Take a deep breath. I'm a first semester nursing student, also. We did long-term care the first sixth weeks, and just started our second rotation for this semester at the hospital this week. They are totally different animals.
For our first rotation, we were shown around the facility and oriented on where to find what we needed. We knew going in what skills we were going to have to work on; patient histories, and head to toe assessments. Our clinical instructor paired us up for our first day at the LTC facility. That helped because most of us have no medical background. You can always ask to see if this is something that would be allowed. We were required to have an assessment book and RN notes pocket guide. We all carry our with us to each clinical, as well as our PDAs.
As I said, we just started our hospital rotation this week, but we seemed to have more time with our clients in the hospital than we did in LTC. I took the same items with me, but we are able to give meds now, and will be doing check-offs for injections this coming week.
Just be patient with yourself. If don't know something, don't be afraid to ask. The anxiety level will go down once you get in there and start doing it. If at all possible, practice on families and friends for assessments.
Are you going into LTC or a hospital? What check-offs or skills are you expected to perform once you start?
Good luck, and try not to stress too much. The facility employees and clients you care for know you are students, and the clients I've dealt with so far have been very patient and sweet.