I have never worked at the specific hospital you mention, but I can tell you that bigger hospitals tend to have more staff available, which means that a lot of the tasks you would be responsible for in a small hospital, are done by someone else. For example, many larger hospitals have an IV team to start your IV's for you, phlebotomy will draw your labs, RT will give you breathing treatments (in some rural hospitals, RN's do all of these tasks). You will also have more resources available to you, such as PICU, on-site physicians around the clock, residents, etc. Try not to let the thought of how big the hospital is scare you. If you can take care of sick kids in a small hospital with limited resources, you can do it in a big hospital with many more resources!