I know firsthand that starting your grad year is no small thing. Walking onto the ward for the first time felt like stepping into another world - one where everyone seemed to know exactly what they were doing, except me.
It was overwhelming, exciting, and to be honest, terrifying. If you’re feeling the same way, you’re not alone. Every nurse has stood where you are now, wondering if they’d ever find their footing.
Here’s what I’ve learned: confidence isn’t something you show up with - it’s something you build, moment by moment, shift by shift.
It grows through small wins, leaning on your team, and learning as you go.
This pocket guide is here to help you navigate the challenges, celebrate your progress, and remind you that you’ve got this, one shift at a time.
Who wrote this Guide?
Emma Piercy | Ausmed
Emma began her nursing grad year in 2020, quickly stepping into a preceptor role for new grads and students before moving into ICU at one of Melbourne’s largest tertiary hospitals. She still remembers the uncertainty of those early days and knows firsthand how overwhelming the transition can be. Now in a non-clinical role at Ausmed, Emma works in innovation, bringing the voice of clinicians into the content and products that support healthcare professionals throughout their careers.
Starting out: Surviving day one
The first shift can feel like chaos - so much to learn, so many new faces, and that nagging feeling that you should already know what you're doing. But no one expects you to be perfect.
Breathe
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First days are overwhelming, I’ve been there. Take a moment to ground yourself when it feels like too much.
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Ask questions
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No one expects you to know everything - clarity is always better than guessing.
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Pack essentials
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Bring your name badge, a pen (or two), a small notebook, and snacks. Trust me - no one works well on an empty stomach.
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Buddy up
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Introduce yourself to someone on your shift, whether that’s another grad or a new colleague. A friendly face can make all the difference.
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Facing the known unknowns
In university, you learn the theory - but the reality of a hospital ward is something else entirely. You’ll constantly be faced with situations where you don’t even know what you don’t know. That’s okay. The key is to start with the basics, ask for help, and trust that with time, it will start to make sense.
Prioritisation made simple
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Tools like ABCDE are your best friend - use them as the basis of your decision-making.
Focus on safety first - patients’ lives always take priority over paperwork.
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Ask for help
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I leaned on phrases like “Can you show me how to…?” or “Do you know how to…?” more times than I can count. Better than okay, it’s the smartest thing you can do!
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Stay organised
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Write down tasks in order of urgency/priority and tick them off as you go.
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It’s a marathon, not a sprint
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Grad year isn’t about knowing it all on day one - it’s about learning over time so try not to be too hard on yourself.
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Small wins = Big confidence
Confidence doesn’t come from mastering everything overnight - it comes from those small moments when you realise you’re improving. It’s easy to focus on what you don’t know, but recognising what you’ve learned already can help shift your mindset.
Celebrate tiny victories
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Made it through handover and actually understood most of it? That’s progress!
Explained a procedure to a patient without stumbling? You’re getting there.
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Write it down
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I kept a notebook during my grad year, and it helped me more times than I could count. Jotting down what I’d learned not only became my go-to reference when I needed to double-check something later, but it also boosted my confidence knowing I had it in my back pocket.
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Find your mentor
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Whether you connect with your preceptor, educator or a fellow colleague, having a mentor can significantly help you in your grad year.
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Feedback is liquid gold
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Ask your colleagues for one thing you’re doing well and one area to improve - it’s all part of growing.
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Leaning on the team
Nursing can feel overwhelming, but you’re not expected to do it alone. The best nurses I’ve worked with weren’t the ones who knew everything - they were the ones who worked well with their team. Leaning on the people around you doesn’t make you less competent; it makes you a better nurse.
Nursing is a team sport
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Those calm, confident colleagues you admire? They started where you are and are almost always happy to help you.
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Speak up early
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Struggling with something? Let someone know before it becomes overwhelming or unsafe.
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Learn by watching
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Some of the best tips I picked up came from simply observing experienced nurses.
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Share the load
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When you’re stuck, ask for help - your team is there for you, just like you’ll be there for them one day.
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Finding balance in the chaos
Grad year is intense, and it’s easy to burn yourself out trying to prove yourself. I learned the hard way that saying yes to everything and pushing through exhaustion isn’t sustainable. The best thing you can do is learn how to set limits and take care of yourself early.
Set boundaries
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It’s okay to say no to extra shifts or responsibilities when you’re already stretched thin.
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Prioritise rest
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Sleep, eat, and take breaks when you can. You can’t care for others if you’re running on empty.
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Recognise burnout
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If you’re feeling disengaged or overwhelmed, talk to someone.
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Have a reset ritual
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Whether it’s a walk, a coffee, or a good book, find something that helps you recharge after tough shifts.
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Your Grad nurse confidence checklist
Some shifts will feel like a win. Others will leave you wondering if you’re cut out for this. The key is to notice the small moments that show you’re getting better.
- Managed to complete one shift without feeling completely overwhelmed.
- Asked for help when needed - and didn’t feel bad about it.
- Celebrated a small win, no matter how tiny.
- Took a break or did something for yourself post-shift.
Looking ahead
I learned that your grad year isn’t about being perfect - it’s about finding your rhythm, learning from your experiences, and building confidence step by step. Some days will feel like a win, and others might feel like a struggle - that’s just how it goes.
I can promise you, though, that over time, the things that feel hard now will become second nature.
One day, you’ll look back and realise just how far you’ve come. You’ll find yourself guiding someone else through their first steps, remembering exactly what it felt like to be where they are.
Until then, take it one shift at a time, trust the process, and don’t forget to give yourself credit for everything you’re already achieving.
You’re exactly where you’re meant to be.