Shift change. Lights blinked and bells dinged in front of almost every room on the 40-bed telemetry unit as day shifters reported off. I organized the Kardexes on my six patients, quickly stapling them together and fan folding them so I could see at a glance what meds were due for each patient and when. I had the last 4 rooms in the longest hall. The rooms were the farthest from the Pyxis.