I understand how you are feeling... I started in NICU almost 2 years ago, right out of school, having only worked with adults...never anything younger than 18. I had a great orientation, and took on tasks as I was comfortable. I would watch my preceptor a lot those first few days as I familiarized myself with charting, meds, etc, then started doing those tasks with her help. A lot of what you have learned from adults critical care will cross over: a-lines, vents, chest tubes, iv hyperal etc... you'll just have to modify and add to what you already know. As for turning a 23-weeker.... babies don't have to be turned as often as adults. As long as they are welll nested and their lungs look pretty clear, you can leave them alone for 4-6 hours at a time. With babies that small, it's best to do what you need to, cover their isolette, and leave them the heck alone until you have to reassess them. I learned this trick from one of my coworkers and I love it.. take a typical NICU baby blanket and fold it into thirds crosswise (or 4ths if it's a really small baby), Slide it flat crosswise to the mattress under the baby up to his shoulders and roll both ends of the blanket under until you get a nice roll on either side of the baby forming a "hammock" (roll "toward" you as you roll it up towards the baby) When you go to turn the baby to one side or the other, just keep rolling one side, and the baby will tilt up on one side, without having to physically pick them up. Just make sure you have help available, and all your tubes look OK. Best of luck!!