I am an ADN student in my second year, trying to figure out what area of nursing I want to start out in. I currently am a nurse tech in a 38 bed cardiac/telemetry/stepdown unit in a small hospital in southwest michigan. I have been working in my current position for a year now, 60 hours a week and feel like I have a pretty good idea of what it would be like to work as an RN there, and don't really want to do it. My unit is so disorganized, no two people do the same thing alike, there are a million unwritten rules and not much teamwork. There is little to no communication between nurses, which results in many people not knowing what is going on with their patients. As a nurse tech I am supposed to work with the nurses to learn nursing skills but we are so short staffed that I function as nothing more than a nurse's aide, a very busy nurse's aide I might add since I am usually assigned anywhere from 19-38 patients. My managers keep asking me if I would work on my unit after I graduate. I don't want to upset anyone, but I feel like saying "not a chance in h#$$!!!" I am looking for an area of nursing where I can specialize and get really good at one area of nursing. I am kind of a perfectionist, I like things to be clean, orderly and everyone to do their job, do it right and work as a team. I am fascinated by surgeries in general but don't know much about how the surgical team works. A fellow nursing student and friend of mine got a job as a scrub tech at another hospital. He had no OR experience and one year of nursing school like me, but no other healthcare experience. I am interested in OR nursing but don't know how to get started. Can someone with no OR experience be a scrub tech or is my friend and exception to the rule. Does a scrub tech have to be certified or can they be trained through the hospital. And also what is the difference between an OR nurse and an RNFA? What kind of personality is best for working in OR, and what are the most challenging parts of the job?? Any information would be greatly appreciated. I hope that OR will be my niche.