[kiyatylese]

I just started working at a teaching hospital and it will take me some time to get used to it. There are so many interns, residents, fellows around, I get confused all the time. There is the rule we have on who to call for an order, who can we call for a critical value, etc. But the residents are so much nicer are more respectful than the doctors I used to work with in a small rural hospital.

[canoehead]

I have worked at both, and prefer the small hospital.

Having done the tertiary care thing before, for right now I like the close relationships you can develop at a smaller facility. Not just with the docs, but with housekeeping, other nurses, administration (kind of), patients, everybody. We DO get the critical care but it's a few times a month instead of every day. You get to build a reputation, and know who you can count on for what in an emergency. You also get to be a jack of all trades if you do nights and weekends, and get a lot of say in how the unit runs. In my larger hospitals only a select few knew what was coming up as far as changes, and had any input.

[jbp0529]

Love having docs around all the time at my teaching hospital. However the inexperience sometimes makes us frown.