When you are new to ICU they say it takes several years to feel comfortable with all the equipment etc. Personally I think working in a smaller hospital would be perfect, however don't think that it would be any less exciting or rewarding then a larger one. Chances are you will see a huge variety of patients. In a larger hospital they usually have different ICU's and you speacialize in a few type of patients. I have found working in the smaller hospitals you get an over all education vs. specializing. You can get an idea of what you enjoy and if you like the challenge and varitey. If you want to specialize you could always move on later. Dayshift is a plus too, not only for your family but you will get the opportunity to really get to know the other staff (doctors, respiratory, pharmacy etc) which gives you a really good idea how everyone in the hospital setting fits in. Any other questions feel free to email me. Good luck!