I have worked in Med Surg for 7 years with a certification in geriatrics (ugh). I left for one year to work for an ID group but realized i missed the hospital too much and didn't like working in an office!! The only job I could get in the hospital was back in a med/surg floor. I was just offered a full time ER position , day shift in a brand new 100 million dollar renovated ER 40 minutes closer to my house hospital !! Same company and the hospital where I originally started my career....so....it all sounds great...except yes, I am in my 40's and I am experienced enough to know the ER is totally different and I will once again , be the NEW inexperienced kid on the block....hate that feeling again...however, also HATE the hours of charting on med/surg floor and the 2 techs to 32 patients and blah blah ....feeling like a med dispenser rather than a nurse ..etc...so change doesn't sound so bad...Just afraid of not having enough knowledge since i know i will have to get my telemetry certification, my ACLS, and PALS....thoughts anyone...???????