So I'm a new RN grad I've been working in a general ICU step down telemetry floor for 4 months now. I'm not new to healthcare I've been a nursing assistant and monitor tech for the past 4 years so I knew what I was getting myself into. However, I'm pretty miserable right now. I get out of work (night shift) feeling defeated. I have 4-5 patients who some nights are on the border of being ICU appropriate due to hypotension, tachycardia Afib decreased oxygen sats, out of whack lab values, neuro changes, etc.......we do cardizem drips and all that and continuous bipap and trachs and stuff. I feel like so much is expected of me and these peoples lives are in my hands and its just too much on my mental health. There are so many tasks at hand while also trying to monitor these people and deal with new admissions and transfers. Often my patients are completes, incontinent, super needy, crying out for pain meds, dealing with upset family, dealing with vital sign changes.. Does anyone else feel like this? I cant talk to other nurses on my unit because I don't want people knowing i'm unhappy with my job and it to get to management or anything.