So I've been in the ER for almost 7 years. You get a great skill base. You will learn your strengths and weaknesses. Currently I'm trying to transfer to the icu unit. I've learned now what I wasn't to do. The ED is wonderful for that. Either a. You become a "lifer" which are those ed nurses that never lease the ed. B. You hate the ed and want to get as far away as possible from it. C. Go to some other critical care unit or even a med surg unit. I hated nursing school with a passion, the worst part was clinical when nurses kept saying get a year of med surg. Well I did that as a cna and hated it. I loved the ed and icu. It was amazing. Such a rush. I don't think I'll ever go to do med surg. I started in the ed as a new grad. I learned pretty quickly when I sent my patients to be admitted to medsurg I could care less about the plan of action. However, my critical patients, those that have been intubated or have blood pressures in the 50s, the ones you can't leave the room.... Well I discovered when it was time to take them up I wanted to stay!!! I didn't want to let that critical thinking and fast paced work go. Only to return to an ed with all my rooms full, and my other non critical patients upset because I was unable to get their warm blanket. Please make no mistake in believing med surg and icu are the same. Icu is not the place to get a good skill base. A good time to learn how to put in an iv on someone with crappy veins is not when they are crashing with a hr of 190, and bp of 60/36. This is in no way a place to get a skill base. ER is a bit better for new grads because all your patients won't be sick. You may have a few but the majority (depending on where you work) are back pains, cuts, broken bones, abdominal pain, falls, but occasionally you will get a bad trauma, heart attack, stroke. The good thing is when something like that happens you have like 6 people and a physician right there. You won't be alone. But in icu, you better know your stuff, docs don't like being paged at 4am. Just my opinion. Take from it what you want :)