CindyLou, I can relate to you AND the RN. I have been playing this game for 23 years and I remember when they started using the med carts, too. They were supposed to be wonderful. Before the carts, we used the Kardex, pill bottles, and little color coded cards on a big blue tray with slots for the cards and places for the plastic med cups. We went into the med room, closed the door and had complete silence and could completely concentrate on what we were doing.All of our supplies were right there. Mistakes were hardly ever made. Then came the cart. We were now out in the hall with patients calling out, co-workers and families interrupting, and all the noise of a busy floor in our ears. The med carts were never stocked right by the pharmacy so we had a choice of pushing it back to the nurse's station to call the pharmacy each time we found something missing or keeping a running list and ending up doing two med passes for every ONE. The individual packaging was a good idea but I didn't like the cart and still don't. We started using the carts when I had been a nurse for less than 3 years. The carts never ended up being the wonderful things they told us they would be. Real soon, they discovered that the individual liquids were too expensive. We couldn't keep the creams and eye drops in the drawers because they had to be exchanged out and the drawer dividers were too much trouble for the pharmacy. The carts never had everything you needed on them. I'm positive the RN you work with is afraid of making a med error by having to change the way she gives her meds. Once you get a "system" and it works for you, you tend to want to stick with it. She is, however being rude by not returning the cart to what it should be for your shift. That continually ticks me off when the prevoius shift doesn't clean and stock the cart. Have you established a rapport with this RN yet? Ask her for advice and get her to tell you some stories from her many years of experience. I'm sure she has many interesting things she could tell you. Ask her to please restore the cart to normal at the end of her shift. I once did private duty for a 93 year old nurse who graduated in 1929 and insisted that we, in addition to our med charting system, do it her way, too. It was hilarious! She had written down the names of all of her meds on a big yellow legal pad and when we gave her a pill, we had to make a mark in the four marks plus a slash equals five format. Each page lasted a month. She had pill bottles stashed all over her house, but knew where each one was. She was sharp as a tack and had been a friend of my grandparents, so I couldn't say much and just went along with it.You're just getting started in the game of nursing and in just a few years you will also experience a change that you wish you didn't have to go along with. The changes in nursing come fast and many, so be prepared. I hope this gives you some perspective, knowing the history of the med cart, and I wish you all the best in your career.