Has anyone done this? I spent 2.5 years in ER then went to Home Health for 8 mos. The paperwork was horrible and I have gone back to school which makes this job impossible. I took a Med-Surg job b/c I could do 8 hr shifts which is good for my kid's baseball/softball and I start on Monday. What are the major differences? What can I expect. I can say I am truly an ER nurse at heart, love it. Any info will be great.