I'm a new grad too and I am starting a in a locked psych unit in a hospital in september. I am one of only a handful of my graduating classmates that got a job in a hospital-- if i were you, I'd take it! Once you're in that hospital, you can always transfer to medsurg or something else that interests you down the line. From what I hear from my friends who are working in SNFs and LTC.. you really don't utilize much skill at all, mainly passing meds and dealing with less than ideal conditions and workers. Use your new pysch background as an advantage when interviewing.. you will know all your psych conditions and meds (which MANY patients in other areas will have psych issues!), you may have a sharper sense for something about to go wrong, you will be focused on safety (which is important in any setting), and your interview skills will be through the roof and you will be better equipped to calm down an agitated patient. Thats the way I see it anyways. And if nothing else... more money? Take it. :) Good luck!