Don't doubt yourself...look back and know that you have "come up with the goods" countless times! I only did two years of PCU and that was the first time I had worked in Citical Care. We had a great team and I felt very supported, but got burned out because the hospital policy was to understaff the unit - there it is said! I know that there is legislation with regards to patient:staff ratios for ICU's, but that should be a guideline and the staff in each unit should make the final decisions about acuity and coverage issues, not administration - Maybe you're in that situation? You know that you are one of many highly skilled nurses who is being abused by the system. When i resigned from the position, a highly skilled and experienced nurse like yourself told me that she too had been feeling like she hadnt been coping. she was known as the tough and ever capable one too! I see that you posted your comment in December and I sincerely hope that you have managed to move out of the job by now. I have just become a member of this website and I am also looking for a new job. I worked for a short spell of ten months since that PCU position (I also had some family issues which kept me at home). I know that the hospital where I worked previously has positions, but I feel like I already learned THAT lesson! Let us know what happened after you posted your comment - Please post an update - the internet is a really good way of remaining informed, including remaining informed of our colleagues wellbeing. thanks for speaking out.