It's great to hear from a psych nurse with your experience. I may try to get some med surg experience while also pursuing the psych area. I am an older student with several years experience in a physicians office, which may help with the medical portion of psych.I would refer to a text or other resource, before I would ever say "I'm a psych nurse - I don't do that!" It's been many years since I have worked as a social worker - got tired of the low pay, contractual positions with no benefits, and systems that are not set up to benefit the client. I would rather have the medical knowledge on board, in working with clients. For example, as a SW I knew nothing about the meds that a client was taking, and had little medical knowledge related to their disease process. I am interested in case management also, and may pursue that avenue. Thank you so much for your imput!