Been an RN for about 8 years. Recently changed jobs going from one major hospital system in my city to another major hospital system (tele/obs floor on both). Every single thing in the new hospital is different...the charting, the equipment, the physical environment, workflow, absolutely everything. The charting is 100x more detailed and complicated. I feel like a new RN rather than someone who is experienced. The turnover, pace, and patient load is more than I'm used to. They have a million protocols, pathways, and processes that I've never experienced. To say I feel stupid is an understatement. I feel like I'm utterly out of my league here. I have no idea what's going on with any of my patients because the pace is so great that once you get report, you are running non-stop for at least the first 8 hours and have no time to read or retain anything. On top of that I feel my orientation hasn't been managed properly, my main preceptor makes me feel dumb, and my stress and frustration is becoming evident which makes me look bad. At this point I have no idea how I will ever learn all this. I just don't think I'm good enough for this place. I feel my previous experience hasn't prepared me enough for this yet I'm an experienced RN so there is an expectation that I know what I'm doing. If you've experienced similar, how did you cope/adjust/bring yourself up to speed??