It is really difficult to have that chatty pt and have to leave because you have other pts to care for. I just got off orientation and admit that was one of my problems too. I'm just tooo nice for my own good. I don't want to cut someone off and be rude, but I've learned ways to get around the "looking rude" thing.
Always have a smile on your face when you tell them that you have to attend to something else, and asure them that you are never far away if they need anything. Can't stop them talking? Keep backing up toward the door, and when you get to the point of no return, let them know that you will be back. If you do that, make sure that you go back at some point in time. When you go back let them know that you only have a couple of minutes between things that you have to take care of. This lets them know that you care about them enough to come back, but you have other things to do as well as listen to them. Over time, you will be able to listen to them and program a pump at the same time. While they are talking, keep taking care of business. Check their IV site, IV pump, foley, PCA, dressing, anything to make you look busier. Then when you are done, you can say, "ok, well, I see you have your call light.....you know that I am never too far away. Call if you need anything." There are some pts that you know are chatty from the night before that the next evening, you have to go in and say hello, tell them how long you will be on shift, and let them know that you are caring for six others that evening. Most people understand the nursing shortage, and if you tell them that you are their nurse, but you have other people that you are caring for, they are less likely to take up your time. Then you have control of when you talk to them. I've also gone in when there are visitors. Said hi to all, and said, "Well, I'll let you visit.....". They then get the feeling that you care about them just because you stopped.
I know that all of this sounds like tricking the pt. but sometimes we have to use different techniques just to get it all done.
I've also posted my method of organizing my "brain" on another thread on this forum. so, if you want to see it, look for the other recient thread on organization and you will find it there.