Small nursing staff manages ED census of about 9,000 patients annually. I have learned how to work independent of many resources nurses have in larger hospitals. Taking on an almost battlefield approach to emergency nursing, use what you have.
Management has been in constant flux since I started. Heavy staff turn over for such a small environment.
Working at night from 2300 until 0700 as the only nurse beside the nursing supervisor can be difficult. Especially when the supervisor is tied upon another unit.
I love the patients, and the doctors close working relationship with the nurse can be great. Just like family.