Dear Mandarn7272, I have about 8 years+ of tele experience and the transition to the ER is challenging BUT it is completely doable. Please remember that when ever an RN moves from one department to another there is the challenge of coming from a position of expert to low man/woman on the totem pole. ASK lots of questions and believe in yourself. Begin a journal of what you've learned and add to it every evening. You may feel more confident in 4 more months but the skill level you are seeking may take 2 years so make it the best experience possible. I hope this helps. Best, Virtual RN