very complicated situation... please advice on this

You tell them AFTER you get the position at the big hospital ER.

Agreed with PP. Don't mention it until you've officially accepted a job offer from the ER.

Wait until you have actually been offered a position.

thanks everyone for your swift answers! it seems that you all think it's better to wait until I secure the ER position, and that is what I will do, even though I feel kind of bad for my unit manager and HR for doing this; but then again, all the nurses told me "you have the degree they want, and you got to look for what is best for you and be selfish".

Never burn bridges. The big ER position may want you to have M/S tele experience prior to coming to work for them. You never know, so until you do I wouldn't say anything. And as an aside, perhaps per diem in the Med Surg/tele can only help you. That way if your residency shouldn't work out, you would not be without a job, and burnt your bride at your local hospital.

thanks jadelpn, a lot of my collegues at school and other people i talk to recommended me to keep my mouth shut until I am offered the position; kind of in a situation where I do want the ER position badly, but at the same time hate to disappoint my manager, but well, they'll get over it i am sure

wait until you have a offer letter infront of you. It will state position title, salary, start date and space for 2 signatures yours and a high level hiring person to sign. anything less than this you do not have a job

really? the local hospital job I got went like this; the manager, recruiter talked, then led me to HR lady and we talked about salary and benefits, GN orientation. No paper signed, nothing.

Anyways, like you said, if they don't offer me the job right there and then at the interview, I'm just going to resign my apartment contract where I live and just work for the local hospital; we graduate may 10th and there's really no time to hit around the bush especially when the interview is on 4/26 and apt lease should be renewed by 4/30.

I'm really happy for you! Though I'll give you my best advice here: take the med/surg tele job. ED is incredibly difficult and in a lot of ways like ICU work at times. You will definitely need ACLS and experience to be successful, IMHO :) I am so grateful that I decided against a MICU and instead an ICU step down environment for my first job.

thank you very much MissM! I did hear couple of nurses tell me to get simpler floor position before plunging into intense ICU or ER b/c that will burn me out; either ways, I am happy how things turn out.

What Meriwhen said.

I would call HR at the hospital where you believe you have been offered a job and politely ask when you can expect a letter/email/something in writing confirming that they are offering you x position in y dept. at z rate of pay. Without that ... I would not consider myself employed.

And as far as being offered a job on the spot at the conclusion of your interview for the other ER position ... not likely. And a facility so desperate as to be willing to offer a job on the spot, without at least a day or two to check credentials, references, etc. ... how good a working environment would you expect that to be?

My advice to you: slow down, and ask if you can renew the lease on your apartment on a monthly basis to give a month or two for things to shake out. DO NOT terminate your lease and find yourself without a job or a home.