During my first semester of clinical I felt nervous before every clinical. It was because I was doing new things every week and never knew exactly what to expect. By the end of nursing school I was no longer nervous before every clinical and felt more confident. It just takes time! My advice is to write down your specific worries, make a solid bedtime and morning routine, and write down a list of everything you need to do at clinical. You may want to journal to process your feelings or talk to a therapist if you need more support. I think it's a good thing that you have a cautious personality and want to keep your patients safe. Safety is always the #1 priority in nursing. At the same time, you need to learn how to do all the skills and you can't let your anxiety overwhelm you. The only way you can make sure you won't harm anyone and are doing skills the right way is to practice! You should volunteer yourself to do things like vitals and blood glucose checks. You should tell your clinical instructor that you need more practice and maybe make more time in the skills lab. I promise the more you practice the better you will feel. In terms of being excited to do skills, I think most nursing students get excited to try new things but you aren't out of the ordinary. A blood glucose check isn't exactly the world's most exciting thing. You may go to the OR or ED and think those skills are exciting and your classmates think it's all boring. It all depends on your perspective. Good luck!