Hi, I am new to this site so forgive me if I screw something up! (I will try not to feel like a dunce:) ) I have been in critical care for the past 9 years and I still feel clueless at times. I have never stopped asking questions, bouncing my thoughts off of more seasoned nurses, or stopping to look information up if I dont have the answer. I found that the thing that helped me the most, a tip from my first preceptor 9 years ago, is to keep my thoughts organized by system. I still make a report sheet for myself that goes down the line....neuro, cv, pulm, gi, gu, id, endo, psych, iv, etc.... It keeps me focused and on the right track during my assessments and communications with other staff. Also, those mistakes that you make...you never make the same one again...it is a way we learn. Hang in there and find those nurses who you trust to help you out with a helpful attitude...they will be your best resource. Good luck!