trauma OR

Depending on the facility, there may not be a dedicated trauma team. We all take a turn at being the trauma team- we're responsible for checking the emergency case carts that are always kept at the ready, ensuring the room has all of the appropriate equipment (forced air warming blanket, suction that works, cellsaver unit, rapid infuser, etc.), and then help with giving breaks and lunches on day shift. On off shifts, we do everything- any specialty (except open heart) and traumas. Whatever comes through the doors, we do. In order to be able to circulate traumas, nurses have to go through a 32 hour course (that has very little to do with the OR aspect) and then maintain CEs regarding trauma throughout the year. STs are not required to do this.

So basically, you just need to get your foot in the door and find an OR position. Chances of you being hired directly into a trauma only team are very low, as most places would require experience.

As for what it's like being the RN during a trauma, it can vary. Some traumas are more controlled (needs surgery, but not heading towards the light yet). Others are "holy crap!" moments where the patient comes screaming to the OR, CPR in progress, and may not make it through the surgery. My first death in the OR was an MVA, and it wasn't very easy. Hopefully you will find a place that is supportive and offers debriefings after the really bad ones. Mine does but few and far between, and in my opinion not often enough.