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Discussion

Stepdown and ER aspirations

I am a New graduate newly hired at a great teaching hospital in my area into the Stepdown unit. My original aspirations were to go into the ER and the Stepdown offer came first so I accepted the position. I had my senior preceptorship in a stepdown unit and it was a great challenge and I can't wait to get started. I still keep thinking about if I can ever still have a chance in the ER dept. down the road with Stepdown experience and a 9 month internship in the ED. I have heard from a classmate that the ED doesn't hire nurses from stepdown departments. How true is that? I have to stay for 2 years (contract) with this hospital which I dont mind at all because I think 2 years in a good timeline to see if a unit is a good fit or not.

Are there any experienced nurses or ED nurses that can shed some light on this for me? I dont want to ask the manager at this point since I am just starting and I think that will not reflect positively but during my interview I definately let the manager know my aspirations of higher learning and critical care/telemetry.

Thanks ahead of time.

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    Every hospital is different, but the system I work for tends to consider nurses from critical care areas first...and we consider Stepdown critical care. Many of the nurses I work with go back and forth between ER and neurotrauma or CCU.

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    I work in a Stepdown unit and we've had several nurses leave and work in the ED. Also one our charge nurse used to pick up shifts in the ED.

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    Thanks makes me feel more optimistic.

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