It really depends on the unit I'm working and how many meds/treatments there are. I go through the MAR and TAR at the beginning of the shift, and write out the times things are due. Then on my report sheet I write the treatments that need to be done sometime during the shift. (So I can glance quickly at the sheet when I'm at the resident's room). I let the CNAs know if I need to be called when they are doing cares on someone to see a coccyx, etc. I then begin my 2300 and midnight meds. Then I begin my full rounds. I chart my vitals, sign the TAR, etc. as I go. Most of the things like checking O2 sats I do during first rounds. If they need a Medicare assessment, etc., and I know they often call several times during the night for toileting, PRN meds, etc., I might wait until they call to do the assessment.Of course if your shift starts crazy (a fall, a found skin tear, a lot of PRN requests) I might do a quick rounds to visualize everyone, then go back up and down the halls with the cart doing treatments). The only thing I save until the end is my Medicare progress note. If I am on a unit that has a ton of 0600 meds and PRN suppositories, I start those at 0500, the earliest I can.Getting your routine down will help, and that takes time. Everyone has a different system that works for them.