Hello everyone, I have about 3 years experience in Med Surg ICU stepdown nursing and most recently 2 years nursing in ICU. I have both my PCCN and CCRN. However, I would say that the hospital I work in now seems more like a stepdown ICU with the exceptions of certain drips (vasopressors and paralytics) and intubation with ET tubes. I have only did CCRT once and I would not take another CCRT without further training. We very rarely get IABPs and I have not had a patient with one. I am interesting in traveling. Do you it would be better to start my first travel assignment on a PCU/stepdown floor or an ICU? The stepdown I worked on was 3:1 but every now and then 4:1. We would get stable vent/trach patients. I am worried if I do ICU I won't be prepared for IABP or CCRT. I am thinking maybe staying here and training with a nurse doing CCRT first. However, we don't get CCRT super often either especially now that Covid had slowed down.