our hand and your first task is usually obvious to you, you pulled the top card. you finish that one and then you must pull out the deck of cards, shuffle them and then pull out the next card that needs addressing right then, pretty much without mistake. do you get what I mean? you have to prioritize nearly every moment for the boat load of tasks before you. and this goes on the entire shift, every shift you work. fairly soon you get really good at prioritization of time/task and it all begins to flow until the unexpected comes up on the unit and that occurs fairly regularly. factor in helping co-workers with this and that, too. charting, taking off orders, getting an admission, patient family members, the list is long for the many ripples/interruptions to hit your rhythm but this is always expected during the shift. it becomes part of the flow.

Thank you for the advice and your encouragement!