Got a spanking today from my DON and am I steamed! God forbid that we run over the legal time limit for our med pass...ever......We have always been in compliance during our assorted inspections but sometimes our day to day morning routine is more like salmon swimming upstream to spawn...I am on a dementia unit and I think myself and the other 2 regular staff nurses have the pass down pat-we have worked hard to learn exactly how to encourage each one of our residents to comply....Our unit clerk is out for who knows how long-so the phone rings off the hook....The cna's ring the call bell constantly-they have not quite figured out that we are both on the floor working-not sitting at the desk....between other depts at the desk sucking the life out of us with endless questions and confused residents dumping juice on my MAR I was at my wits end....I was interuppted way too many times and that is a recipe for a mistake-but a resident's needs do come first-I can't let some poor gal stand up and fall over cause I have to get the meds out in time,can I? And then she threatens me with the 2 med cart scenario-not a good idea on this unit-our lobby area is where we place folks that need to be observed-if both nurse are out on med pass together what happens out front? Why does she not come to the floor on the days that the med pass f-l-o-w-s smoothly? I am proud of one thing-after all of these years I ahve finally learned to keep my MOUTH shut....Instead of debating all of this crap I just said " I will try to do better" and that was the end of it.....O I love my DON but about some things she is way out of date and dealing with dementia is not her forte.....She was on the unit one morning and call bells were going crazy-we were answering them at the desk but not getting a response...well-One of our gals was out there collecting them....My DON just could not understand how that could a happen! Anyway_ I am glad that I can vent here....I will have to not let myself be interrupted too much-I can always tell the other depts to go to the charge nurse(and pull her away from her treatments and such---she has all day to do them) and when a cna needs help with a quick lift I guess I can refuse....Sure....It's a loose-loose situation....argh!!!!!~