We still work based on priority but have to factor in giving meds on time. I work nights so my patients need to sleep and I need to do my chart checks and try and make calls before it's late. And more procedures are done during dayshift, so the patient may be gone part of the room. And if they need to be prepped for something, all takes time (and prioritizing). But on top of that, you have bed alarms, an incontinent patient to clean, family, etc. I do agree with you that those who do it more, rank it higher, and I wish I had time, but it's difficult. And not to start anything with the ED staff, but I always have some sort of mess to clean when I receive patients from the ED, but that's more likely my particular facility.