I was an LPN first, I started on telemetry. But I wanted to work ER. I actually wrote a letter to the nurse manager after applying for an RN ER job and stated all kinds of stuff about being a hard worker, and how that was where my heart was, even though I was an LPN. It worked and I got the job. I think with fewer pt's on tele that you have more time to look things up and learn learn learn. There really isn't anywhere were you have the luxury of learning gradually. B/c of money, it is basically trial by fire until you can be on your own.