PennNurse, I'm so happy for you!
ER/ED/"Observation" unit for me is one of the bests floors
there is when it comes to floor nursing
. All walkie-talkies and mostly rule outs: COPD exacerbations tx with nebs, CH-eFrs simply requiring diuretics, Costochondritis, MDs playing to be safe, requiring trop. level checks. When all else are ok, they are good to be dc'd in less than 10-23 hours, it is a fast paced environment and the next thing you know you're getting off soon.
ER/ED/Observation, depending on the unit can be considered, as a-go-to-unit
for, as the OP mentioned, r/o "strokes", hyperglycemic/cemia, patients, ETOH patient's who simply requires IV hydration s/p fall and banging their heads, simple head/finger lacs with elevated INR levels, Epistaxis, plug some rapid rhino or balloons and most of these patients can go once everything is under control. I can name a whole bunch more of admitting dx or problems. Bottom line and the true beauty is, you do see a little bit of everything in this unit. Yet, not as critical as majority of the ER patients.
OP, you will appreciate more how fortunate you are to be in this unit.
Wait till you have completed your "probationary period" and when permitted, they will start floating you to a higher level of care/acuity. I bet you, you will see a big difference.
I get approach a lot by nursing students as to where the best place is to start, I always recommend, the "Step-Down" AKA "DOU", to some establishments. At least here in California, the ratio typically is 4:1, but once you have a vented/trach'd pt. the ratio becomes 3:1(Depending on the facility). The great thing about this unit is, you get a heck a lot of experience; and give it 2 years or so and once you have developed that critical thinking/time management/"common" sense skills
, you have control over as to where you want to be, may it be ICU, ER, GI, OR, IR... man, it's endless! However, I also do recommend to follow to what their brain is telling them and not just their "hearts."
SNFs are great but it will not be my first pick, unless it's been two years and you still haven't *******' landed a job!
Again, that's just my opinion and it truly is obviously subjective.
P.s. Don't worry about the management changing "this and that", best you can do is to acclimate!
I think I said quite a mouthful, got carried away there for a minute! Next time, I'll try to be short, brief, and concise!