Jg2626

Hi there- While new to posting, I've had the pleasure of taking in everyone's knowledge and browsing the posts on this site for a few years now-something I greatly appreciate. That being said, I've found myself stuck in my current job situation. To start, I'm a 24 year old male RN and have been an ER nurse for the past three years in a moderately busy center city emergency room. On average, we see about 60,000 patients per year. We're not a trauma center, but see some pretty high acute patients. Prior to finishing school, I worked as an ER tech in the same department for two years. Over the past year, it's safe to say I've started to experience the "ER burnout" that so many people speak about. I love the staff in the department, love the fast pace, and strive to continually expand my nursing knowledge. However, as the burnout crept up, I routinely found myself checking out our HR job postings in the same facility. Ultimately, I applied for a few jobs, interviewed, and eventually excepted a full time position upstairs in our PACU. I loved the idea of day shift, no weekends/holidays, and a slightly less stressful environment. Coming from weekend nights, this seemed like the perfect gig! I even shadowed for a few hours, and could see myself doing the job without any huge negatives standing out. Fast forward to the transition, and I absolutely hate it. I remember the overwhelming feeling when orienting as a brand new ER nurse, and having thoughts of quitting/dreading going to work-but this feels different. I've only been there a week, and I truly think I just don't like the job. I'm not used to sitting around between cases having nothing to do, and would die to be back downstairs running around in organized chaos. I think this experience is a perfect example of "the grass isn't always greener", and while no job is perfect, I think it's truly made me realize my passion for ER nursing. I didn't leave the ER on bad terms, was routinely precepting and put in charge, gave a months notice, and have a good track record regarding work effort/attendance/etc. While I fully understand my prior position could've already been filled, would it be wrong to go speak to my prior manager? Our facility has a policy that employees must remain in their positions for a year prior to transferring to a new position. While I understand this rule, I'd hate to continue wasting the PACUs time orienting a new employee, eventually getting me on the call schedule, only to up and leave in a year. This has nothing to do with the PACUs manager/staff/work environment, for they have all been lovely, very educational, and welcoming. I truly believe it just isn't a good fit. Advice? Thanks.

Confused here! With an occluded left coronary artery (ischemia), would it more likely to see a decreased preload or decreased afterload? Thanks so much!