I've been an ER nurse in a small rural hospital for 9 years. Being an ER nurse is northing like being a floor nurse (I mean, yes, you need to know how to start IVs and put in foley's and clean up s***). I was a peds floor nurse for two years and loved that, but the way that things go in the ER...it just doesn't work like the floor. You can have periods of NO PATIENTS. Wow. Like right now. Or you can have times when they JUST WON"T STOP COMING IN THE DOOR. And unlike the lovely ICU nurses who can smile and say..."Yeah, I'm not ready for that patient yet. It's shift change." If they come in the door, you treat them. And you have to know who to bring back and who can sit. THere's more responsibilty on you...if you want to do ER...go do ER.