Hello, I have decided to return to the bedside after 10 years of working in administration. I have completed an RN Refresher Course. I now have the option to work in a small rural ED (12 beds) or a Washington, DC med/surg unit-(39 beds) at a teaching hospital. Each position has pro's and cons. I would like for feedback from nurses that are currently working in the clinical environment. Below are the pro's and con's of each. Thank you in advance! Small ED Pro's: Close to home Structured orientation (They are offering a new grad fellowship-I will be allowed to sit-in on a couple of their courses, float to other units (e.g. peds), preceptor) Cons: Low salary Limited diverse pt population Teaching Hosp Pro's: Access to latest innovations Diverse patient population Higher salary Opportunity for advancement Cons: 1 1/2 hr to 2 hr commute Basic orientation (1 week hospital, telemetry course-all beds are tele capable)