Hello! I too am a new-grad (May 2008)- just passed my boards! Yeay! I started on a neuroscience unit at a major teaching hospital two months ago, and have an amazing preceptor. One of the best pieces of advice that he gave me is to try to use your time you spend with your patient to the max! While you are doing your physical assessment, talk to the patient to determine LOC, level of orientation, etc. . . while you're listening to lungs/heart have them wiggle their toes and fingers. You get the picture. Also, I tend to find that helping the PCAs with AM care is a great time to not only perform some of your neuro assessments, but also to check over their skin. Believe me, your PCA will appreciate you helping them out and it's much easier to position patients with help.
Remember to be careful of your back! Never be afraid to ask for help with T&P or moving a patient OOB to a chair or whatever. You will not only be looking out for yourself but also the patient- less likelihood of a fall.
Besides this, pay attention to the way senior nurses manage their time. Everyone has their own routine, but I've gotten better with mine by stealing their ideas! LOL
I've found neuro to be challenging but very rewarding! When a person's brain is involved, you never know exactly how things are going to manifest- and things can change dramatically very quickly!! Just be sure that no matter how you perform your neuro check, make sure it's thorough!! A slight change could signify something major! I had a patient in my second week who's pupils were equal and reactive at the begining of the shift. Four hours later, one was slightly larger than the other. Called the MD, got a CT scan and low and behold the patient had an emergent hemorrhage!
Best of luck with everything! Hope this helps a bit!