I have 3 years experience under my belt as a med-surg nurse, mainly post-surgical. I am actually quite "sheltered" on my unit as we mainly deal with surgically stable patients and not the "medical" part of nursing, such as starting IV's, infections and contact precautions (we move out anyone on contact to another unit to protect our surgery patients), inserting NG tubes, PICC lines, multiple abx (read: infections and sepsis), etc. I have been on the same unit for 3 years, and I still have days where I feel completely incompetent and feel like a "new nurse". I am still a new nurse! In my opinion, until say, I have 10 years under my belt. No one in management has indicated that I am in trouble, this is what my mental anxiety tells myself when I don't know something I should definitely remember after 3 years. Or a skill I should have mastered by now. The point is, although I have managed to do well enough to keep my job and even get patient compliments, I have not advanced myself in my career due to fear and anxiety. Is this acceptable? Another new with less than 2 years experience nurse is already taking a charge nurse position (I was too scared to take it myself), another nurse who hasn't even been a nurse for a year got a one-day surgery position (along with a pay raise I'm sure). I have barely gotten a raise in my 3 years (and I have stayed put, not moving around to other units or hospitals so that is contributing), and the duties and expectations at my current job are starting to burn me out and becoming more stressful. I don't think the grass is greener on the other side necessarily, but I'm feeling incompetent and "a failure" that I haven't advanced my education or career by switching to another position. I guess I mainly wanted to vent but, just feeling very down on myself lately. Honestly, it isn't worth staying in my current job much longer until something changes. Any advice on having confidence to advance my career? These nurses with quite less experience are excelling and exceeding expectations far more than I am. That's how it feels at least. I am bad at comparing myself to others. However, wouldn't I still not be here if I had followed what the other nurses are doing? ~chronically "new nurse"