As I'm about to graduate nursing school and considering a few job prospects in the OR, I'm wondering about starting out in same day surgery vs. inpatient. My current employer where I work as a CNA is a Level III trauma center. They have been good to me, and overall I like the culture of the organization, but I don't know much about the OR there since I work on the floor right now. However, I have been in touch with the OR manager and I know they are interested in me for the next residency cohort, although the application hasn't been posted yet. My senior practicum site has also expressed interest in hiring me, but it's an ASC, 99% outpatient (there are a few beds). I also like the people there and culture of the organization, and I suspect the pay would be a little higher. Although my current employer isn't Level I trauma, I would still get bigger/longer cases there as opposed to working in an outpatient setting. One thing I noticed in practicum was how fast the cases turn over in same day surgery, especially with certain services like endoscopy where you barely have time to finish charting on a case before it's time to head back to pre-op to bring in the next patient. Both places seem to have extensive and thorough training programs for new grads. My question is: would I be putting myself at a disadvantage starting out in an outpatient setting? If I wanted to transition later in my career to a big hospital with big trauma cases, would lack of trauma experience render me useless?