7p-7:30p: Get report
7:30-8: do first assessment and introduce self to patients.
8:30-9:30: med pass
9:30-10: turn patients.
10-11:30: Follow up on any issues that need addressed either with doctors, patients, patient family. Ambulate patients if necessary and able to do so. Give a bath or two.
11:30-12: Midnight med pass
2: turn patients. meds if needed. check orders for lab orders.
2-3: check orders, do goals, and chill.
3-4: Collect blood, do 4am med pass. turn, ambulate, toilet. This is when I do trach care and change tube feed bags.
4:30-6: check blood, replace electrolytes, chill
6: med pass, clear pumps, clean up any charting that is necessary.
I only have 3 patients and I work in progressive care. It differs depending on your unit and this is a perfect night. Often it's not perfect, but I am pretty much guaranteed an hour of time to myself from 2-3 so long as someone is not crashing. Sometimes we have lumbar drains that have to be emptied Q1 hours. Often we'll have a least one neuro stroke patient with Q1 or Q2 stroke assessments. That changes the schedule quite a bit. I do love perfect nights, but they are rare.