Transition to ER from med-surg/tele

[CC89rn]

I have been working on a med-surg/tele floor on a very fast paced unit (hospital is 927 beds in a large city). I have 2 interviews lined up; 1. Hospital 45 mins away, 19 bed ER - 3 of which are trauma. Smaller hospital, 130-ish beds. 2. Somewhat larger city, 300-ish beds, also has 19 ER beds, I do not know how many are trauma.Which sounds better? Starting in ER in a smaller hospital, or slightly larger one? Any tips transitioning to ER? (fyi, I've only been a nurse for a year). I'm intimidated, but have always wanted to work ER.I know it's not comparable, but my floor has crazy high acuity, so I feel I can handle the stress, I'm just more worried about not knowing much about ER. I've bought a book about ER nursing and have been reading, though. Thanks!

[TCU-Trauma]

I say just take whichever one you are offered first...19 bed EDs are very small either way but would probably be a good way to transition from med surg. The 19 bed ED with more hospital beds would probably be nice so you would have better throughput with admitted pts etc...you may be holding onto pts in the smaller ED and then you'd be right back to med surg. I work in one of the largest EDs in the country and we are always getting pushback from the floors. Think about all the good/bad thigs of both places if it really matters but if it were me I wouldn't let the size determine which job to take if they're both about the same!!