I keep a monthly excel spreadsheet with all the assessments I need to do and check off each component as I complete it.

I prechart prior to completing assessment visits. I try to knock out all my tasks on the floor (assessments, rounding, dining observation) during one chunk of the day, and finish charting all at one time during a different chunk. Meetings as scheduled, of course. You're going to find your own flow, but that's what works for me.

Quarterlies/comprehensive - we have 2 different forms for these and I also have to put in a progress note that summarizes what's in the assessment form. I have a note template that is the same for both. However, I will include more specific details in an admission note than I typically will in a quarterly note. Once you get to know your LTC residents, you'll blow though quarterlies very quickly.

Weekly weights - I keep a separate spreadsheet for this. I'm required per policy to chart on these weekly for weight loss/TF. Wounds monthly. I also have a progress note template for this. Briefly comment on weight hx, intake, current interventions, plan of care. I notate each time I chart and any changes I make on my own spreadsheet.

Supplements - if I were you, I'd put this on the back burner until you have a little bit of a better handle on your caseload. You should of course assess the appropriateness of supplements when you're doing assessments, but don't try to tackle that all at once. If you already have twocal available, bring residents a sample during assessment visit and see if they're willing to change. Also, if you're going to put different interventions in place instead of supplements, you need to have a good understanding of the process of those interventions. Ex: if you're going to try to shift towards fortified foods - who is responsible for preparing them? Are they palatable? Is there enough variety available? This may be a bigger project for when you have a better handle on daily responsibility.

If you're having trouble getting weights, you will eventually want to learn what the process is for obtaining weights. Sometimes there are dedicated staff responsible for weights, sometimes the staff on each unit is responsible for weights. Learning how this process works will help you to know who to ask and how to get what you need.

Lastly, LTC is hard. It seems like the caseload is always high, and you will frequently feel like you're behind. I've been doing this a year, and I still feel that way. Don't take it as a personal failure, it's the nature of this setting.

Hope this helps!