I must agree with all who comment on the nursing shortage, understaffing and possible unsafe practice that can occur. The most prevalent comment i see and hear is " Im not going to lose my license because of this". I totally agree, BUT remember you can only be held accountable for what you do, period. if you feel that you cant handle that extra patient, dont take them.( i understand easier said then done) trust me ive been their. but i see alot of comments that say get out while you can. the problem is everywhere in every specialty. not just E.R and if you run it just makes the problem worse. and who suffers from that. (patients). this may sound synical but im a nurse because i love it, i love what i do and it makes be who i am. just like many of you, it not just what you do its who you are. ive worked E.R for 12years starting as a tech and worked my way up and the challenges ive faced have made me the nurse i am today and i dont mind sounding arrogant when i say im a good one. yes the staffing sucks and the pay is not the best and somedays i just feel totally beat down. But that life i helped save and that thank you i recieved and that hug that little girl gave me cause i made her feel better beats any paycheck i could have recieved. Im not an advocate of perpetuating negativity, and im sure all of you out there arn't either, but as it stands now, we as a whole are not making the nursing profession look like something that the next generation would want to go into. ergo the problem gets worse. Although venting is a good outlet we have to remember what brought us to this field of work. as for your license. your smart and educated, do what you do best, make the decisions to keep you and your patients safe and youll be fine.