I am a Manager in a small community hospital. I have managed several units in another local hospital for 12 years prior to my present position. Believe me what you are up against is not unusual, but completely inappropriate. Priorities must be addressed first, such as the adequate time for new grads in the ER setting. I am a firm believer they need at the very least a year on Med-Surg before even considering an ER or ICU position. Try talking to your DON. Remember to follow the proper steps, so no one can say you didn't make the attempt. IF this is not successful, as it may not be. Upper Management doesn't want to loose their floor managers either. IF you have a safety committee, present a hazard report to them regarding the conditions in the ER. Eventually, someone will have to listen. Hopefully, before it is too late. The change will not come quickly, you will have to decide how long you want to wait to see change happen. Best of luck...... :)