I'm new to LTC and have been out of practice for a year and a half. I'm doing well and coming along with my meds, but something happens in the middle to end of my med pass and I get side-tracked, dragging with my last 2 rooms (quad occupancy rooms - yay!). Now my last 2 rooms are almost all crushed meds, so I find myself doing my rehab/easier patients first. Is that a bad idea for me? Usually it's not a simple request, like a straw or something. I guess I get sucked into feeling like every patients' whim is a priority for me. I know one patient in particular who is a time sucker and I'm going to work on streamlining her, but I feel bad telling a patient to wait when the CNAs are all in the middle of doing their cares. In the 3 weeks I've been on orientation, I don't think I've ever felt like I was going to be able to administering all of my meds within the +/- 1 hour time frame. How do you deal with time management during your shift? I'm 7-3 and my patient load right now is 16-17 patients. I work with another nurse on my unit who has the same patient load and 2-3 CNAs who do feeding, bathing, etc. I realize that this is a pretty decent assignment and staffing, right? I know time management will come with more time but I'm super scared of staying over past my shift and getting in the way of 3-11. I find myself getting anxious and wanting to rush even though I know I have to go through the MAR and do my 5/6/7 rights. Do I just have unrealistic expectations of myself?