This is what you need to do:
Keep in mind the 5 rights: right med, right dose, right time, right patient, right mode of administration. No hospital P & P is going to encompass more than that. If it does, you just need to focus on the 5 rights, PLUS whether someone is allergic or not.
You don't state if you are a new nurse or not, but it sounds like you might be. Keep a Nurse's Drug Handbook
on your Med cart, and if you have any questions about compatability or interactions, try to look them up-WITHOUT consuming too much time. If you are really unfamiliar with meds, make a list of the ones most commonly used on your unit (regular and PRN's) and use your handy little reference book at home one weekend to become more familiar with what you are administering.
When you are looking at the MAR (medication administration record), be sure you have the right room & the right patient name on it. Be sure you do not give a one-time only or D/C'd med. Otherwise, get your med cup out & write the name & bed number on it, open the med drawer, and put the little unit-dose packets in the med cup. If you use a tray, do each patient on your team the same way. Then, carrying your little tray, pass the meds, opening the meds at the bedside, and being sure that the patient swallows and does not "cheek" the meds. NEVER leave meds for patients to take by themselves. If they are in the bathroom, come back to them.
If you are using a med cart, do the same little med cup process, and do both patients at one time. That way you only have to go into the room once.
Also, check your MAR at the beginning of your shift and periodically through the day. If there are IVPB's that need to be obtained from Pharmacy, or mixed on the Unit, or need to be removed from refrigeration to warm up a little, be sure to do it so they will be ready to hang at the appropriate time.
By all means, if you have questions, ask another nurse, or call Pharmacy. If you do all of these things, you can just about forget the P & P book. Of course, if you have an odd med to administer, or an unusual protocol, it is always best to check the book, to be sure.
Good luck on being a more productive, accurate, med-passer! (-;