I don't carry a ton of papers with me, everyone carries a clipboard. We get the patients kardex printed out which includes their plan of care. When I get the kardex, I find a blank spot and write out HR, BP, O2, etc so when I get those vitals, I can fill them in quickly.
First thing I do when I go into a patients room is I introduce myself, get vitals, do an assessment, writing all pertinent information as I go. Next, I get into their eMAR and check to see when their medications are coming up and make a mental note- if it's one of those patients that have a bunch of medications at varying times, then sometime I write it on the kardex. Next I take care of any other stuff- if they have no plans to go anywhere, then I check to see if they need new linens, new gown, do they need/want a shower, do they need to ambulate. I always ask my patient what they prefer to do when.