The ICU can be an intimidating place for a new grad, even after 6 mos of orientation. However, you will learn volumes & will be a better nurse for it. The most important thing I think I learned was-#1 time management, but #2 know your drips!!! I work in a Surg/Trauma ICU and we use a lot of drugs that I wasn't familiar with prior to coming here (I worked ED previously). The ones we use frequently are: Neosynephrine, Levophed, Vasopressin, Dopamine, Dobutamine, etc. Those are the vasoactives that we use a lot in trauma. Also, it may be a good idea to buy a critical care reference book. I use one called "Fast Facts for Critical Care" or something like that. You can find it at cathywhite.com. It's definitely worth the money. Just remember to not get overwhelmed & ASK QUESTIONS!!! Don't ever be afraid to ask if you don't know something. You & your patients will fare better if you do. Hope that helps a little. Good luck!!!