I absolutely agree with shodobe!!! Other than ED, the operating room is the place for me. Other than maybe a medflight helicopter, but that was 20 years about 75 pounds and two ACL's ago, but let's not go there! :chuckle
I've been in the OR for more than 20 years, and I love the hands on, in the trenches atmosphere. I work in a small rural hospital, and when you are on call, YOU ARE IT. There is rarely anyone to call for help, but when you need help, it's there of course. But, whatever comes in, trauma, vascular, general, it's yours. And I love it!! Once in a while I get to scrub, which is great, and I love helping the ortho docs do closed reductions, etc.
The best thing is that I trust our docs, and over the years, they have learned to trust me and my opinions.
Example: late night high speed "bumper cars" on the interstate. Open fracture left leg. While moving the right leg for a foley, I felt a crunching. Xray was alread in the room, while the doc was coming in the door, I asked them to shoot the "good" leg. The doc looked at me, but didn't say anything until he saw a tibial plateau fracture. A heartfelt thank you later, made the late night worth the effort, as well as a good outcome for the pt.