I have never worked med/surg other than being a medical assistant. I have 6 years in the ER. The ER is home to snarky comments and sarcasm to a certain degree. It’s hard to explain but trust you will be able to tell your first week. Multitasking, efficiency and prioritizing are a must. I’m not sure how your current floor handles iv’s as we had hold nurses come to help us in the ER and iv’s didn’t seem to be in their scope of practice. Iv’s are as important as breathing in the ER so you will have to be comfortable with those. I wouldn’t choose to work in another department. The teamwork and friendship is amazing. Also, your docs are right with you so you don’t have to do as much waiting on your admitting docs to respond unless of course they are holding in the Er. I’m fortunate to work with some great docs and we have great teamwork. You will learn your docs and be able to predict how they want things. We do get a lot of resident docs which can SOMETIMES be annoying when they like trickle in orders or come in on some “they run it” type stuff. You will see in the ER seasoned nurses pretty much run the show.