Though I do not work in LTC, I can relate to your problem. Time management is something that all nurses deal with. I am improving (slowly), but it is a challenge. I have two tips. One: When I was a new grad , I had a more experienced RN give me a time line of how she prioritized tasks during the shift (ie when we got report, when the narc count takes place, when the first med pass/assessments were done at x time frame, then at which time the meal was served, then initial charting was started at Z time, etc.) . Another trick I am still implementing is to "set goals" for the day. I try and pass my meds 30 min before the scheduled time if possible (and if I have a pt's meds due @ say, 9 am and 10 am... if not contraindicated, I will give them both at 9:30am to save a trip).
I like to set a goal to have my charting completed by "X" time of day (not always met!) & get my I/Os into the charts by a certain time, too. One thing that REALLY helps organize my day is at the start of shift, I write a time line of the hours of my shift, and I write in the times of the med pass, and blood sugars, and work the rest of my nursing care around that. So, for me on day shift, 9 am is a big med pass time, so I try and do other procedures like dressing changes, ambulation, etc. during non peak times. Ask your coworkers what tips they have, and if they see you wasting time or working too hard in any one area. Critical feedback can be helpful. It's all about prioritizing. It's a true art! This link has some good advice:
Good luck to you! Let us know how it goes. It should get easier w/ practice.