Im only a second year, so my management skills are still developing, however i'm going to pass on some advice a very good nurse gave me!
1. You don't 'tell' people to do, you suggest it and let them think it was there idea! Ie if i wanted a patient to do excercises following a TKR, i wouldn't tell them to do it. I'd remind them, and suggest ways to make it easier, or drop it into 'well if you did some excercises you may find your less stiff in the morning'.
2. Make a plan for your day. At the end of handover, and for each patient (say you have 12, 6 in each bay) you seperate the back of your sheet, or a plain piece of paper into 3, one columns for A bay, another for B bay and a third for 'URGENT'. I then put the patients bed numbers down the side and seperate the 3 boxes into 2, one for Am jobs and one for Pm jobs. I'd tend to leave the PM jobs empty, unless a patient has a test booked, or something like that at a certain time. I'd then write down, in the am column all the jobs that need to be done between 7.30am-12pm, in adult nursing these are things like bloods, washes, morning and lunch drugs, maybe a wound change if its a quick one or anything that has been handed over. I'd then liase with the HCA's i'm working with, and delegate tasks- such as do you want to take this bay, or can you spend more time with x patient, they need extra help. Then at around 10am, when ward round starts and most of the patients should be washed and before obs start, we'd have a mini meeting and catch up, maybe they'd pass info to myself or my mentor about what has been done, anything they may noticed (aka patient a may be worried about her husband) obviously i'd expect things like SOB or chest pain to be reported ASAP to nurse in charge!
However does that make sense, you plan your jobs, have a mini meeting with those that work with you, even a quick minute natter at the station, and then catch up halfway, update, tick of jobs that have been done and you can also start planning your afternoon. I must point out this VERY rarely goes to plan and something always goes wrong, but it has helped me focus on my day and manage time wisely
3. Always ask questions- ask and you won't recieve. Find a response, and go and make sure you understand by doing reading etc!
4. Realise it's ok to feel underconfident! It is OK!! We all feel it now and again, however you have to accept how you feel now and deal with it. It's not going to be long till you're qualified. Speak to your mentor, express concerns and develop an action plan together for the rest of your placement
and finally
5. If it all goes balls up, go in the linen cupboard, have 3 bangs of your head against a wall, have a silent scream and walk out with a smile on your face!