Conflicted about going to ED

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  • Columnist
    Specializes in Tele, ICU, Staff Development, Freelance Writer. Has 30 years experience.

Dear Nurse Beth,

I currently work on a busy inpatient post-surgical/step down unit. I have been a nurse there for 3 years and been charge for 2 of the 3 years. Currently I am the main charge nurse on the unit for day shift. Every shift I work I am in charge.

I was the first on my unit to obtain ACLS certification. I am seen as a resource on the unit and am chair of a committee as well as the clinical nurse leadership council rep for my floor. I attend many meetings that require nurse input and work closely with my manager. That being said, I feel like I've progressed all I can at my current position.

Prior to my nursing degree I obtained a degree in Healthcare Administration. My main career goal is to work in some type of management/administrative position in the hospital, but I also have a goal of working in the emergency department. I'm conflicted on whether to apply to an ED where I will essentially start over and be the new nurse on the unit. Or stick out my current position to find a management position. I'm not sure if I'm ready to experience the change of going from resource to newbie. And I also worry if I go to the ED will it limit my career options in management since I won't be inpatient anymore.

Do you have any advice for me moving forward?

Dear Conflicted,

You are doing all the right things to advance. You're engaged, and you're a go-getter.

Transferring to the ED will not limit your career options. I have a hunch that wherever you go, you will shine and rise to the top. Since ED is one of your goals, you should work there before you go into management so you won't have regrets later.

Best wishes,

Start your job search today!


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Specializes in Ambulatory Case Management, Clinic, Psychiatry. Has 16 years experience.

I Agree with nurse beth