Pain is a big issue. In fact, they call my floor the "floor of pain". I currently work on a ortho/neuro/trauma unit. We see lots (lots) of geriatric hip fx. Lots of s/p mvc pts. My unit is spine cert. as well. You will learn how to spint and cast, and work with pt/ot. There is always someone who needs pain medicine/bedpan assistance. Most of your pts have mobility issues, so skin is a big topic. I love it though, it is a very interesting field.