Hi everyone. I have worked at E.R for 3 months so far. And Im not currently working. The hospital where I worked is quite famous for good sides, that's why I chose there. but also well known for their busy environment (especially E.R). 1148beds(hospital), 50beds(E.R) and we were all overloaded with patients. I could check the number of E.R patients with my computer when I was working there, and it was average 120, sometimes up to 160(evening shifts) so the "50beds" is meaningless. The usual cases that I've been taking care of was pleural effusion, neutropenic fever, TB, C-difficile, VRE, LC/Alcoholic LC, pancreatitis, cholecystitis, cytitis, DM, HTN, HF, SLE, GBS(guillain barre syndrome), SBP, gastritis, NSCLC, esophageal CA, AGC, infarction, hemorrhage ....etc I am pretty much confident how to take care of them now. And I guess you can see what's my nursing skills through this. (IV was successful many times except for the ...really really obese, CRF patients. So I can say my nursing skill isn't that bad as a 3 month of experience? ) and dementia, schizophrenia, depression, alcohol abuse, aggressive behavior are what I saw as diagnoses or underlying of my patients. And I've never had my patients having seizure or CPR on my duty yet. Anyway,The reason I left my work was 1. As I was working there, I felt that I really can't not use my talent there (I'd say i'm naturally good at mental health nursing than emergency nursing) and in order to work (or SURVIVE) here, I should be talented on this area rather than psychiatric nursing. 2. After going through the broad area of nursing there, I became to sure what I really want to do. someone might say that I can not say this after working for '3 months', Here's my thinking. I wanted my patient that I assigned to get a care they deserve. as a new graduate nurse who is more talented or interested in Psychiatric nursing, working at the E.R that isn't easy was just kinda too much. (they literally throw me in front of patients and I had to take all the responsibilities.) I didn't think the orientation was enough, and the way they gave new graduates work ...felt really wrong. I didn't want to hold this big risk anymore since I don't desire to be a E.R nurse later after all, wanted keep my license safe, and build up my abilities at a little bit smaller hospital. I was assure that way, I can save myself, patient's life as well. After listening to my story, my head-nurse had agreed with me, as a result of that, I quit the job, and looking for a new path to walk. So here is what I got so far. Mental hospital, they require minimum 1 year of Med/Sug or psychiatric staff nurse experience. So I assume that I need to apply for this position. Am I correct?! I'm worried if I'm missing something here, and What if I start to work at mental hospital, not Med/sug, I have less opportunity to get a job later or not. (like many mental hospitals prefer Med/Sug experience) And Also, some said to me that E.R experience would be perfect for you. you shouldn't quit your job... I don't understand it that much. I mean I've learn many skills compares to the short experience though, we didn't have any authority to even click psychiatric notes or something. what E.R nurses do is taking care of physical symptoms and that's all. I don't see its that much helpful. Is there somebody who can help me out with this? I'm so desperate... Try not to think that my life is miserable now...Please any comment or your opinion would save my life! Thank you for reading!!