NO! Don't make such a drastic decision based on a throw-away comment from your preceptor. Are you familiar with Patricia Benner's novice-to-expert stages of clinical competence? It's a nursing-based adaptation of Dreyfus' Staged Models of Skills Acquisition. Benner's work has been used by educators around the world to help people understand why they function the way they do in different situations and environments. (You can read a good summary here: http://www.umdnj.edu/idsweb/idst5340...cquisition.htm
) Well, this applies here. When you left your NICU job, you were one of the experts. You knew your job, you knew your patients and you knew yourself in that world. Now you're one of the novices, or perhaps an advanced beginner. You're more concerned with mastering "the rules"; you won't be able to move into applying them until you're got a grasp of them. This is NORMAL. As someone with some critical care experience, you may move through the first three stages more quickly than someone without that background, but you'll go through the stages nonetheless. I've said many times that the learning curve in PICU is not a curve at all, it's a ladder! Don't judge yourself so harshly, and don't sell yourself short. Give yourself a chance. Orientation isn't an event, it's a process. Processes take time.
As for the paperwork, well... If you're accustomed to computer charting with a lot of tick-boxes, putting that same info on paper may seem onerous. It does get easier as you become more familiar with what goes where. Some facilities require a lot of duplication (or triplication!) of information, even in their computer charting. Legal experts will tell you that the more places you're required to document a single piece of data, the more likely there are to be small discrepancies that can be magnified into huge issues by a savvy personal-injury lawyer. It could be something as simple as charting a routine med on the MAR at 0910 and making a narrative comment that states it was given at 0915... who hasn't done that? And who is going to remember one dose of Zantac 10 years later? The lawyer will pounce on something seemingly so insignificant and turn it into an inquisition into every single thing you've documented. "The MAR says 0910, but your nurses' note says 0915. Which is it? What time did you actually give this med? How can we trust any of your charting if you've made this kind of documentation error??" If you find that your new employer is expecting the same piece of data in several spots on the chart, perhaps you could ask them if they've thought of this little snag. Maybe you'll be the catalyst for reducing the paperwork!