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Currently I do both. Love the hospital OR for the excitement and I don't have to deal with compliance issues for the most part. Depending on the ASC you go to and whether it is affiliated with a hospital or not, you might notice some things that appall you and some of those places not affiliated with a hospital tend to have issues with compliance along with AORN guidelines. ASC's are quick easy mindless cases you could do in your sleep with super quick turnovers compared to a hospital OR. After a few months boredom sets in when you're at an ASC.