A simple memo sent around from the DON could address this issue. We had this issue on med/surg with swing bed patients. Everyone wanted new orders on someone elses shift. No one wanted the routine meds on their shift. So a memo was sent around saying all meds were given at certain times. None on nights other than stat, nebs, abx recently ordered, or those required without food could be given at 0600. It was clear no meds should be given between midnight and 6am, unless a stat order or prn. Once a day meds were to be given on days in the am, period. Other than certain things like coumadin, etc. that are routinely given in the evening. Once a day abx were to be given on whatever shift they were ordered. If it happened to be between 0000 and 0600, the next dose would be transferred to the morning dayshift med pass. It cut out a lot of multivitamin orders for 0600 and baby asprin orders for 0000 type stuff. It was to be a more rare thing for meds other than prn to be given at 0600, 0000, or anywhere inbetween.