Chinadoll-
I would argue as a former marylander, that if the facilities suggest you need a training program to return to acute care, then you do. The hospitals in maryland are suffering from the "shortage" and are willing to hire all comers with a license and a pulse. The caveat being that said persons must have had recent experience in the area in which they want to practice. From your post I gather you are working in either a LTC or LTAC setting, an entirely different animal than the ER. Most hospitals will treat you as a new grad since the specialty is so demanding. I know that my old hospital did not have a formal new grad training for ER RN's and therefore only hired experienced ER RN's who could be shown the med room and basic hospital procedure and begin functioning effectively. They were paid VERY well, but the er flowed wonderfully. So my advice to you is this:
Suck it up, go to the training programs and absorb as much info as possible. get out, and love what you do.
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