I will start off by mentioning that I am a very task-oriented person. After all, skilled rehab in a nursing home involves multiple tasks that must be completed.
I worked on a subacute/short-term rehab unit at a large nursing home/SNF several years ago, and here is how I used to organize for the day. I worked 16 hour weekend double shifts, from 6am to 10pm every Saturday and Sunday. I typically had about 15 patients to care for. At the beginning of the shift I would go through the MARs and TARs with a fine tooth comb, and as I go, I would jot down the things that needed to be done in my personal notebook.
My notebook was how I organized each shift, and I usually wouldn't forget to do anything. Here is how one of my really old notebook pages looked (names have been changed due to HIPAA):
DIABETICS, FINGER STICKS: Agnes (BID), Catherine (AC & HS), Bill (AC & HS), Wilma (AC & HS), Rex (BID), Jack (BID), Edith (AC & HS), Margie (0600, 1200, 1800, 2400)
NEBULIZERS: Margie, Edith, Bill, Jack, Jane
WOUND TREATMENTS: Jane, Bill, John, Jack, Lillian, Rose, Lucille
IV THERAPY: Wilma (Vancomycin), Linda (Flagyl), Rex (ProcAlamine)
COUMADINS: Agnes, Catherine, John, Lucille
INJECTIONS: Agnes (lovenox), Jane (arixtra), Rex (heparin), Bill (70/30 insulin), Edith (lantus), Mary (vitamin B12 shot)
ANTIBIOTICS: Wilma (wound), Linda (C-diff), Rex (pneumonia), Catherine (MRSA)
1200, 1300, 1400 meds: Margie, June, Rose, John, Jane, Jack
1600, 1700, 1800 meds: Rose, John, Rex, Lucille, Lillian, Linda
REMINDERS: assessments due on Catherine, Jill, and Louise; restock the cart; fill all holes in the MAR; follow up on Jane's recent fall, fax all labs to Dr. Smith before I leave, order a CBC on Rex...