Year 2 as a Nurse where to go next on this journey?

[RUNNER87RCC, EMT-B]

Hi, I have been a nurse for a year and about maybe 4 extra weeks. Has been amazing journey of growth. Weak points still tend to be talking to Provider's, education of patients, and having chicken little sky is falling syndrome sometimes ha.

I am limited where I can go at the moment on the acute side of healthcare. Ortho, renal, neuro, aftercare maternity, behavioral health, rehab, and med-surg are the main floors can go as an LPN. Some other nearby hospitals do hire in the ICU and ED. They had LPNs on Progresssive unit at our hospital but haven't seen any openings lately. Talks about on a cardiac unit nothing mentioned yet.

I enjoy my floor I am on a lot. Like my manager, my coworkers, and the patient's. They are super flexible with the scheudle except for holidays so many holidays can be assigned to, more than the mandated ones. Some nights can be pretty exhausting with heavy med pass from 8 to 11 with task thrown in. Then PRN meds and scheduled meds. Dash of task mixed in. Then lots and lots of charting. Then ADLS and toileting. Then it's 5AM back to meds and task. Sometimes patient's may not be ready for your floor overnight so they are transferred off. Mix lately of TBI and AMS patient's. 6 patient's. 7 is rare. Occasionally a Code Stroke. Lately more Rapids being called. It's quickly burning me out and I know a few other nurses.

I floated to a ED to floor transition area where you can have about 4 to 5 patient's. You may have 1 or 2 admissions. Maybe a red or a yellow MEWs. Outside of admissions and rounds everything is basically done charting and all by 10 at the latest. A few pills in the morning and no worry about breakfast. They encourage not waking them up at night. Many are walky and talky not Fall Risk. The downside is seems to be a lot of downtime and the Provider's are not internal like our unit. They say it's a pain and have to learn what Provider is on call as they rotate through how to contact them and talk to them. That sounds stressful on its own.

Only plus would be during school working on a unit like that be a plus.

Wondering how is med-surge at night. Anyone work med-surge at night? Do they vary with chaos? As much as the action burns me out sometimes I think I miss the action and organized chaos ha. I also enjoy the people I work with it is a challenge to leave for that reason as well.

Any advice can give I appreciate it!