Greetings, fellow rural nurses!! I have been discussing this very issue with several co-workers and would like the opinions of all of you as well!! In the 14 years experience I have as a "rural/frontier" hospital nurse, I have seen nurses of all shapes, sizes, colors and "specialties" come and go!! Nothing more annoying to a TRUE rural nurse than to have a new staff member come aboard with that "how quaint" attitude! You all know the ones...the ones from the bigger, "more modern" facilities...the ones with the "certifications" behind their initials...."I worked in ICU"...." I worked in OB"....."I worked in Med/Surg"....they all find frontier nursing "quaint" and have the attitude that small-town/rural/frontier nursing is their way of fading into their retirement years!! Isn't it funny, though, what happens when these same nurses hit their first day "on the floor" with 6 patients (all with IV's, foley, tele, tons of meds) and a busy ER day (even with only 2 ER rooms, they can be HOPPING!!)...then they realize that it is JUST THEM AND THIER LPN!!! NO RT....NO IV TEAM...NO HOUSEKEEPING....NO KITCHEN STAFF...NO CNA...NO SECRETARIAL STAFF TO REGISTER THE NEW PATIENT IN THE ER...5 CALL BELLS GOING OFF AT THE SAME TIME....AN AMBULANCE WITH A MVA IS ONLY 5 MINUTES OUT WITH 2 INURED...THE DOC IS 45 MINUTES AWAY...AND YOU ARE THE CODE TEAM!! I have seen too many "good nurses" hit the door running away when they realize that rural/frontier nursing truly is a specialty of it's own and not a walk in the park!!