I am from Montana. I have worked in extremely small hospitals. 1 bed ER with 8 bed hospital. I would be the only RN with an LPN. The Dr. has 30 minutes to get to the hospital. They are considered Critical Acess Hopsitals. I do a travel assignment each winter in Arizona. I have found I have been bord with the large hospitals. You don't have to think. I work in the ER on these assignments. You have a tech that draws lab, does Ekgs, does the foleys, RT comes for breathing tx, full codes, the paramedics already have IV's in when the pt gets to the hospital, there are many DR.s right in the ER, pharmacy mixes all your meds etc. I was telling nurses in the big hospitals how rural nursing was. They all relied they could never do that. They would actually have to think & be responsible for pt care. It is rather funny. My experience in travel nursing is that it is a nice change. You learn to appreciate the small setting & the close working realtionship with your co-workers as well as the DR. Large facilities, for the most part, appreciate the help in the winter months. They are extremely over whelmed by the winter visitors.
Chloe