Hello, I have worked in Critical Care for about 12 years.... the Last 4 as a Director of Critical Care. I have had much experience hiring and evaluating new RN's, both new graduates and just new to the job. Also I have had the chance to be a preceptor and to evaluate the preceptors that I have assigned to the orientee. Most new nurses feel incompetent at times, this is totally natural. If you have the right person orienting you, it will be ten times better. Do not feel like it is wrong to ask for another person, it will help you in the long run. Experience will teach you many things, orientation will not cover everything..... The one piece of advice I would give to anyone new or veterans of many units. I feel like nurses are on a scale 1-10, the first 30 percent do not have the critical thinking skills to lean on or the Anatomy and Physiology education to be great ICU nurses. They can function safely most of the time, but they look at the schedule to see who is going to be there to help them if something goes wrong. The next 40 percent have better critical thinking skills and are better with more intensive patients, but they do not put in the extra work it takes to develop advanced assessment skills. The last 30 percent are more motivated to keep learning (not just by going to school), they pick up books are read to learn about treatment options, pacemakers, etc. They will be the one that the first 30 percent are looking for on the schedule. I think the term used now is the adult learner. This person will be the best preceptor (if the personality fits), they will be the one that teaches the pathophysiology of the disease process, along with the nursing task. Also the manager of the unit is essential to the success of the new nurse, if during your orientation the manager did not ask you many times how you feel the oreintation is going, look out. I wish you the best of luck, be in the last 30 percent please the patients deserve it. I will feel the same as you are now all over again shortly, I start CRNA school in Jan, 2007.