I have recently accepted a position at a hospital who uses the old fashioned med system of meds in drawers, and a ledger sign out system for narcotic.On one unit, I have to give 30 patients meds every two hours throughout the shift, with large doses of narcotics at HS. Probably numbering around 200-250 different meds a shift.I am systematic and organized, but so far have not come up with a "system" that works for me, with multiple interruptions, emergencies, etc. I have tried pre-pouring them, leaving the blister packs on the pills, to allow a double check when I give them. But I never can pre-pour more than about 12-15 patients before it is time to give them. The patients come to the window to get their meds, and always want additional prn's. etc. It takes me 2-3 hours to give HS meds. Does anyone have suggestions for the old fashioned system? And how to get this done more efficiently, but safely? The med drawers for each patient have blister packs inside labeled plastic sleeves, with the dose, the brand name, and the generic name. I want to be quick, efficient, safe, but not spending the whole shift giving meds, as I have other duties also.