Like Commuter said, most of these residents are stable and don't require head to toe assessments. Once you get used to your residents, you will be able to tell a lot of times, just by the way they look or act, that something isn't quite right, then you would investigate further. This too, is where your CNA's will be your right hand. They do the hands on care and will advise you if something isn't right. If they have a bruise, edema, or they are just not acting right, your CNA's are your lifeline and will let you know. You will still have your weekly, medicare and MDS charting to do each shift or incident charting, on these residents you will want to do a more thorough assessment, but there is no way that you can do your med pass, charting and wound care and still do assessments on all your residents. Just give it time, you will learn your residents, I know it's hard at first, but LTC is a whole different ballgame compared to school and hospital environments. When you get your meds downpat, who gets crushed with what and when, you will have won over half the battle!! Try to keep your meds in the order they are given in the drawer, this will save a lot of time also, you will be able to pick them up and look at them a lot quicker and not have to search the drawer back and forth looking for certain meds. I know 35 residents sounds like a lot, and it is, but it is typical for LTC to have that many and as some posters have stated, even more. Don't be too hard on yourself this too shall pass!! I think all of us that work LTC have felt the same as you do right now. It does get easier over time. If I can help in any way please let me know.