I don't think its about good nurse/bad nurse, working hard/working smart. It is truely about time management and it will come, give youself 3-4 months though.
I work 3-11, 30 residents in 16 rooms (10 diabetics) -and I sort of break my shift up into time slots, and set goals within those time slots, and on a perfect night (HAHAHA) it works something like this.
3p-5p Report, count, stock, finger-sticks, (give meds with insulins to diabetics) and give meds to rooms 201-206. (these room consist of 6 of my 10 diabetics)So this point I usually have 16 of my 30 first med pass completed. (I then take a 10 minute break)
5-7 Finish med pass for remaining 7 rooms, (on a perfect night) I finish around 6:30-6:45. If so I will assist the CNAs with feeding.
7-8 Lunch or Charting (The other nurse on my unit and I switch lunch times)
I try and get my MC and alert charting completed at this time, call pharmacy, or return phone calls to family etc.
8-10 2nd complete 2nd med pass (This one is much smaller) and HS blood sugar coverage. 2 weekly skin assessments, and any treatments that are needed. (take another 10 minute break)
10-11 Finish any charting, (skin assessments) do any paperwork, fax Dr. orders, order meds, etc. Chart I&Os, BMs, Report to oncoming nurse, count narcs, clock out.
Now it doesn't always work-out perfect, but it does more often then not. I have found that setting the "goals" allows me to realize if I am getting way behind, or if I will have time to assist my CNAs a little more, or extra time to spend with a resident, or family member.
Good Luck to you