After working in a variety of occupations including personnel recruitment, compensation analysis, and a wide spectrum of hotel/casino and restaurant positions, I decided, at age 40, that I really wanted to work in the most challenging customer service career there is--I attended nursing school and earned my RN credentials. Nursing has allowed me to challenge myself academically, while also presenting many options for growth. The opportunity to branch out and grow within a single field is really unique to nursing as a profession. I began my career as a Med/Surg nurse, became attracted to the concept of case management, and am currently working in a director-level position in access management (a field that determines how to best serve patients who enter and traverse the acute care segment of the care continuum). Nursing is always presenting challenges. Interestingly, most of the challenges a registered nurse is presented with require a high degree of collaboration with other health care professionals. You are truly part of a team, and with teamwork, solutions to complex problems become surmountable. There is nothing quite like the satisfaction obtained from the "hands on" care of an individual patient. However, as a registered nurse, I've found that there are ways to make a positive impact on a greater number of patients, and this is the path I've chosen. As a registered nurse, the only question to ask is, "What rewarding challenges do I wish to accept next?"