Definitely not slow-paced and a lot of multi-tasking. Some of the big hospitals want med/surg, some don't. I guess that's a matter of what you want to do - substance abuse, dual dx, adolescent, geriatric, forensic, developmentally-disabled, longer term and acute care, residential, outpatient, community, home health, etc. I just interviewed for behavioral health in the ER. Google behavioral health Nurse and you'll see a range of what different positions are looking for in requirements. We have LPNs, RNs (ADN and BSN), bachelor's level techs, NPs, therapists (MS) and psychiatrists.