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  1. First of all: Serious kudos to ER nurses. I will respect the hell out of all of you for the rest of my life. I’m a new grad without solid nursing mentorship and I'm desperate for some advice. I have been in a trauma level 1 ER for under a year (about 4 months on orientation/four months off). Proud of myself for making it this far and I’ve learned so much in a short period of time, but between high acuity and poor patient nurse ratios (sometimes 4:1 + up to two hallway patients and holding ICU patients for whole shifts) and a pretty constant threat of violence from patients/some close run ins I’m already pretty traumatized by this experience. I’m afraid of doing harm and I feel like this environment is setting me up for failure. I have some new grad coworkers who I feel (or at least perceive) are doing better than I am and there are experienced nurses leaving the ER in high numbers. (To paint a picture: I was recently in a pod during a busy/high acuity night on a 4:1 ratio with a new grad nurse I started with and another nurse new to the ER who had just come off orientation.) There are also ongoing issues with management and leadership that has been confirmed by nurses that have been there for many years. I've been performing well all things considered but I don’t think ER nursing is for me and I'm regretting my decision to work here. I've been thinking this over in depth since January. I want to leave before the year mark and it feels like career suicide but I don’t know if I can stick this out any longer. Has anyone had a similar experience or any advice for dealing with an employment gap or how to look for a new job in a new area with less than a year of experience?