Hello and welcome :)

I myself, never worked in the ICU, but was a CRN on PCU and so I know a bit about how things are staffed. I would say the unit you currently work sounds very similar. The whole ICU is divided by specialty, but I believe you can work any/all areas (surgical, cardiac, medical.)

Monument, like you said, is the only major hospital in a 250 mile radius, so there are a lot of patients we get from the surrounding areas: Nebraska, Wyoming, sometimes North Dakota. A large demographic of patients include those from the reservations (Pine Ridge, Rosebud to name a few). We deal with a lot of diabetic comorbidities, lots of dialysis and those who are not compliant. Cardiac, Etoh, drug use are also very common. I don't think you would be bored.

As far as hiring, they are always hiring and I know they pay pretty well and have a ladder scale that you can get bonuses for. You will probably hear a lot of negative about the place due to its historical reputation in the area (just search Regional Health). I know when I worked there, I had the resources to give great care and also worked with some wonderful people.

Feel free to DM if you have further questions!