It's normal to feel anxious about stepping up to the plate and taking care of people. As a nurse you are going to be in charge of caring for them. Everyone has anxiety, even those without any history of anxiety. Most people, including myself, deal with concerns or doubt by falling into a routine and challenging ourselves. I always get report, do a quick look at the pt and infusions, then read the charts, check the MAR, check the labs and x-rays. It's same everyday b/c that's what works for me. You will start to form routines and good habits. Then, everyday won't seem so much like a curve ball. Your confidence will build and when the curve ball does come, you'll be able to hit it. Your fear will be a driving force for your goals. I was terrified of starting IV in the beginning. I did miss a lot. But after a while I got it and never looked back. If a pt told me I had one shot to start the IV and would go grab someone else. But then, it didn't bother me anymore. Id say ok, and if I missed, I missed. Oh well. Most of the people that say you got one shot usual are people who go to hospital all the time anyway. All the little things wouldn't bother you after a while. If there is something that terrifies you, then you make sure you do it over and over and over. And remember that you are still learning. No one is nurse-of-the-year right out of school. A student who is anxious about taking on the role of nurse is better than a student who is over confident and complacent. The latter is the nurse who ends up killing someone.