this is what i used to do, and i worked between 3-11:30 and depending on what unit i was on had 10to 30 pts.
on subacute, i had 10 pts.
when i first come in, i get report, count narcotics.
when i'm done with that, i check the chart rack for orders. i will do as many as i can, then leave ones that are not stat, now, or essential (like labs for the am) in the rack for later.
at 4pm, i start meds. first i do all my accuchecks. then i go back and do meds.
i usually finish around 5pm. then i finish my charts, do any admissions that come in, start their paperwork especially to order their meds.
when dinner comes up i help pass trays, help feed if necessary, and monitor.
i then go to lunch, sometime between 6 and 7pm.
after lunch, i start my charting, finish orders, check my charts for missed orders.
at 8pm i start my evening med pass.
when i'm done, i finish my charting, do my treatments.
if docs come in (and they do during the entire shift) i do rounds, process their orders, start IV's, hang others iv's if they don't know or are agency (policy), draw bloods, collect specimens of all types, call docs for clarifications of orders or to relay lab reports, assess pts that require it for c/o CP, SOB, etc, supervise the aides, hang the tube feedings, help other units who ask for my help, answer the phones (no secretary), answer family questions, answer patient questions, finish morning admissions, try to finish afternoon admissions, write out report on 24 hour sheet.
all shifts have their own "duties" to do in addition to the above. like midnights has to check to coagucheck machine, and the glucometer. they also are responsible for all routine blood draws, perform all the daily INR's.
Dayshift has to do all the discharges (usually) and also reports INR's to MD.
it's very busy!!! especially until you know your unit, and your pt's. ask the nurse to point out unknown people, make sure you check their armbands (even then they are sometimes not on), ask CENA's to point out people.
when getting report, ask how everyone takes their meds. it helps if you know little things about the pt's, like one only drinks cranberry juice with their meds, etc.
walking rounds are the best, and make sure you eyeball everyone of your pt's. this helps when you gotta do medpass.
30 people is a lot of people, too many, in my opinion. but, that's how these places are run.
it does get easier as you learn the flow of the unit, but it takes time. maybe a couple weeks.
it also helps to come up with a unit specific sheet to cross off what you've done.
ask also if your unit has a shift responsibility sheet. this helps you know what the aides and you are resonsible for.
remember safety is number one. if you don't think you can handle the assignment, refuse it.
make sure you get a good orientation, and ask for more time if you need it.
we have a lot of acute care nurses come through to work part-time or PRN. they tell me it's very different!!!