I have been an agency nurse in the past X many years. I worked primarily 3-11 shift. Let me add a few good tips to what's already been suggested: carry a clipboard to keep your papers together. Take careful notes from report for pts. with problems and place little square blocks on your sheet for important checks (labs, antibiotics, pain issues, etc.), last FS results and which need 4PM FS, be sure that PTs are in for those on coumadin (sometimes labs are late, and you need to give MD call to get coumadin dose), after report gather CNAs together and give quick report so no surprises later (pts. out on MD appts, off floor for whatever reasons, those who need wts., etc., then obtain the 4PM FS and give covering doses, start 5PM meds, check diet slips for meals on meal truck, finish 5-6PM meds, supper break by 6:30PM, return and flag treatment book, do treatments which don't require bedbound, start 8PM-9PM meds, after finished then complete PM treatments, complete nursing notes and other documentation, give report to 11-7 nurse (and supervisor if required). Hope this helps. Don't forget to check those records flagged with MD orders if they sneak up to the floor while you are on the med cart---I know they are capable of this.