I agree with all of the above posters, but I definitely have to have my "brain" to stay organized. We have report sheets that are one to each person, I work up one of those on each pt if I can (doesn't always happen.) And then I have my "top sheet/to do sheet" that has a grid with the hours down one side and enough columns for each pt. There I will list meds and must do schedule time things (as in Q4 NGT residual checks) Then I can figure out a mini "game plan" for the day (although it usually gets thrown down by 0800).
If you can, see if you can get a job description for your aides. That way you know what they can do and what you can delegate. We got a copy before getting off orientation. Also, if you are in the room giving meds at 0930 and the pt happens to be a Q4 vitals that are due at 1000, I go ahead and get vitals on that pt and help the aide out. I try to help the aides out when it is feasible, and it seems the aides are more responsive if I ask them to do something.
Lets see if I can post a copy of my "brain" so you can see what I am talking about too:
We carry phones to get in contact with each other, thats why I have room at the top for nurses and PCTs, so I can write their numbers down and have them ready if I need a cosigner for a med. I also have things that need to be done Q8hr Assessments, Q shift charting, Notes, tele strip checks, i&o, iv fluids cleared. That way I can cross them off as I chart so I don't have to worry about double checking before I leave.
Shift To do sheet-12.doc