I did very well in nursing school and passed the NCLEX in 75 questions. I enjoyed precepting and looked forward to starting my career. Now I'm 3 months into orientation on a surgery floor and just not doing well, either in my job or my life. It's not just my own insecurity--my preceptor and nurse manager agree that I just don't seem to get it. I especially struggle with time management. I may have taken on too much right out of school... I'm on 12-hour nights on a high-acuity floor, and am new to the city. I am becoming seriously depressed, ashamed and freaked out about my best-laid plans going so rapidly awry that I'm having a hard time functioning. At this point I am asking myself, "What in the hell was I thinking, that I could be a nurse?" What if I lose my first job? My self-confidence is zilch by now and the idea of applying for another job is terrifying and humiliating. Any thoughts, advice, comisserations?