Congrats on starting clinicals! Here are a few things I wish I had known/ learned the hard way/ knew but was still taken aback by in my first semester of Clinicals:
1. Even if you can't administer a medication, if your nurse is willing to directly watch, you can prepare it. (For us it was mandatory that our instructor supervised ANY and ALL medication administrations, but preparing meds, even programming pump, was permitted so long as it was the actual RN who administered/turned the pump on). You can get a lot of experience this way, but just double check your school's specific policies.
2. I think our schools clinical paperwork was a little weird, but in my first 2 semesters of clinicals it was not due at the end of the clinical day, but instead a few days later. This is a great time to learn everything you can about the disease process(es) you encountered that day (and make your write-ups/care plans really good). My paperwork always took me until the day it was due, but the amount I learned from taking the time I had was invaluable.
3. ASK QUESTIONS!!! Also, keep a "note sheet" with you to jot down little things you learned or things you want to follow up on later.
4. Volunteer/request to do things. One of the things I told my assigned nurse at the beginning of my shift was that I really wanted to be able to do as many hands-on things as possible, like preparing meds and performing nursing skills (maybe pick one or two that you would really like to try and name them specifically). If she knows this at the beginning, it is more likely that she can accommodate you. As not all schools are the same, if you need to have your instructor present for med administrations and invasive skills, make sure you also tell your nurse this.
5. Do not let the nurses intimidate you. Sometimes you may have the unfortunate experience of getting a nurse who does not want you, or worse you may outright experience nurse bullying, do not let it get to you. Stay professional at all times no matter how your nurse acts. Communicate with your instructor if needed, and make sure you get what you need to do your job. Also, do not do things you know you are not allowed to do or you do not feel comfortable with. I would suggest learning what CUS (Concerned, Uncomfortable, Safety) words are and how to use them early on just in case you ever find yourself in a situation in which you need to use them and to help prepare you to use them when you become a nurse. Here is an article that can give you a little more information about CUS if you are interested: Safeguarding patients: The courageous communication solution
Also, on a side note, if you have zero hospital and/ or medical experience at all, it is OK just to do more observing than actually doing on your first 1-2 rotations, but after that, get in there! Just ask questions and try to do things you can! Whew! sorry that was so long!