I honestly have to agree with the above post. I might even adopt the saying "a bad day in the ED is better than the best floor day". I worked respiratory/GMF for 6 months and just hated it.
I made the switch to ED 2 months ago and am so grateful I was able to. I had to leave the facility and company I worked for thru school and came to a totally different environment. It's so much better. The teamwork is great. yes, I do see infighting and I still get frustrated because the techs STILL don't work the same way I worked while in school, but I get to make a difference immediatly in people's lives and the impact of nursing in the ED is more than you'll believe.
Nurses work much more autonomously than on the floor and that suits me just fine. I do run my butt off and I never know what I'm going to get. Today I had a patient who could have gone to her PCP's office, a hypoglycemic and a hip pain, but I also helped another nurse with a patient who was found unresponsive at home. When the paramedics got there, they reported that the patient was foaming at the mouth. When he got to the hospital, he was confused, combative, inappropriate, and had the petechial rash all over this right side, right upper back and right arm. He was also c/o neck pain. His bp was really elevated but different in both arms! you'd think, ok, bacterial meningitis (scary, no one was masked for this guy) or aortic dissection, or huge bleed. Or maybe septic dissection.
None of the above. Did an LP -- it took 6 people to do the LP because we had to intubate / snow him in order to treat him, did ABG's, CT's, echo, EKG, had infectious disease on the case, cardiology, pulmonologist, etc. The only thing they ruled out was bacterial meningitis.
One of the docs said "Finally you guys have something interesting down here!"
So my long tale just goes to show you that you never know. You will work to the upper reaches of your skills, and then they'll get made better. That's what I love about the ED. I am constantly learning!!
I say go for it.