Well, technically, I am... but I shouldn't be. I have worked in this ED for 3.5 years--1.5 as a PCT, 2 as an RN. I keep waiting for things to get better. The work was ok when I was a tech (which is why I applied there when I graduated from nursing school), but I really do not enjoy my job as a nurse there.I feel like I know a little about everything but not enough about any one thing. I second guess myself CONSTANTLY--beyond the basics, I don't feel that I trust my own judgment. The pace is relentless and I'm mentally and physically exhausted. I feel like I'm not getting any better. I keep my patients safe. I communicate with the charge nurse/physician promptly (maybe too much?). I care about my patients. But I'm not the super sharp, super fast ER nurse. With 3-5 sick/critical patients or 8 fast track patients I feel like it takes all my effort to do the minimum. So at the end of the day, I've worked myself to the bone AND I feel that I didn't do enough for my patients. It's an awful feeling.The management and educators in my department say that I'm doing fine. I'm never in trouble, and the auditor says my documentation is great. So why do I feel so down about my job and my work? I you have any advice, I'd appreciate it. If not, thanks for listening. I need to get this off of my chest.