Hello all-I just graduated in December of 2011 and got a job in a Long Term Acute Care Hospital (LTAC). I had my clinicals at a LTAC so figured I new what to expect and was excited to get hired in March of 2011. To my dismay, I have been completely overwhelmed and dropping balls left and right. I was on days so we had admits, discharges, doctor rounds with orders, PT, OT, procedures, etc. Our ratio is 4 patients- many of them vented. We have paper charting, tons of meds and a very high acuity level. I was just told today that I was not turning out to be a good fit for them. I had made a couple of med errors. (forgot to split a 5 mg lisinopril and didn't hold a coreg) plus giving meds before doing VS and a few bad judgement calls. No patients were harmed and my DON feels I could still do a good job in a less acute environment.The hospital system is going to help me transfer into another position in the next 30 days. I'm trying to not feel like a total and complete failure (almost straight A's in school and passed my NCLEX 1 week after graduating) and "getting back on the horse" So to speak. There is a position I have applied for- Ambulatory Surgery RN- PT days. Can anyone give me advice if this might be a good fit for me acuity wise? I have also applied to L&D- was a PCT in post-partum care and enjoyed that as well.