I work in a residential group home. I have 3 patients/clients that I take care of in their home. I partner with a dsp (direct support professional), like a cna but they aren't licensed, some have med aide training. My night starts at 9pm, my patients only have a nurse when they are getting their tube feedings. I count meds with outgoing staff, get vital signs and a blood sugar, I prime the pumps and start each tube feeding, I mix up the meds and give them and do any treatments, topicals, breathing treatments, insulin shots, peg tube changes etc. It's usually 11pm when I'm done with all that. We do dry rounds every two hours and change briefs and reposition. We do a lot of charting and paperwork at my job (although it's basically the same entry night unless some one is sick or something unusual happens) and I'll usually do my first entry at midnight and then every 4 hours after. We do dry rounds and various things throughout the night but, we do have a lot of downtime. If someone is sick the night can stay pretty busy though. After my 7am dry round I'll get vital signs and then start mixing up meds and do my 8am med pass, I'll disconnect their the feedings, flush their tubes and do any topicals or treatments. I'll count meds with oncoming staff and then finish up any charting I have left. I leave at 9am or 9:30 at the latest if it's been a busy night. $17ish an hour.
When I was in ltc I came in at 10:45 pm, counted meds and got report, made a vital signs sheet for the people I needed to chart on, test the glucometer, stock both med carts, the treatment cart and the crash cart. I'd get my insulin from the fridge, fill my water pitcher up and start my 12am med pass. I'd do my blood sugars as I'd go. I'd also changed out tube feeding bags, tubing, flushed tubes, changed o2 tubing and did any bolus feedings on my pass. If I had a chance I'd take a quick pee break at this time. I'd then start doing my treatments, I'd change dressings, change Foley's, iv tubing, do trach care. I'd draw blood for labs and get any urine or stool samples that were needed. After all that I'd try and chart if I could, although some nights it wouldn't get done till my shift was over. I'd usually eat my lunch while I was charting, I never really had time to take an actual lunch break. Plus I'd have to attend to any meds, falls, injuries, illness, hospital visits that pop up (There will be more paper work than you imagined) and deal with any drs orders and things that were "hidden" or "forgotten" from other shifts. Around 4am I'd start getting ready for my am med pass, I usually had between 25-55 patients on this med pass so, it took a while. I had 18 finger sticks and at least 12 insulin shots on the unit with 55 people. I'd finish my pass around 7am, sometimes later and gave report and counted meds. I'd finish up any paper work I had left. My shift ended at 7:15am but, I'd usually leave around 8-8:30am. I've stayed as late as 10:30am finishing up. $14.25 an hour after differential (almost 10 years ago)
I also worked at a clinic for a bit, it was a never ending cycle of, vitals, blood draws, giving shots, calling patients, insurance referrals, making appointments and trying to get the Dr in and out of a room in 15 mins flat to get to the next patient. $12 an hr, years ago.