I see both sides. My part time job, I work in a trauma center in st louis ( the designated one for 3 states) and my PRN job I work at a rural 4 bed ER.
I agree with you, when I try to transfer at my 4 bed ER, it is a mess. They treat me ( and half the time, I know the nurse I am calling report too) like an idiot, our doctor is an idiot and so on. One time, this nurse said, "don't bother sending xrays, we will do our own, our machine is better" It is a mess, they need to understand that we are a small hospital.
On the other hand, when I work at the trauma center, we are ALWAYS short staffed, and get transfers in from EVERYWHERE!!! Sometimes, trauma patients will be sent with NO IV's, bladder patients sent with no foleys, and even patients sent with no paper work. It does get very crazy at times, like all ER get!! I, myself, know how it is working in a small town hospital, so I am always nice, but you're right some of my co-workers can be very ******!!! And the reason, they have never worked in a rural hospital before!!
So, keep your head up!!! Do the best you can and if they do not like it, invite them to walk a mile in your shoes!!!