Great advice above. My biggest advice would be to cluster care. How my shift typically goes is I get report using a brain sheet I've developed to work for me. At the bottom I have empty space to write my "to do" list for each patient with check boxes so I can physically check off when I do something...this includes vitals, tele strip, fingersticks, meds, etc. I then prioritize my patients and go see each one while doing my head-to-toe assessment. This usually leaves me with about 30 minutes to chart afterwards so I get through a couple patients flow sheets. Next I make my first med pass, again prioritizing the patient. Depending on the circumstances this usually takes me an hour to get through all my patients. At this point I typically am able to finish most of my charting including education and notes. I then round back seeing if anyone needs help with their meals or to go to the bathroom, in pain or whatever. I then will go back and make sure I've completed all the orders, read old notes to try to figure out what the plan is for the patient if I haven't already and prepare myself for report off Eventually it'll be time to do another med pass. Finally I make sure my brain sheet is filled out appropriately in order to give report because I refer to mine the entire time, otherwise I would most definitely miss something.
Point is, many things such as giving report come in time and take practice! Come up with a better brain sheet that works for you and get yourself into a routine. Know that each shift is definitely not going to go as planned but do your best to go with the flow. Utilize your aides! You can do this! Good luck!