It is scary to jump head first into something new. I recently took a position at a small hospital after being in LTC for 15 years. I ask alot of questions and thank everyone for their patience with me. I feel like I am re-learning many things and I feel inadequate at times but I read and research and bring up questions that most of the other nurses are willing to answer. Some are condescending but I feel that in my years of LTC, I have gained insight and a great ability to get along with difficult people I tell myself that this is a completely new challenge and that I will learn as I go. It took a great deal of prayer and soul-searching to decide that this is what I want to do with my career in the time that I have left. (I am 46 years old). It is hard to go from the one who is at the top of your field or specialty to the bottom of the learning curve without some bruising of the ego!