that's a very interesting change. why are they moving the carts out if i can ask? are the residents going after the cart when the tech isn't right near it? at my facility we would usually have another staff member keep guard while the nurse or med tech handed out meds.
i'm not a nurse, however worked for some time in a ltc facility as a supervisor.
what about the ones who want their meds with their meals? do you just need to care plan it? - if you don't have a large number of requests like this, maybe a tray with the meds could be brought around with the meals. this way everyone is happy and orders for the meds that need to be given with food are followed out. if this just won't happen where you are, then save these meds for after the meals and go room to room (if you can't catch them afterwards).
do the residents like it better than getting their meds in the dining room? - we had some residents that really did not want to have their meds in public. some saw it as a non-verbal sign that they were ill, and some just wanted the privacy. some of our residents took their meds together as a group... they called it "vitamin time".
how do you adjust for time? - some mornings we would start early, and go around the rooms while residents were getting dressed. come to think of it, the timing actually seemed faster this way instead of wandering around a dining room.
i think we are so used to passing meds in the dining room that we are going to freak when we make the change. - i understand how you feel about this. i don't know how many pts you have, but i think it will go smoothly once everyone has had a few days to get used to it.
all the best!!!!