Feeling BORED at a NYC ER...

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TLDR: Is the lack of autonomy/skill use at this ER a NEW YORK thing or a MEDICAL SCHOOL AFFILIATED HOSPITAL thing?

hello, im 3 months into a 6 month travel contract at an ER in the NYC area. I'm surprised by how little autonomy and skills the nurses here seem to have.... It's an ER affiliated with a medical school so there's lots of medical students on rotation, fellows and residents, and they do all the skills I previously did at other ERs I've worked at (such as splinting, placing NGTs, doing US guided IVs, wound packing and wound care, etc)…. I'm kind of bored, I feel like all I do is sit and chart. Additionally, previously I was able to use order sets to place orders based on my judgement, such as ordering a trop on someone with chest pain, ordering Tylenol for a kid with fever, ordering zofran and a UA sample for someone who is vomiting, etc... But here I cant place a single order, only the providers can.
 

So what is the point of my rant? Here it is, my question: Is this a NEW YORK THING or is this a MEDICAL SCHOOL AFFILIATED HOSPITAL THING? 
 

my gf wants us to move here permanently so im hoping not all the ERs in the city are like this...

 

TIA 🤞🏾

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