I found this hard to believe, but in the facility I am currently working in the "official" proceedure for a med pass is "pour", "document" then "pass". I was actually reprimanded for pouring, passing then documenting! I work in the skilled/short term unit of our facility with a very rapid turnover rate. In essence I have a different set of patients from week to week which makes it difficult to know their preferences. There are occasions when I will ask the patient if they are ready to take their pills... then go and set them up only to return to their room and have them occupied or unable to take them at that time. I usually save the meds instead of wasting them. (imagine chucking a couple of sandimmune because the patient was sitting on the toilet, or working with a therapist...not practical at all....) ~*~*~CurlySue~*~*~