Your going to be slow at first, take your time and breath the pt's are not going anywhere. You are learning how to take care of a lot of pt's at one time, your mastering the med cart and tx, phones, assessment skills, ect. It takes time to feel comfortable as a new grad, about 6months - a year to where you feel like OK I got this. I had to write everything down when I started, I took a paper and separated it into 4 sections, accuchecks/linsulin, PRN's, tx, skinchecks/bradens/other assessments. It was my cheat sheet and keep me on task and focused when I first started. Once you learn the routine of residents/pt and develop your own routine things we start to speed up and won't take so long. I would give it some time and try and hone in on your skills, I stayed in ltc rehab for my first 2 years then followed my dream and went to hospice and I love it. If 6months to a year from now you don't think ltc is for you then thats OK also, we all have our own niche areas of nursing we find home. Good luck and go easy on your self the first year is where you will grow and learn the most and you will experience growing pains.