Hi, Ortho Nurse here as well, I get to work at 630 am, get my assignments, READ PROGRESS NOTES! Check read all the orders from day one (at this point I don't write anything)I take on report, with the patient's chat in hand right on my COW, get my report, verify IV, PCA, dressing site, drains, telemetry, LOC, pain, pulses, wake up the patient just to say hello, and make sure they are ok, update the board with my phone number, then name and nurse tech info. It sounds like a whole lot, but it doesn't take more then 5 min/patientThen I will write my day planner, one page per pt, with a sum of the H&P, hx, allergy, all active orders, meds and times, and plan of the day....Then I cover my blood sugars, if needed, get some breakfast, pee, and it will be 8 am, which it's time to assess all pts, head to toe with in room live charting, cover their pain and take vitals, At 9 am I will draw 10am meds for everybody, one at the time, and place at the pt specific bin, then I have spare time to investigate the chart, help ambulate patients, take report on a new pt, or complete a morning discharge,10 am, I pass meds, ambulate, make beds, give baths, change beds ( I try not to use my tech to spare them some work!)Then I just monitor, ambulate, cover pain, assess, reassess, change dressings, deal with doctors,e eat lunch, pee as much and as many times as I need, take 5 whenever! Admit, discharge throughout the day, at 6 pm I say good bey, wrap up charting, offer help to other nurses, at 7 pm I give report, rethink things and off I go!