Normally you are hopefully finishing up the med pass if it is set at 20:00 and you start at 19:00 until 21:00. I can usually get it done around that time but it depends on how big the unit is and how complex the residents are... blood sugars, insulin, neb treatments, wounds/treatments, tube feedings, trachs. After I get done then restocking the med cart and cleaning up. Then you gotta chart (daily, weekly progress notes, Medicare). I try to get a chunk of charting done during the 18:00 time but that depends on how many orders were left for me and how many providers rounded and left their orders. If things have come up, care plans are made, labs to order, faxes and provider updates for when they come next, report to the supervisor for their house report. Pharmacy comes with the bigger shipment on PMs by me and that can mean between 21:00 or later. Normally later when I am trying to do my bath sheets and filling out incidents reports if I find anything on them. Count narcs with my neighboring unit, report from CNAs, tape report, finally go to the bathroom :)...and hopefully go home on time.