It helped me tremendously to have a "cheat sheet", the nurse that helped me with orientation gave me some great tips as I went along, eg; does a pt take meds whole, crushed, g-tube, whatever, if pt. takes meds better while still up or after they have been put to bed. (I also started on 3-11). I would get all my supplies together for afternoon accuchecks, insulin administration etc., I am big on lists, I had a list of pt. that had to take meds before meals, 6p and hs, how they took them, and even sometimes how to approach certain pt. that may have a hx. of refusing meds. It does take time, but it does get better, 3-11 to me was a tough shift to work, as pt. had meal, showers, and all had to be assisted with hs routines, with limited staff. It seemed like all the pt. wanted to go to bed or the bathroom at the same time!! Not to mention that staff had to have a break somewhere in between all the demands! We are fortunate to have some wonderful CNA's, they really care about the pt. It is impossible to get everything done sometimes, just make your priorties, I was often told by my DON, we are a 24/7 facility, we can't always get it all done in 8hr, that's when it's really important to have teamwork. I feel at times like I am "passing the buck", but sometimes it just can't be helped, and if you stop and think about it, there are times when the nurse before you will run into the same problem and you may have to pick up something that was left unfinished from 7-3 shift, it's not intentionable, it's just the nature of the beast!! Don't be too hard on yourself, do the best you can and you will be fine. You will get your own routine and it won't take as long as you think. If there is anything I can help you with, please feel free to contact me. Good luck and congratulations on your new position!