I work on a step unit in a level 1 trauma center. Overall, I have to say that this will prepare you for what ever you may encounter. I worked on this floor for 3 years as an LVN before I got my RN, and I have been there for 3 years now as an RN. What you need to be effect in this kind of unit is an ability to prioritize, delegate, and not be afraid to ask for help. In our facility, the MDs prefer to have their patients on our floor because they know their patients will get the close monitoring they need to prevent them from coding.