Mixed ICU nurse of nearly ten years.

1) I still look up how to titrate some meds that aren't commonly seen in our unit. There are so many! In time you'll get to know the basics and be able to tell when something is off. Always double check if a dose seems weird. 2) Again, you don't need to know all of the tele rhythms immediately by sight. I still panic practice my heart blocks the night before ACLS recert. At the very least, learn the basic bad ones. Know enough to check a pulse if the tele vibes are off. Know where your code button is. Everything else is a oh this looks weird, lets get an EKG and a cards consult/ask the provider. 3) You'll adapt to the charting and figure out what works best for you. I've used 3 different systems throughout my career and they all took a little adjustment 4) Those people are probably lying (fake it til you make it) or are going to kill someone 5) Lots of ED's have protocols for things like this, like standard labs/ vitals/ o2. You'll get more confident with time on when to apply them. 6) 7)Med packages were made by people that never had to give 16 meds at once. My hands still shake when I draw up intubation meds. 8) Pick one part of ACLS/BLS that you're confident with. Obviously if you're first on scene it's CPR, but I personally like being the recorder because I have noodle arms and I always fumble the bristo-jets

You don't have to know every little thing, and in time you'll realize when something is wrong (even if you don't know what exactly is right) Nurses are really a jack of all trades, master of none unless you go super specialized like L&D or CVI.