Hello everyone! This is my first time posting and I am looking for some advice and insight. I just left my PT charge RN position in a 6 bed ICU in a small community hospital to take a PT staff RN position in the ER of the biggest medical facility in our region - a level II trauma center. I started as a new grad in the ICU that I was working in and stayed there for 9 years. I loved the people I worked with but, being it was a small community hospital, they were struggling financially. Although I don't feel like they will be closing the doors of this facility, I felt like it was time to move to a place that was more financially stable and I thought it would be exciting to try something different. I have been orienting in the ER now for 4 weeks (working 2 shifts/week) and I am very overwhelmed. I thought I had prepared myself for how big of a change it would be but I am struggling to adjust. The pace makes me feel like I am going to miss something with my patients or make a mistake. I went from feeling competent in my job to feeling like an idiot most of the time. I just don't know if I am cut out to be an ER nurse. I have voiced my concerns to my preceptor and my orientation coordinator and have agreed to give it a couple more weeks. My preceptor feels like I am being too hard on myself. I do feel like I would eventually be able to function but as to whether or not I would ever enjoy it, that remains to be seen. Am I throwing in the towel too soon? Have any of you gone from one specialty to another and just had a feeling this soon that it just wasn't for you? I have to say I miss the comfort of my small ICU. Thanks in advance for any replies!