Wow, ED is where it is at! I am on my 4th week of internship, of which the 2 were didactic. Originally as a MS nurse, I can't hide my shock at how much crap one nurse is responsible of at the ED. I am close to getting crazy at this place. I knew ED was busy, but MAN, there really is NO TIME to chart, let alone sit down.exemplary scenario: old, confused, febrile 80y/o pt with dung caked all over her perineal area, her bp 70/40, obvious sepsis, having to get blood cultures, ivs, lab works, notifying docs, etc etc... and I haven't even asked anything to the family about her hx or assessed her properly yet, then another EMS stretcher rolls in next door, this time numbness/tingling, not as critical but having to do all the work plus ekg, then another doc gives stat ekg order for a pt in other room whose K+ comes back 6.5. I haven't updated vitals on anyone yet, got a pt to discharge, UAs pending which I totally forgot about until my preceptor reminded me, and my bladder is about to burst.At this point, I am telling my preceptor "how the hell can you do all this?" Oh ya, I haven't charted anything yet. There is no help either. The charting system sucks( meditech.. piece of crap). It's so busy and fast pace that I forget things unless preceptor reminds me. I am so darn scared when I am by myself that I will kill someone or forget to report something or just get backed and behind, that I will start missing tons of things.I remember sitting on my rear on obs floor when I wasn't busy, just chilling after 2100 meds. Here, I am running around and brain sparking all 12 hours. Maybe it's just anxiety of being overwhelmed at new place, but I don't think there is any department busier than ED.If you have quick tips on how you survived, and how you managed to remember things, and just ER tips, throw it at me, cuz I need them. Thanks, and dang we rock.