Scared to death to try something new.

Yes, and it was a transition, but a good one. You have strengths from LTC that will help you in acute care. You have the long term relationships with residents and their families, that will enable you to be comfortable with dealing with the acute pt. families & visitors.

You have done dressing changes and tube feedings, blood sugars and administered insulins. You have given PRN meds PO and IM. You have seen your residents/pts. mental status changes, which alerted you to possible UTI so you got a u/a; or checked resident for possible stroke... You have prob. done range of motion and helped ambulate in LTC and you will in acute care. You have dealt with chest pains, bowel regimens, falls, calling physicians for change in resident status...
You've monitored vital signs, edema, gait, etc. You've prob. been charge nurse also.

Congrats on your RN. Give yourself some credit and let us know how you do!