Being nervous is normal! I felt terrified before my very first rotation and I always felt nervous the first day of clinical because I wasn't sure what to expect. Just remember - you're not alone and everyone will be in the same boat as you! Just read over what your instructor's expectations are the first day - make sure you have everything you need and read up on very basic nursing skills. They won't have you fiddling with IVs or doing complicated dressing changes your first day!! Yes they will just throw you into it but skill-wise they will ease you into it as well, if that makes sense
Thinking about my first day...my school makes us do clinical prep work (we have to go to our site the night before and get information on the patient, develop a care plan and look up all of their meds) - but only up until senior year (we also didn't have to do prep work in mental health or OB, which we took our junior year). For my first rotation, we had the same patient for the entire semester because we were in a LTC (unless the patient passed away or something :X). Since it was our first rotation, we didn't really focus on assessments, but we practiced listening to heart/lung/bowel sounds. We did VERY basic patient care (bathing, turning, positioning) and administered medications - PO, ophthalmic and topical stuff only, no IV stuff. We were only allowed to give injections after we went over injections and passed our injections skills test in lab. My patient was comatose and also the only one with a PEG tube so I learned right off the bat how to administer meds, which involved crushing them, etc etc etc...it also gave me the opportunity to teach the other students in my group and also give them the opportunity to administer meds in the tube to give them experience
You will be great, I know it! Don't stress
And remember - no question is a stupid question! By all means, ask your instructor! This is new to you and you are in a learning process. You can't be expected to know everything and be thinking like a nurse right off the bat. This is a learned skill. Also, take advantage of EVERY opportunity that comes up in clinical. Answer call lights if you have free time and ask the other nurses if they need help with anything. If you find the nurses are doing a dressing change or something, ask if you can observe. Ask your fellow students if they need help with anything. Although you have to meet minimal expectations in clinical, your experience is what you make of it
Things I brought with me:
* storage clipboard with extra papers/forms (you can find these at Walmart or stores like Office Max/Office Depot...some have a calculator on them too which is really nice)
* bandage scissors, tape, hemostat (I really never had use for a hemostat other than to clamp a PEG tube, occasionally clamp a foley (usually they have clamps on them but sometimes they don't) and also for clamping a chest tube. I really just use the hemostat to put my roll of tape on and then I clamp the hemostat to my scrub pants or something...it frees up space because sometimes tape can be bulky...I also notice that when I have tape in my pocket, my pens/etc get sticky :/)
* BLACK pens - I like the clicky ones bc you don't have to worry about the caps
* drug book
* my school made us buy this pocket guide called RNotes - it's pretty helpful! I always brought that with me.
* ID badge(s)
* In my bag, I would also bring a snack (like a granola bar or banana or something) and a small amount of cash ($5-$10) for lunch if I didn't bring my lunch with me that day.