It's hard to stay on task. When I have a doc telling me that patient A needs a NG dropped NOW, patient B just went into afib with RVR, patient C is climbing out of bed and trying to fall, patient D needs a blood transfusion for a hgb of 6.3, patient E is showing s/s of acute CVA, and patient F just got to the floor from the ED, and I have calls out to three different docs at the same time....well, let's just say it's a mess.
I manage to get it all done and still take good care of my patients. I've been on the same floor for over five years now, so that helps out a lot. There are a few nurses who manage to get it all done but end up staying over two hours routinely, and a few nurses who don't give good care but get out on time. Most fall somewhere in between.
Prioritization is key. That's why they drill the ABC's into your head in nursing school
. Eventually you learn to juggle it all, or else you get to have chats with your NM.