I commend you for dedicating yourself to this rough job...! I agree with the above folks. You do not need to share your diagnosis. I am diagnosed with ADD and interestingly I have a similar story to yours. Started as a new grad (after precepting) in the OR in September and had 3 months of training then was told “to fly” at the end of January. March 17 was my last day because I’m per diem and I finally came back last month. Needless to say, I’m a bit rusty. what do I do? I take notes on everything, and then rewrite my notes. Having to try to study after an exhausting shift isn’t the best but I find getting to work early just 15 minutes, finding out which cases I have, and reviewing the notes I have for them helps a lot. If I have no notes, I go talk to charge nurse or any other nurse I feel comfortable with. (Had a falling out with my preceptor so steer clear of her). Another thing I try to do is to look at the preference cards to try to remind myself of what else needs to be done. Oh! And it pays to be a little OCD... I know replacing one acronym for another isn’t the greatest advice, but checking for completeness a million times can’t be too bad! In my humble opinion, it honestly sounds like they’re not giving you enough time to acclimate to being a circulating nurse. Try to give yourself a little grace. It sounds like you know yourself and where to push where you need to be pushed! best of luck to you.