I echo AirforceRN, especially on the caffeine. I have a familial tremor thats always there as far as I can tell. If I do a decent job of getting enough sleep and laying off the caffeine AND KNOW MY STUFF INSIDE OUT going into skills lab for check off, I shake a lot less. when I dont do a decent job on all of those controllable factors, I quiver. It is not fun. I mentioned the shake to my MedSurg proctor at the end of my prior clinical cycle and she looked at me and said 'well most people shake, especially when doing something new'. progress not perfection