Hi everyone I am a new icu nurse. I graduated in May 2016, and passed my nclex that year in October. I worked on a medical surgical floor from that time until October, where I was offered a full-time job to work in the icu. It's always been a dream/goal of mine to be in that area. Our icu is very small it's only got 4 beds. We do get some critical pts, but I find they often come in spurts. For example, if we get one vented pt. it's likely we will see a few more in the coming weeks then there will be none for up to months at a time. We just got internal medicine the program is very new and we are begging to keep sicker pts. Than we did in the past (they would often be shipped to larger facility). Our unit is staffed with two RNs one who is the icu doing pt. care and a second who is called the "float" who's helps with orders and pt. care. If the icu is not busy they often go to the med/surg floor to help. When I did my 6 week mentorship I literally saw nothing critical. With all that being said, I had a code yesterday and I totally froze up. I felt like such a scatter brain the unit was full. My float was an experienced icu nurse who has been working for 10 years. I feel that maybe this is not where I am supposed to be. As sad as it makes me, I feel I am just not pulling the concepts together and seeing the big picture. Sometimes I feel I am so focused on trying to get meds and charting done that I don't find time to put the pieces together. It's really discouraging me. We don't always have a doctor on site either. Most of the other nurses are well experienced and I feel like they probably think I am not very smart. I know I am still learning but it's hard when the other nurses I work with communicate so well with the doctor and know what's going on. I try to prioritize my work as best I can and ask for guidance but it doesn't seem to be all that helpful. The other nurses are so good at predicting outcomes and know what to expect if a pt. is going sour. I just want to make be able to make the connections they are able to. Had anyone else ever felt this way. I am honeslty considering talking to my manager and saying maybe I'd be better on the med surg floor; however, a part of me knows I can do it and keeps pushing me to keep trying. Some tips, word of advice, constructive criticism would be much appreciated.