1) Can you close your unit during the busiest med times - say 0800, 1200 and 2200 for an hour. This would cut down on the number of visitors around that could interrupt you.
2) If you do go to some vest to identify med passes make sure it is taught on admission.
3) Do you use single med packages or those bubble sheets? With single med packages you keep the meds in them until you are beside the patient with the MAR. Utilizing the 5 rights here should cut down on mistakes - also when coming into the room let everyone know you are giving medications so please hold questions until the end.
In all reality you are probably not going to significantly cut down on distractions - nursing has evolved (or perhaps devolved
) towards a customer oriented care which means when someone stops you and asks for something, you will mostly need to answer them.
Kidding suggestions: (maybe a bit serious also)
1) Carry a gun on your med cart - shoot the first person in the leg that interrupts you. Afterwards say loudly "please don't interrupt me until I am done dispensing medications." Continue with your med pass.
2) Switch all meds to night shift. Close the unit to visitors after 2100.
3) Have 2 nurses on every med pass - one dispenses while the other answers any questions that come up.
4) Place large headphones on during med pass. Have the MARS prerecorded onto a player that you listen to while dispensing.
5) Practice the mystical art of ninja nursing. Be invisible. Sneak into the patient's room. Slam all meds in at once. Throw down smoke bomb to confuse visitors and allow you to "disappear" from the room.
Hope at least some of these help