I am struggling to get though my afternoon shift 3pm-10:30. I secretly DO NOT combine med passes as my fellow nurses say "there is no way to get through 40 residents with 5pm AND 8pm passes, everyone else does it". Here is my problem... they are right. I end my nights circling passes. Should I be leaving these passes blank, or circling with comment "sleeping" at 11pm? The med pass alone is overwhelming in such a tight time frame... btw, this is the dementia unit, several wound treatments, diabetics, etc. how do you do it? And YES only 2 residents don't have pm meds, and 35 have both 5pm and 8pm med passes. ANY SUGGESTIONS PLEASE