I just wanted to let you know that you aren't alone...I'm going through an almost identical experience, right down to the concern about communication and feeling like I'm the only one struggling in my class. The thing is, we aren't. I'm a first-semester nursing student, and after talking to my fellow newbie students, I realized that most of us have doubts and concerns about our performance in clinicals. In other words, feeling like your are running around like a chicken with their head cut off during clinical is pretty normal at the beginning. Understanding that, along with the knowledge that no one expects us to be perfect, helped me a lot. So hang in there--we can do it!