You will definitely need some form of paperwork to get organized. Whether you use a clipboard, or just staple a few sheets of paper together. The instructors in our hospital (and I'm sure in most) are big on infection control, and HIPAA so you want to make sure you're not leaving your papers anywhere. A lot of the students like to keep them folded in their pocket (I know, one more thing for your pocket!) Other essentials for your pocket would be at least 2 pens, a few 3 ml NS flushes, a few red caps, tape, and alcohol swabs. I never go a day without stocking my pockets with any of these (unless I'm in charge). Then, you want to write down all of your med times (noting any critical meds that have to be given on time, such as antibiotics, Parkinson's meds, seizure meds, BP meds, etc.) Some meds are given multiple times a day, and giving them late would screw up the patient's whole schedule. Everyone has their own way of organizing and you will find yours. A good tip would be to watch others. Observe those that appear the most organized, calm, and collected. That's what I did. I looked at several of my orientor's sheets (with their permission) to get an idea of how I could organize my own. They will help you determine which things are crucial to write down for that specific floor (such as a Hct/Hbg level for a post-op, recent V/S, any drains, O2, diet, how they ambulate). Having organized sheets and writing everything down, I found to be the most helpful way to prioritize, and maintain good time management skills. This way you have a plan, you know what you have to do. Of course there will be the unknown, unexpected events that occur, but that's the fun part! And that's what helps you learn! Good luck!