Are you with a preceptor again? Is it the same preceptor or a different one? I would definitely ask for some feedback from them.
Time management is a skill that is learned over time and probably one of the hardest things for a new nurse to grasp, aside from learning how to be a nurse, lol. Don't sweat it.
Do you have a brain sheet? This can really help you organize your day. You can do a search here on AN, or I'm sure Esme will chime in and post some *cue Esme*
It sounds funny, but I get lost without my brain.
Aside from having all of the pertinent information that I need to fill out, there is also a list of times on my sheet, going from 19 to 06 (I work nights) in a straight line. I briefly look each of my patient's MARs and circle whatever times I have meds....this usually means 21, 22, 23 and 06. If the patient is diabetic and needs their blood sugar checked, I usually write "AC/HS_______" so I can write the value on that line. I highlight it. If the patient has an order to check their blood sugars Q4H, I write "20 _____ 00 ______ 04 ______" or if Q6H I write "00 _____ 06 ______" and this helps remind myself. If a patient needs a urine or guaiac I make sure to write that on my sheet and highlight it.
Everything else just depends on the patient. Say I have a patient with a PEG tube and there is an order to flush with tap water Q6H. I will make a little box next to each time so I can check it off when I complete it. If a patient has ordered neuro checks Q4H, I do the same thing. I hope this isn't confusing you!
Try to cluster your care as much as possible, and cluster your meds. If you have meds due at 20, 21 and 22 and there are no contraindications, give them all at 2100 instead of giving one at 2000, coming back with the 2100 meds and again with the 2200 meds. Save your "talkers" for last. If you have to do a dressing change during your med pass, save that for last, too.