I'm also a new nurse (7 months) on a Tele floor. About 2-3 months ago I could have written this post! Pretty much every shift I would all but have a panic attack as I took report and realized how much I was responsible for, or when I started to get behind passing meds, with assessments, etc. I cried pretty much every day, and started looking for jobs outside the hospital even though I know that changing jobs before year in my area can really affect my long-term employability.
However, I got over it. I am able to handle my patient assignments now without panic attacks and when I get behind I just keep working until I get caught up. I am actually enjoying my job and remember why I became a nurse
A couple of tips that helped me:
1. When the panic starts to set in, take a short moment and gather yourself mentally and emotionally. Are your patients alive and stable? Then keep trucking. No? Then focus on the immediate need (patient stability). Assessments, routine meds, and even most scheduled IV meds can wait.
2. Ask for help. Utilize your CN, fellow nurses, etc. On my floor people while often walk by and ask " How's it going? Need anything?" I used to just say, "Nope, I got it" (not wanting to look bad), or say "I'm behind but I'll catch up". Now if I am behind at all I'll say "I'm a little behind, are you busy?" I am amazed at how much help it is just to have someone pass 2100 meds to one patient. I return the favor by doing the same anytime I am caught up.
3. Delegate. If you don't have one already, develop a good working relationship with your tech/CNAs. In the last few months I have worked hard at making sure my techs know they can rely on me to work hard, but that I need them to work too. If I am in a room and a patient needs something I do it. But I no longer answer call lights unless my tech is already in a room. I allow them to answer the lights so I can focus on charting, meds, etc.
4. Focus on the part you DO like. I love patient care. I focus on that. If you don't, then focus on what you do like in the day (patho of the diseases, treatment protocols, whatever floats your boat).
5. Be patent with yourself. It's a new job, in a new field. You need to make mistakes to learn your best way. Once you figure put your "groove" for the flow of the day it is SO much easier.
Stick with it if you can. You became a nurse for a reason. After a year it's a lot easier/acceptable to change specialities/jobs.