You are not alone my friend! I cannot explain to you the perfect timing of this post. It seems that we are BOTH going through the same experience. I’m currently in a medsurg residency program as well, and have extended my residency another week before I am on my own. I do not believe you will fail. You are essentially failing your way to success, and this is allowed since we are still BRAND NEW and have MUCH MUCH MORE to learn. The “mistakes” you mentioned are part of the process. Without making those silly mistakes (all of which I have made PLUS more by the way), we wouldn’t leave room for improvement. You are not perfect, and neither am I. We are bound to make more mistakes , but this is part of the process. Do you take notes through out the shift? I suggest you buy a pocket sized notebook and write ANYTHING that your preceptor or other nurses mention. I usually review these notes the next day and make an effort to memorize/understand them. As far as the charting goes, what type of charting system do you use? My preceptor is very anal about correct charting. I have been yelled at by my preceptor for incorrect and incomplete charting. I’m sure this is a struggle every new grad faces, YOU ARE NOT ALONE. Before every shift I become very diaphoretic, tachycardiac, and are so distracted by the fear of failing that I forget to think of the GROWTH that’s happened during previous shifts on the floor. Are you better than you were last week? Last two weeks? Last MONTH? I’m positive you are a better nurse than you were before. We can do this! One shift at a time! One patient at a time! I look forward to hearing any updates on your journey!