Some institutions aren't lucky enough to have NA's help with morning care, leaving the RN's to do it themselves. Throughout nursing school I cared for one patient except for in my adult med-surg rotation, where they gave us the option to have 2 patients closer to the end (which of course I did, many of the other students chose not to, especially on our last day bc they wanted an "easy, last clinical day"
). As a student, we were responsible for everything, including AM care. We didn't even focus on delegation until I did my preceptorship but even then they rarely had an NA/tech working the days I precepted so that left myself and the RN I was following to do all of the care ourselves, but we only had 3 patients (I precepted on a cardiac surgery/VICU unit). You just learn how to manage your time. Realize that some patients can pretty much do everything themselves and might just need help getting set up or something. if you have patients like this, set them up, then go tackle your total care patients. the more you do these skills, the quicker you get and you begin to learn your routine...soon you'll be juggling AM care and everything else with ease (I remember my very first bed bath took foreverrrrr