Hi nurse friend. I worked LTC as my first nursing job, and was there for 14 mos.
I have always been high-energy, a GO GO GO until I hit the wall type. I am very efficient passing meds and with time management.
At my facility we had 1 hour before and 1 hour after the time the med was to be given (with certain exceptions), with a patient load of 50.
I'm delighted to see that you have 30 and get 3 hours, this is not the norm from what I've experienced and heard of from my nurse-pal's, but this is so great for a new nurse to help get your footing. I know its difficult now, but i swear it gets easier.
1)know your PT's MAR like the back of your hand. Once you know that Mr.Jones gets X,Y,Z, you are now just flipping through the MAR for any changes in orders.
2)you need to time yourself. How long does it take to pass to each resident? mine was about 2-3 mins. In, out, done. If youre taking more than 6 minutes for each (since you have 30 and 3 hrs) you will be late. So aim for 4 or 5 minutes per resident.
3) do not chit-chat with the residents or their families.. It's ok to say hello but get right to the passing of the meds and then get out. If any family has issues or something they'd like to speak to you about, let them know that you are doing med pass and have a tight deadline, and they can head on down to the supervising RN for any general questions or whatever. If they must speak to you, let them know "ill be available at ____ time, after my med pass, I apologize, but I need to ensure every patient gets their medications; just as i ensure your loved one does, every day."
Also, I saw that you say that you have 3 hours for med pass @2100, but you are starting at 2000...
so that would mean you're passing meds from 2000-2300?
Ask admin what the earliest you can start 2100 meds at? If youre given this 3 hour window, i would assume that means you have 1 1/2 hrs before 2100 and 1 1/2 hrs after to administer, meaning you can probably start at 1930 and end at 2230..
Ask your facilitys admin or your supervsor.
Hope this helps friend!!