was missing out on the exciting stuff in ICU and ER. Other than choosing ICU for my first job, I pretty much fell into all my other jobs, and loved all of them. But when I was in nursing school, I had no clue. After my surgical rotation I knew I couldn't do that simply because I cannot just stand all day (I can run around all day, just not stand). I thought I would love psych, but ended up not liking it pretty much for the reasons stated by previous poster. But another thing you may want to think about is lifestyle. Do you want to work 3 twelves and every other weekend, or do you want Mon-Fri with weekends off? Do you need to make top dollar or would you be happy with less money and maybe less stress. Do you everntually want to go into management? If you decide you do want NP, by all means do ICU and/or med surg so you can get a lot of varied experience on board. Anyway, a lot to think about.....good luck!