I would work on med/surg to fine tune your skills first. In a lot of nursing homes, you are the only nurse on and you have to feel comfortable with your assessment skills because there will be no one to ask a second opinion from. Believe me, I talk from experience! (my nursing home job out of school lasted 5 weeks). You get little or no orientation in most cases and have a lot of elderly people with chronic health problems that you are responsible for. Whatever you choose, good luck!!