Small hospital to big hospitals?

[seafoamslushy]

Hello, 

I work at a very small speciality hospital in the ICU. It’s all I’ve ever known and my only job as a nurse that I’ve had. Lately I have interested in travel nursing. I had three phone interviews, all of which declined me through one agency.  But I had one hospital auto offer me  the job. The main reason the other hospitals declined me was because I said I did not have experience with Impellas, CRRT, induced hypothermia. I do have experience with open hearts, PA catheters, IABP and valvular procedures carotids etc etc . The fourth hospital auto offered me a day position job. I’ve worked nights most of my career but have worked on the dayshift a month and a half. The fourth hospital also does not have a trauma designation. But they do CRRT and probably do impellas as well. I signed the contract for the hospital but I am wondering if I’m trying to bite off more than I can chew? Should I just wait till I have more training and experience at a bigger hospital before I go and travel to a place like this? The recruiter said that hospital that hired me  looked at my skills checklist, which I was honest about all of my skills and experience, and still wanted me, and said I  should go ahead and accept the offer. I just wanted some advice. Should I back out? 

[NedRN]

Did you have an interview with the manager? If not, I'd say no. You really want a traveler friendly first assignment. Since you gave no indications about that, seems like a risk. A particular skill is not so important, you can always decline a patient not within your skill set.