I know this has probably been a topic on here before but I wanted to write out my feelings in hope someone could give me some advice. I recently graduated in May and currently working on a Med/Surg Ortho unit. When I graduated, I was so ready to be the best compassionate nurse I could be. But now that I have been doing this for some months now, I feel overwhelmed and have constant anxiety. I find myself not being able to do the things I used to love to do, I can't fall asleep at night and if I wake up at 3 A.M. and I work the next morning, I toss and turn until my alarm clock goes off. I have an upset stomach, diarrhea, headaches etc. I leave work and I constantly think about something that I could have done better or missed. On my days off, I count the hours down until I have to go to work again. For my job training, I learned about Ortho patients and surgeries but I was hired for the new unit which has been deemed anything but Ortho. It is more like whatever they can find to fill the unit: chest pain, sepsis, elevated lactic acid, small bowel obstructions, altered mental status---All things that I was not trained on. I am lucky if I get one Ortho patient a month and when I do, I feel like I forgot everything I was trained on. We are constantly short with no HUCs/CNAs and having to TPC our patients but receive nasty emails from our manager when the unit is messy or when HUC duties aren't done etc. I have had numerous conversations with doctors who make you feel like the smallest stupidest person alive and deal with intimidating experienced RN's who question you about stuff you didn't have time to look into or tell you that you did wrong but I won't dive into that. I don't really know what answers I am seeking by posting this, but I just know that they didn't teach you how to deal with anxiety, doctors, mangers and the constant stress that is nursing. Any advice? I feel like I am ready to quit or look for a job in a clinic but I want to gain the knowledge that comes from working in the hospital. Thank you for any advice.