I TOTALLY feel you! I am about 6 months into ER nursing. I was a progressive care nurse before that. I don't like it the environment in my ER either. I have 4:1 ratio as well, which is a little crazy. I can handle it but man I work my butt off the ENTIRE shift. I NEVER get a 30 minute lunch break. I just eat at my desk if I have time. One of the big problems is our techs - a few are AMAZING but half the time the ones I work with are just sitting on their rear ends. I like to work hard and get things done but they just complain about having to do anything - if I am working hard then my tech should be too...I'm too nice to say anything tho haha! I am close with one of the techs and she told me that one of the techs I worked with the other day complained about me to her because I actually ask her to help with things - WOW!!!! We are supposed to have a tech with every nurse but that never happens. Almost every nurse I work with complains about working where I work which makes it even harder to work there.
Not to mention the on call!!!!! I totally get needing an on call person but my ER uses it for staffing basically which I don't think is fair (I'm actutally gonna post about it after this haha). But I talk to nurses at other places and it sounds like the same ordeal.
I really do love ER nursing but I just wish it could be staffed well enough! I just don't understand why my department doesn't try to hire more people?? They don't even say they are trying to hire!
SORRY thats my rant ...I am with the others, I would stay within your hospital. I am moving to another state soon due to my husband being military so luckily I don't actually have to quit. On the other hand tho you can probably get a job anywhere just because there is such a nursing shortage! Inpatient is having the same pt for the entire 12 hrs which really is not bad. I like when I get holds down in the ER sometimes. Depending on acuity of the floor you would decide you have to chart a full head to toe assessment multiple times during the shift, doing intake and output, giving meds many times throughout the shift, having to page the doctor for everything and waiting for them to call back. But it is nice getting to develop a relationship with the patient. Let me know if you have any more questions, I can help as best I can!