Wow I wish I would have found this site when I was starting out as a new grad in the ICU- what a wonderful resource you have found at just the right time! I have been a nurse for only 9 months now and also started out as a new grad in the ICU. The advice these other two nurses have is GREAT advice. I would emphasize the asking LOTS of questions part... I think it is vital to ask, ask, ask and don't be afraid that others will think about you. This is your career. Your license. Learn as much as possible but at the same time, allow time for yourself and break from nursing. In the begining (after I got off orientation) I was so focused and nervous about doing everything right and learning as much as I could I became over-stressed and overwhelmed. It is all about balance. Let yourself be okay with not knowing everything. Sometimes I find that even nurses who have been in the ICU for 15 years still don't know some things. Also, the docs are good resources for questions- especially if you work in a teaching hospital with new docs- interns/residents. Everyone is learning together in a teaching hospital. Finally I would recommend finding yourself a good mentor. Your preceptor may be your initial mentor but after you get off orientation, find someone who perhaps works kind of the same schedule as you whom your trust and respect to share your thoughts and help give you guidance in your work environment. Good luck to you!! I know how it feels to be new too!!