New Career Path

So, I have been thinking about a new career path. Not that I don't love what I do, but I need a change. You see I was a ICU nurse prior to taking a Nurse Practitioner job in Family Practice. I thought this is what I wanted to do. I enjoyed the people I worked with, I am practically my own boss, nice location, Great pay. But, I don't see myself doing this for 40 more years.

I am a ICU nurse at heart. I used to live and breathe trauma, codes, drips, ventilators, you name it, I've probably done it in some way or another. I think this is where my heart is at and am torn at what to do.

There is a Surgical NP position at the Hospital I used to work at available. I have asked my former Supervising Physician to write me a letter of recommendation which was the most awesome letter I have ever received! Even though I have put this all in place I still fear going back to the ICU even though thats where I want to be. I fear the loss of my skills for the last 2 years, being the person making the decisions when death is at the patients door...Scary right?!!!

I have also looked into a position at the Local Urgent Care. I think both would be suitable options for me.

Im torn as I have made great repore with some patients and I know they would be upset to see me go since there has been so much change in the last 2 years of my employment with the company I work for. But at the same time I feel I cannot compromise my happiness for these patients, for money, for anything.

I really have to think long and hard on this one...I will make my decision by the end of the month...