I understand how you feel. I am a new grad too, graduated in May 2008 and took NcLex in July. I work in the ER which I LOVE and feel pretty comfortable in many areas - I especially love assessment....the not knowing anything and trying to put together the puzzle. Sometimes I am right on the money, sometimes I miss it and it turns out to be something else. I am usually exhausted at the end of the shift from using my brain so much....thinking, thinking, thinking.... What I am NOT comfortable with yet is codes, people coming in via EMS in full arrest. I have only been in three, 1 respiratory, 1 cardiac, 1 pediatric respiratory. I have stayed in the room, charted, watched and tried to learn as much as possible. They tell me it will come in time, that feeling of not being overwhelmed.......... my only idea for myself is to keep a notebook of things that happen that I want to look up or meds that I want to research, which will prepare me for the next time I hear it, need it, etc...... I am told I am doing very well, to the point that I am being taken off orientation two weeks early.........big breath, dig my heels in and do my best work has become my mantra.....and ASK FOR HELP........ Any advice from the experienced ED RN's on what a newbie should do to not tick off an experienced RN when a code comes flying in?