Hi there, you sound like a perfect candidate for the position. I am a fellow type A and when I started working in Emergency my experience was largely in Bone marrow transplant, clinical haematology and radiation / medical oncology. I was used to a very structured and controlled nursing environment, an 8 hour plan if you will and I liked being able to perfectly execute care for my patients and the satisfaction of completing my shift knowing that all my boxes were ticked. However, I had always wanted to work in Emergency and took the leap after 10 years. I thought I would have trouble with the same things you describe, and I did, but working in ER teaches you to let things go. It's a totally different working environment in which you learn to develop a 10 minute plan, instead of an 8 hour one - there is routine, but it applies to assessment, investigations, procedures and so on. ABC PAIN. At first, when critical situations arose, I would experience such a huge adrenaline dump that I would lose my fine motor skills, my hands would shake so much that I couldn't even open a dressing pack. After time, and much support from my senior nurses I learned how to slow down, prioritise, focus and not become stressed or frustrated. I actually do this naturally now without having to think about it- When we do a crash intubation I won't be the person who can't open the ETT pack, I'll be the one speaking quietly and directing the resus while telling the graduate nurse how to do it.
You mentioned organisation, ability to respond in critical or serious situations and your people skills- such important attributes in Emergency. Patients, their families and friends need to be calmed, patients need Type A assessment and care and the department needs someone who can organise this appropriately. It's a pace thing, a tempo that you get used to over time. Emergency nursing is often stressful and frustrating but the rewards far outweigh this for me. There is an element of teamwork at play in ER that I've not experienced in any other clinical environment, including long stints of agency work abroad and across many specialties. Your co-workers (including if not especially doctors) back you up more than you could imagine, so, for example, if you haven't completed your workup for the little ederly lady who fainted when your patient in the next bay decides to seize, you will miraculously find when you finally get back to her, that someone did her urine spec and a set of vital signs. The great thing about Emergency is that you do immediately meet a patient's needs, and if you can't, someone else will. We have an immediate effect on our patients whether it be pain relief, answer questions, help them breathe... I love the simple stuff. I like talking a 20 year old out of their anxiety attack, because I know they are so frightened they will listen to me and do everything I say, and it works. I enjoy a good verbal de-escalation, and of course a well run resuscitation. Personally, I don't think the things you are concerned about will be a problem at all, just a change of pace and with your years of experience, you will be a great attribute to the new setting. Hope this helps.