Aside from added wasted hours, the med error rate must have escalated, whether it's known or not.
-What to do if a med requires a HR, BP, etc.? Do you really walk down the hall, get those, walk back and record them, then walk back to give the meds, then walk back to record the meds and other info (such as effectiveness of a nebulizer, or the site of a path), etc.?
-Do you take any form of verification to the room with the meds (med sheet, med card, etc.) to help you prevent mistakes (as in all the 7 (or more) 'rights')?
-What happens if you walk down the hall, or around the corner with the meds that have been removed from their packaging, and the patient is nowhere to be found- what becomes of the loose, unlabeled meds? Back in the cart? Your pocket for safekeeping?? What about a scheduled narcotic, that you've taken out, and the patient isn't in their room? Do you run to and from the rooms to make sure the patient is in the room, before you even start to pour or prepare or draw up meds for each patient?
-What does the consultant pharmacist have to say- has he/she watched a med pass?
-Do you have a staff development nurse in charge of attempting to prevent or reduce med errors? Has she/he attempted a med pass in such chaos?
-This is so wrong, on so many levels, and dangerous, and wasteful of time and probably meds and supplies as well. YOWZA.