Hey there, great question. I started out as an East Coast nurse (central NJ to be exact) and have been out here in CA for the last 6 months. Obviously, one of the biggest benefits out here are the state mandated ratios. I currently work on a floor where the ratio is 3:1 (no, it's not an ICU). While that's great, I feel like I do more babysitting and duties than RN duties (b/c it's 3:1 it's also primary care). I do realize this may be specific to my particular hospital and more importantly my specific floor. Out in Jersey I would get anywhere from 6-7 pts on a Surgical Stepdown Telemetry Unit (post-op CABGs and other CTICU transfers, as well as SICU and TICU transfers). However, I feel like I got to be more of a nurse back there than I do here. Again, may very likely be due to my particular San Diego hospital. But I definitely feel like I learned more and was in a more "advanced" environment back East. I say if you really want NY, then give it a shot. Anything is going to be a shock to the system, trust me I know. But I don't think you'll regret it. Have you considered travel nursing? I think that's the best way to try something out w/o all the commitment (that's how I started here). So go ahead, live your dream. You'll regret not trying.