It sure looks different when you're responsible for the patient doesn't it?
Do you feel that your hospital has given you the proper training to do your job with confidence? Not that you're going to see everything during orientation, but the basics?
Are you okay with IV starts, vag exams.....
Sometimes I think new grads are pampered during orientation, and then expected to work like a seasoned pro the minute they are on their own.
Is it fair? No way.
Talk to your unit manager. But have a game plan. Tell her what you're uncomfortable with, what you feel like you need more help with...
Lastly, do what makes you happy. Being a nurse is a lifelong profession.
(even when you're not on the clock) Do you want to spend that time being unhappy? Not every can adjust to midnights. I've been doing it for 20 years and love it. But I've seen great nurses have to leave because either their families or their bodies can't adjust to the changes. Unfortunately, the rest of the world still lives 9-5 (mon-fri).
I've done clinic nursing also, and there are some parts that I still miss. You really do get to know your patients, seeing them month after month. These nurses are important too.