Student here-- I have a huge dilemma and was hoping this site could give me some advice! I was offered a position at a Level one trauma center that offers a year long nurse residency position on a Med-Surg floor. The problem is that my passion in is critical care, it's where my Capstone is at and I absolutely love it. They want my response by Wednesday. This is my preferred hospital because of the patient population they serve (the uninsured) but not my preferred specialty. I had one other interview at a Level two trauma center that also offer a 6 month long nurse residency program on their progressive care floor. I think the interview went great but they won't be deciding on candidates until the end of this week at the earliest. I'm interviewing on Wednesday at a level two trauma center that offers a year long graduate nurse residency program for their critical care unit. I already had an initial phone interview with their HR rep that went great and now Wednesday is an interview with the unit manager. My fear is that I'll turn down my first job offer expecting an offer from these other two places and then end up jobless. Do I tell interviewer on Wednesday that I need to know if I'm a serious candidate because of my first job offer? I plan on calling back the Level one hospital on Wednesday after my last interview with a decision. Should I email the second hospital and inquire if I'm a serious candidate and then take their word on it and decline my first offer? Should I just go into Med-Surg and work my way into critical care? I don't really care about the benefit or pay, they are all pretty equivalent to each other expect that the second hospital puts money into my retirement fund regardless of my contributions. I like the facilities, I've done clinicals in all three hospitals on different units than the one I'm interviewing at. Let me know what you think, I will appreciate any insight you might have!