Hey docomo! Don't throw any towels around just yet. Your 10th day of orientation isn't too far in. The ER is a crazy place indeed. I do agree with brainkandy though, you've gotta roll up your sleeves and dive in. Give your current preceptors a bit longer, maybe another week or so. I would definitely spread the word every shift that you want to do things-- caths, iv's, help with art lines, intubations, cardiac arrests, stroke alerts, etc. The more of these you watch and participate in, the better off you'll be when you get OFF orientation. Just keep asking questions-- you can never have too many! Stick to your preceptor like a fungus, man. Wherever they go (except to the bathroom, shoulder there be time). Watch them assess, see how they prioritize, ask questions about documentation,etc. If after a week or so longer trying to do this, if you still feel like you aren't clicking with your preceptor, talk to your clinical educator (or... whoever deals with these things in your ER) about maybe switching preceptors. It's not a biggie, some people click better than others, and your current preceptor should understand! Good luck!