Help! Nervous about new job, need advice.

[JMF7755]

Hi all!

I graduated in May 2013 with my ADN-RN. Got my license that June. Well...it took me almost 16 months to find an RN job. I finally got one in a sub acute care/rehab facility last September. So I've been working in the field for almost 5 months. I had been trying to get in a hospital for almost two years now, and guess what? Now that I have some RN experience a hospital offered me a job!! I was so excited and elated until...I got nervous. I am wondering if I can handle it, if I'm going to do well in the job.

The job I have now is hard. I have 24 patients, and frankly they are like med-surg patients. They get transferred to us from the med-surg, tele and ortho wings at the local hospitals. Many of them are s/p surgical, have a host of comorbities, are sick with this year's flu/pneumonia, psych issues, very needy in general. I bust my butt!! I work full time nights, 3 in a row. I do wound vacs, dressing changes, hang IVs, lots of monitoring, PICC line care, and supervise 1-2 CNAs, and lots of other stuff.

This new job is day shift, full time also. It's on a med-surg floor in long-term acute care for medically complex care, and CCIS which I learned is Chronically Critically Ill Syndrome. They don't really teach you about this syndrome in nursing school, at least not where I went, and our program was pretty thorough. I will of course, have an orientation and be working with a preceptor at first.

I am so nervous and sick over this, I get anxiety and heart palpitations wondering if I can handle this new position or if I'm making a mistake and should stay put where I am. I already gave my notice though.

Advice please: for you more experienced nurses out there, do you think, based on my limited past nursing experience that I will be okay or what?

Thank you so much!