I'm a new nurse 7 months in on a med surge floor. I actually wrote a few panicking posts like this around 3 months in also. I felt like med surg was not for me (still maybe true) and I was a horrible nurse and things would never get better. It does start to get better...I'm honestly still waiting on more time for things to continue to get better...but every shift gets a little better. I still have days where I am running up and down the hall, feeling swamped, trying to think straight. But then there are other days where I will realize, "Wow I just gave a blood transfusion, had a patient pushing 200s systolic BP, a patient with crazy blood sugars, an admission, etc...and I kept my cool, asked for help when needed, and took care of it!" No day will be perfect, and all nurses have stressful days no matter what. There have still been some recent days where I left work wanting to cry due to the sheer stress I felt. I still ask questions all the time, and there are always resources available for things you don't know. Little by little, I find myself worrying less about work the night before a shift, feeling more confident, and even enjoying the work I do on some days. I definitely don't feel totally confident, but it has improved. I still have trouble seeing the "big picture", but that also gets better every day. When I first started it felt like a patient had this list of diagnoses, and all these orders that were like puzzle pieces that did not fit together. I wish I could read the whole chart, but obviously we don't have time for that. I have found that reading the most recent physician progress note and the admission note (if time allows) is helpful to determine what exactly we are focused on doing for the patient. I write down all my little thoughts (recheck a BP, make sure a patient got a dinner tray, etc) or else I will forget them. I usually put an empty check box next to things I need to do, so that I can check them off when complete. I am very type A, so it drives me crazy that all my boxes are never checked off and I keep adding more things to the never-ending to-do list. Once I accepted that the list never ends, and a lot of things are out of my control, I also felt less stressed. I often have to remind myself to take a deep breath. One of my co-workers said it takes well over a year to feel confident and like you know what you are doing. Keep your head up, you can do it! I keep reminding myself that with a year or two of med sure experience, so many doors open up to other nursing careers. Finding something to work towards has helped me as well! Good luck!