I would ask your DON about the sharps container. You want to get organized and get a routine down as soon as possible. It will be so much easier and once you get a good routine going, you wont be staying so late after your shift. Also what works for you, may not work for someone else. I can share my routine and then maybe you can tweak it for your style and your patients.
I just recently relocated and currently looking for a job, but my last job was in a LTC and I worked day shift (6am-230pm) on the sub acute/ rehab unit. I averaged about 26-30pts with a team of 3 CNAs.
The first thing I did in the morning after recieving report was check the calendar for appointments and/or doctor rounds and made sure the proper paper work was ready. (Sometimes the night nurse was too busy to complete the paperwork.)
Then, I would make sure the med cart was stocked and ready to go. I also made sure my partner and I had enough supplies in our coolers (juice, applesauce, puddings, water ect...)
Then, I would take all vitals that were scheduled for the day and those that needed to be checked prior to meds; start any breathing tx that were scheduled, and any blood sugars that needed to be done (most were done on the night shift except those who were with sliding scale). I would also check on any patient concerns that came across during report (ie..someone had a fall, SOB during the night...)
At the same time, if any of my AAOx3 patients were up and waiting for me at my med cart, I would go ahead and give them their 7am meds.
I would also try to change any dressings that needed to be done prior to the patient getting up for the day.
I would have all the above done by 0730am on a good day with no major problems and then start my major 8am med pass and on a good day complete around 1030am. Now I had my fair share of interruptions, patients fall, the phones are always terrible and assist the aides with their patients. Trust me, I have had days that were horrible...it only takes one patient to throw the whole routine off. There was this one patient I had, I literally spent the first two hours of my shift on...she was very unstable and i was doing my best to get stable while at the same time trying to get her shipped off to the hospital...but the doc wanted to try everything to keep her with me first...
You will have days like that...lots of them ...but you have to remember two things: ALWAYS ASK FOR HELP and YOU ARE ONLY HUMAN!!
You also need a good cheat sheet. You can find some good templetes on this site or you can google them. I had on the top of mine the vitals that was needed, a space for bloodsugars, input/outputs, daily weights, and a space for my notes. A good cheat sheet saved my life. Trust me, once you get into a good routine, it wont seem so crazy. Good luck, hope this helped.