That's great that you were able to just jump right into the ER with such a supportive new-grad program, however, not all ER's are like this. My ER only gives 4-6 weeks orientation for new grads to the ER. One of the nurses I graduated got a job in the ER right out of school and it was obvious she was not properly trained. Nobody wanted to work with her, and she constantly made stupid mistakes (like running blood in over 4 freaking hours). 2 newer graduates have made this mistake. Med-surg experience is invaluable, especially if you work in a facility that has holds in the ER...if you don't work in a facility that holds in the ER, count yourself fortunate, you don't have to double as a floor nurse and an emergency nurse. Med-surg teaches basic nursing skills that somebody might not have time to learn while also learning the ER, not to mention it teaches good time management. I'll never tell anybody to NOT do Med-surg first, it's an amazing experience, especially if you're used to taking 8 patients and being chronically understaffed. Those stresses in Med-surg teach you how to deal with stresses in the ER, though it's a different kind of stress.