Hello Allnurses!It's been awhile since I've posted but here's the rundown. I am a nurse with 2.5 years experience (medsurg/trauma/ortho/ transplant/ that was all in one unit) and then I transferred within the same hospital to the trauma SICU. I hail from a level I trauma center in the inner city. I recently accepted a nursing position in the ER at a community hospital much closer to my home. I am super excited since ER has always been something I've always wanted to do. I'm really nervous due to the fact I have zero ER experience but I have safely managed a 6-7 pt. load on the floors, I'm pretty good with time management and usually get my charting done in a timely manner, my reviews have been great in my previous job and I do feel confident in the nursing skill I have acquired. I just wanted any advice from any experienced ER nurses out there. I was told my orientation might be cut in half since I have nursing experience ( 6 weeks instead of 12) and we have classroom time as well. What I feel most nervous about is - charting ( I know the ER is a fast paced kinda place and I don't want to fall behind--the hospital I will be working at is all computerized charting)-Protocols ( I'm so use to having a DR's order for everything/ and I've read posts where the ED has protocols in place where you do not need a DR's order for everything like placing an IV, obtaining an EKG, etc.. ) -time management ( as I said before I manage time pretty well and have dealt with many situations where patients and family are diffcult) I just don't want to fall behind.I know I'm walking into a position that has high expectations of me since I'm coming from level I trauma center where all the sickest patients are sent to, I'm just nervous and don't want to disappoint myself and my future team of coworkers. I am going to add that the hospital I am going to does not take traumas ( if we do we stabilize and fly them out to my previous place of employment) and I will be in the adult ED not the PEDS division. I have been told that the ED I am going to is a super busy place and our ratios are usually 1:5. I will add I have been brushing up on my skills before starting I purchased an emergency nursing orientation book I've been Reading and taking notes paying close attention on how to care for pt's with chest pain and stroke care protocols. I also bought a small pocket sized notepad that I will use as my "brain sheet" once in the ED. Any advice would be greatly highly appreciated! I'm super excited but oh so nervous at the same time. Thank you all in advance!