I've been a nurse for a very long time (15 years in June). I work in the ER. The ER tends to make you cynical, we see so many people who are just looking for narcotics. I am not the friendly type nurse, I wear my nametag backwards because we get so many weirdos in, I really don't want them to know my name. We are so busy however, someone (the staff) will call my name and I will answer and then anyone in the department knows my name. There are patients that you hit it off with and there are patients that you just rub each other the wrong way. You can't be THE nurse for everyone. That fact used to really hurt my feelings when I first started, I thought I could make everyone think I was a wonderful nurse. I am a wonderful nurse, but I can't make everyone happy. Working in the ER, we are the first nurses that the patient comes in contact with, our hospital is built on the nurses reputations, people believe that they get better nursing care in our hospital than in any other in Birmingham, we try to live up to that. Patients send letters, good and bad, to let our administrators know about their visit. My boss got 3 letters from patients that I took care of all from the same night. It was a night from hell and that's all I remember about the night, I don't remember the patients that sent the letters but in all fairness, I don't hear about these letters until months after they are received. Two letters were glowing in compliments for me (remember the blanket warmer is your friend), the third said I stunk and it was from a nurse that had left the clinical setting and was now in insurance, she didn't just write a letter, she came and sat in my boss's office and told her how terrible I was. I didn't remember the woman, if I take care of 12 people in an 8 hr shift, am I supposed to remember each individual a couple of months later? My boss knows me, I get far more many compliments than I do complaints, so she chalked it up to the ER being crazy and the woman not being very ill. Why am I telling you all of this? Just as with anything else, you have to take the bad with the good. I love what I do. I love the ER, I couldn't work anywhere else. We have a high geriatric population, many times when they have to stay, they ask if I can go to their floor and take care of them because no one else could possibly do as good a job as I did. That is your goal, to make a patient feel like that. At my hospital, I am confident in telling them that they will get excellent nursing care in any floor or unit that they are admitted to.