Job offers! Small ER or big ER?

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  1. Small ER or Big ER

    • 3
      Small ER
    • 7
      Big ER

10 members have participated

Specializes in ER.

Hi I'm looking to grow more as an ER nurse, I've been in a basic ER for 2 years (no trauma/extensive resources). I was wondering if anyone can give me insight on which job offer would be better. As of right now, my main goal is to learn/become a good ER nurse, and possibly do travel nursing with ER in the future.

1. Smaller ER

-20 beds, less pay, Trauma II hospital, stroke, stemi, burn, base station, older hospital, 80-100 patients per day

2. Bigger ER

-56 beds, Magnet hospital, better pay, Trauma III hospital, stroke, stemi, burn, base station, newer hospital, 200-250 patients per day

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I'm confused. You said the smaller ED does not have Trauma services but you listed it as a Level II. Then you said the bigger ED is a Level III which is lower than a II.

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Specializes in ER.

Ah sorry, I meant to say I'm working at a small ER that is not trauma/stemi/stroke/base, and I have these two job offers in two different hospitals (smaller ER and bigger ER) that are bigger/with more resources than my current hospital

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Other factors are commute, hours, orientation, perks, etc.

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I second the idea of checking your facts (for your own benefit). In general the larger hospital would often be the higher level trauma service--and by higher I mean smaller number; Level 1 is highest.

If your option 2 is actually the L2 Trauma, look into it. If exposure to things and experience is high priority for you, this is where to look provided they are going to offer you significant period of well-organized orientation/residency and aren't notorious for toxic culture.

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Specializes in Adult and pediatric emergency and critical care.
On 12/10/2019 at 12:59 PM, JKL33 said:

I second the idea of checking your facts (for your own benefit). In general the larger hospital would often be the higher level trauma service--and by higher I mean smaller number; Level 1 is highest.

If your option 2 is actually the L2 Trauma, look into it. If exposure to things and experience is high priority for you, this is where to look provided they are going to offer you significant period of well-organized orientation/residency and aren't notorious for toxic culture.

This isn't necessarily true. In our system our Level 1 hospital has a smaller ED than our level 2 centers.

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