Hi everyone! So I guess I'm seeking validation, or advice, or a few words to help me get through this and either become the emergency nurse I want to be or to try another area of nursing. My first nursing job straight out of school was ER! And that's what I wanted to do when I went into nursing. I was hired into a smaller, no trauma hospital, where we diverted/sent out all STEMI's and CVA's and most traumas. I've worked in clinics before as an MA so I was used to the in and out of patients and always changing pace. Of course only this time, I was an RN and patients stayed longer than half an hour and requires more attention and aggressive interventions. I spent one year there with no problems and was loved by my coworkers there but for personal family situations, moved to a level 2 trauma facility where I use to send all my critical patients down to. I just started not too long ago but I feel like a new grad all over again and my care on critical patients is not up to par. I know the basics such as fluids for a hypotensive patient but as far as the next set of interventions, I'm not sure. Also, there is SOOO many equipment and procedures that was never exposed to. I'm still on orientation but sometimes I feel like my preceptor is almost giving up on me. Some days are great, other days like days when I have sick patients can turn out to be discouraging. And i come home, stressed out, worried that I might lose my career, and sometimes even cry. My supervisors have so far been super supportive but I don't know what to say to them if they get a bad report about me. I try my best everyday and am reading books on critical care, and I know I'm FAR from expert nurse. But what should I do or say? Is this normal how I'm feeling?