You should start writing down your patients and all meds due for that day and whatever else needs to be done for them such as IV change, dressings, ect. Get one sheet of paper and section it off for each patient that way its easier to look at rather than two sheets.If you can group meds together than do that. We were allowed to give meds a hour before and after. So I would end up giving 2,3,and 4 pm meds at 3. That gives you time to chart and call the MD. I would open my flow sheet in the morning before I passed meds. If I had time to open my narrative note I would but, I opened all flow sheets before the narratives on each patient. I could easily add abnormalities and minor details later. I rarely stayed over 30 minutes, most of the time I was out by 1815. I worked LTAC with 6 patients.