I am working at a small rural hospital as a charge nurse on a med surg floor. In fact, the hospital only has med surg and an ER. It is very different. There is no 24 hour pharmacy, no RT, and no doctor (Nurse Practitioner or PA admits the patients). I am working here because I relocated and all larger hospitals are an hour away. I have to admit that I am nervous because of the lack of resources available to me. I have only worked ICU in large hospitals and I am use to having a lot of support. This little hospital is busy, some of the patients admitted were actually ICU patients. What would be your advice?