You know, this kind of thing... the hospital's "we have to do it this way because this is the way we do things" attitude is one of the reasons why I left hospital nursing. I can't deal with this kind of backwards rationale. "Why do we give the Prevacid at 7am? Because that's what time we give it here." If there's not a real reason why the PPI has to be given at 7am or at 6am, it's stupid to insist that it HAS to be given at that time. People who take this medication at home don't take it at precisely the same time every day just like I don't take my morning medication at the same time every day... I'm ddAVP dependent on BID dosing... I usually take my meds around 9 and 9 but if I sway from the norm, it's not a big deal. If I sleep until 10am on the weekends, I take it when I wake up. If I have to get up at 5am to drive 5 hours to New Jersey as I did on Saturday, I take a fractional dose (enough to prevent me from breaking through on the drive) and then get myself back on my normal schedule during the day. When I was in college, I would take my night time medication at 9pm on weeknights but sometimes not until 2 or 3 am on weekends.
If I was a patient on either of your floors, the nurses would probably label me a "difficult patient" as I'd be refusing this med if the hospital insisted I wake up at the crack of dawn to take it. The only scheduled PO medication I have ever woken a patient up to take is decadron... and that's for patients who were on it q 6hrs following surgery. But, even then... try to get them on a 9, 3, 9 and 3 schedule- give them the 9pm dose before bed and then wake them up between 3-4 and do everything... VS, neuro checks, meds, all at once. I rescheduled meds every day of my life as a hospital nurse... our system was so dumb that if a patient was admitted in the middle of the night and ordered for "daily" meds, it timed them all to be given at 3am (or at whatever hour was closest to when they put the order in). Not when they take them, so we retimed them to the appropriate times. For some patients, maybe these were night-time meds that they'd just taken at 11 or midnight... were we going to give them again because that's what time they were timed for? No. Were we going to waste our time calling the Resident (who we finally got to enter these orders for the patients' regular meds after physically handing them the list and reminding them 3x) and telling him to enter a different start time? No. And, you know, the system was so stupid that even if the MD ordered a "daily" med and wrote a comment "give at 12pm", if the order was entered at 3am, it got timed for 3am. It was always the nurse who did the retiming. All BID meds were automatically timed at 8A/8P but, again, for some patients that wasn't when they took their meds. If I'd had to call the MD every time I needed to retime a med, I would have done nothing but stare at the MAR for 12 hours on end.