Replying based on your posting in the Neuro ICU section. First, congrats on your new job! I jumped right into my RN-BSN also while working nights. Assessment skills are vital in any nursing, especially in the ICU. Make sure you are confident in yours. Make sure you know your rhythms. I would recommend finding a good pocket guide for Neuro Critical Care or just ICU nursing in general. Neuro checks are your bread and butter and an accurate neuro check can mean the difference in saving someone's life and them having irreparable brain damage. Don't ever get complacent with your neuro checks. You could give yourself an advantage by learning how to (accurately) perform a MEND and NIHSS exam. Learn these well. Clustering your nursing care/interventions is important in the Neuro setting to minimize stimulation and potential to increase patient ICPs. Delirium, agitation, substance abuse, and DTs are common. Palliative and comfort care is common in the ICU. Ethical concerns arise frequently in the ICU. Lastly, I would say to never be afraid to say, "I don't know." I can't remember how many times I didn't know the answer to something. Make sure you know where to find the answers, though. Try to stay up to date on your literature. Find a good resource person, whether it be an educator or an experienced nurse. When I first started, I would observe other nurses and always try to find what I thought their best qualities or skills were. I did my best to adopt the practices I thought were best into my own. Good luck as you begin your ICU career!