I typed my brain sheet up on word, so I can just print a couple out on the day of my shift. I divided sheet into 5 patients, I left an open square big enough to place a patient sticker, and I have areas to put patient's Diagnosis, diet, ambulation (assist x1-2, walker, self, etc), fluids, allergies, history, orders, and labs/diagnostics. I also have a little corner over to the side where I've typed "foley, telly, 02, accucheck" and if the patient has any of these I highlight it. Then I divide the back of the sheet so I can write anything extra on the back. I've also found it really helpful to make up kind of a grid, where I have patient room numbers across the top and times down the side (for example I work nights so box 1 is 1800, box 2 1900, etc) and that way I can write in my to do list for the night in a way thats very easy to reference, and it gives you an organized place to jot notes to document later. Best time management tips I've learned so far is bring a bag of fluids with you into the room and just hang it up with your first round, even if the current fluids still have a while yet to run, that way rather than running to the supply room all night when your infusion is complete you just go switch it over. Also try to fit as much as you can into each trip to the patient's room. DO NOT BE AFRAID TO DELEGATE! I hate telling people what to do, so I end up doing a lot of tasks that a CNA COULD do and it costs me a huge amount of time. This is a personal problem I'm working on :/ hope that helps!