How True Is this?

Nurses General Nursing

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was reading in a nursing magazine about where new grads should work... a small community based hospital or a large trauma center. ANd it said that is better to work in a larger faciltiy first and then to downgrad to a small facility if you choose too. And that its much harder to upgrade from a smaller facility to a trauma center. Is this true? It seems like all of the hospitals I have called in orange county are only community based hospitals. Any help would be grealy appreciated.

A lot of places tell me how many beds they have but that doesn't mean anything to me. And they say acute care.. what is acute care? And they say community hospital.. does that mean its small? Should I be asking if they're trauma centers?

Specializes in Neuro ICU, Neuro/Trauma stepdown.

the difference between big and small is that big hospitals don't have (typically) a 'med-surg' floor. they may have floors that turn into hodge podge, but for most part they are broken into specialty units ( ortho, pulmonary, renal, telemetry, ect...)

also, as somebody told me when i asked and i have found to be true. in the small hospitals the nurse wears many hats and in the big hospitals the nurse has many resources ( iv therapy team, respiratory, palliative care team, ect)

I don't have any answers, but I just wanted to say thank you for asking these questions because I was wondering a lot of them myself!

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