Okay, so here's my story. I am in my early twenties, and this past November I landed my first hospital job at a small community hospital. I was hired on the hospital's medical surgical floor and have been faced with countless struggles. Please, all those who have experience with med-surg, help me see the light at the end of the tunnel! My floor is chaotic and highly unpredictable. As nurses we are expected to care for up to seven patients at a time and never ever have a night without an ER admission. The patients who are admitted from the ER often come up soiled, with non-functioning IVs, and having major orders "skipped accidentally." The last two nights I've worked I've had to drop NG tubes on patients when they were ordered hours prior in the ER. Under strict budget restrictions, we rarely have a nurses assistant and are left to fend for ourselves. I am working hard to build my skills but feel that there are not enough resources for me to do so. Our charge nurses are forced to take full patient loads and are struggling to get their own work done. I can say that I have learned a lot in past five months, but I am under a tremendous amount of pressure. I often spend most of my days off worrying about my patients. Please- give me some advice to get me through this time in med-surg that most have told me will be "the foundation of my nursing career."