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No, I worked cardiac then moved to ER. I'm now no longer bedside. I am in care coordination. It's a culture shock for you...yes, but movement isn't hard for nurses. A lot of us are nomadic and change not just jobs but specialities every so often.

Now there are some specialties it's hard to get into if you didn't start there, like NICU, it can be done...just easier if you aren't working as an adult er nurse and then trying to switch to specialized NICU.

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No, I worked adult critical care for & ER for over 20 years. The knowledge & experience I gained during this time has been invaluable; transitioning to other areas of nursing (Transplant Coordination, Case Management, Care Coordination/Discharge Planning) has been easier because of my critical care experience. Intuitive skills, i.e. analysis & critical thinking cannot be taught in a classroom environment; they can only be developed & become well-honed skills through experience.

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