My dear, don't stress, remember EVERYONE you work with- including your DON, the NP's, MD's, PT/OT, CNA, RN, LPN/LVN, they all had first jobs and sucked in the beginning. No one is an expert right away. It takes time.
2 weeks is still a short amount of time. You literally need time, and alone time to get your rhythm and see what works best for you.
Have a notepad with you besides your med sheets and take done all your notes. Like the faxes and what to do when you get labs, etc... write everything down and refer to it when it comes up again. Program all phone numbers in your cell- pharmacy, diagnostics, NP, your DON, unit manager and any sweet co workers you think would answer a question if they aren't working. Use this forum as a resource honestly.
Go on pinterest and read little tips on how to get by, go on IG and see what other nurses do and what tips they say.
LTC is rough, high pt load, I know, I've worked it, well only covered shifts, I work Sub-Acute.
My suggestions are:
1. take notes whenever you learn something new.
2. highlight important things
3. save those phone numbers
4. make sure your CNA has taken the vitals before you start med pass so you have all your BP's, HR and temps ( if you need to do an intervention)
5. look through your tx for the shift- write down which rooms have tx and a simple note like- sure prep to heels, packing, kerlix, etc. if it isn't a short and simple tx you will go in the chart when you get to that pt.
6. med pass- start at beginning of hall, pop all your meds, if both pt in the room are PO, take both in and label the cups A and B
7. Someone isn't in the room, pop the pills still, label it, sign it, and move on. When you see them, give them their meds.
8. round 1 med pass done- start tx. start with more time consuming ones first, if anything happens, you don't want that one to be the last one at EOS when you're running around.
9. tx done- chart if you can.
10. med pass 2- same as before
11. tx in between again
12. med pass 3
13. finish all tx, do your daily charting, change of conditions, etc.
you have to get a pace going to really master it all, it doesn't come after 2 or 6 shifts, it takes time. Nursing isn't a "same thing everyday job". everyday is different, so you just have to see how to stack up duties at certain times. Time management comes with experience.
Feel free to PM me if you need to vent or have tips. I struggled in the beginning a lot, but now I feel confident in what I do and so happy I became a nurse