hi Rnurse2! so sorry you're going through this. I think it's great that you want to be a great nurse and have set your sights on that - some nurses sadly don't. That said, agree with previous posters. Get a customized brain sheet stat. I get to work at least 15-30 mins before shift change to read up on my patients, find out what times meds are due, what has been going on, etc. If you haven't swiped your badge (ie 1900 or 0700) then don't answer those call bells. Take that time for you. Fill your pocket with flushes, alcohol swabs, IV caps, claves, etc to save you time having to go back to the cart to get supplies. Put a granola bar in the other pocket
to take care of yourself!
Are you on a med-surg floor? if so, 1:7 nursing might be ok. 1:20 for CNA?? no way - I would talk to your union, trusted other RNs, or maybe your manager. You have got to get support with the low level tasks in order to succeed with the RN tasks. A thorough discharge or 3 checks on the new medication order are far more important than bringing an LOL to the restroom. Plus, why would your hospital want to overpay for the task, if a CNA could have done it? I hope you get the clinical support you need.