First of all, congratulations on graduating, passing the NCLEX, and landing a job!!
I just started my first RN job about 3 months ago on a MedSurg floor. First thing I can tell you is to take it one day at a time. I assume you will be starting off with orientation with other new employees. Learn as much as you can, but there's gonna be a lot of info so don't worry if you don't catch every single bit. Second, get acquainted to the new RNs, especially those who may be working in the same unit or same building as you are. I made a friend from orientation. She works in East campus and I work in West. Once in a while, we plan on a get-together and it is nice to know that you can talk with someone who's in a similar place as you are! Trust me, you will look to these people for support, and it feels good to give them support too!
My clinicals were not enough to prepare me for my job to be honest. Facilities have different policies so I'd say learn yours as you go. I print policies and take them home and study them. That helps me a lot feel prepared and know what I'm doing and why.
They will probably assign a preceptor for you. Work with your preceptor as closely as you can. Ask questions; don't hesitate. I had preceptorship for 8 weeks before I was on my own. My preceptor and I had 4 patients and we worked together. There will be so much information but they will get reinforced the more days you work.
MedSurg is very dynamic; there's so much variety. Most of my clinicals were on medSurg but there's a lot of things I have not experienced during nursing school
until now. These are good opportunities for you to learn.
You will do good! Again, one day at a time. Know your resources, ask questions, and know your facility's policies. One more important thing is that nursing is a team effort. Build rapport with the other nurses, nurse techs, PT, RT, and anillary staff-they will help you get through times. Good luck to you!