I have been a nurse for 30 years and have had several changes thru out my career.  I have worked in peds, urology, ICU and right now with med sur pts.  I think change is good for some nurses.  It is always a chance to learn something new.  When you are exposed to a different floor or area, you are going to learn something.  It may not be what you expected but you will learn.  I am considering end of life nursing next.  Of course that could change to something else as I explore my options. Don't close you mind to other options.  I see many nurses who say "I work only with" a certain area/type of patient.  I think that is why you see so much burn out on a unit.  Most people don't like change but I think if you are in a medical field, you should expect change and try to roll with the flow.

Emergency/trauma nursing is what I wanted to do before, during and after school.  I have not had the desire to do otherwise.  One of the benefits of this field is I have to know how to take care of any type of pt / complaint combo that rolls through.

When I went for LPN I always wanted to work in surgery.  That was my big dream.  I ended up working on a med/surg floor.  Then when I was 9mos pregnant I suddenly went for an interview working in a different hospital's ER.  I got the job and hated it.  I knew why I hated it and it was the hospital not the ER.  I had stayed at the other hospital prn and they were asking me to come back full time because they needed people with experience, so I did.  Well one day I was floated to the ER and I absolutley loved it.  I wrote the head of ER and asked her to consider me even though I was an LPN.  The staff loved having me also so they also gave me a good reccommendation.  I got the job went on to get my RN and have been there for about 6 years now.  I know that one day I may want to try something else but for right now I am still being challenged in many different ways.  I precept for a nursing school- take their student for 24 hours clinical time and have them take care of patients.  They have even asked me to think about being a clinical instructor for the school.  I am also in charge of all scheduling and vacations at work and do some precepting of the new employees so we will see where nursing takes me.

I am a PA but am considering Hospice Nursing. Have been thinking about it for awhile now.