I have been in an IC position over a year after leaving the ICU to come to the department. I agree with the above posting that seeking certification is a good idea. You may have to study harder since you may not see too much extensive stuff with a smaller place. I work in a large hospital where we have a department of IC professionals. We are made up of nurses, med techs from the lab and those with an MPH. All and all, I think we are well rounded. IC is extensive and its hard to explain to someone exactly what we do and to what extent, from educauton to signing off on all building construction. I look at building plans about once a week. I know more about water system loops and legionella prevention than I care for, but it is part of the job. Many people don't care for us since we enforce precuations, hand hygiene, infection rates, and the like, however, I feel as though my opinion is well respected. You do need good clinical knowledge in a position like this, but I hopw you find it rewarding.