New RN w/ several years of PN experience. Recently started on acute care floor, took a full patient load for first time last week. Well without writing a novel, it was a hot mess. Mainly because I am struggling with how meds are pulled in the hospital setting vs in LTC. In LTC, your cart has the computer with the MAR on top and the meds to be pulled in the drawers right beneath. In my new acute care job, the Pyxis is in the med room and there are no computers with your MAR, just the pyxis record. So for each patient, I'm writing their meds down before going to Pyxis as I have been told, even if you pull meds by time in pyxis, it may not always bring up all meds due, causing multiple trips to med room. Then, once in a patients room, I scan the patient, then go over the MAR again once I scan and accept the medications to make sure I have the right meds. Well needless to say this process is making my med passes lengthy and I've been told by my mentor that I don't need to write meds down because the pyxis and actual MAR will be my double checks. I just cannot seem to find confidence in that advice. What if you miss scanning a med and give the wrong one?! Does anyone struggle with this? I need to figure out a way to be comfortable with this because its making my med passes wayyy too long.