* Can feel very task-oriented, with a strong focus on throughput and patient satisfaction metrics.
* Limited exposure to higher-acuity critical care experiences compared to Level I trauma centers.
* Staffing and workload can vary significantly depending on census and unit needs.
* Opportunities for independent clinical decision-making may feel more limited for nurses seeking a broader scope of practice.
* Advancement into specialized roles can be competitive.
* Culture may not be the best fit for nurses who prefer a fast-paced, high-acuity environment.