Thanks to everyone who replied. Unfortunately, I think I'm even more freaked out now. The unit I work on is a step down unit. Folks with wounds, post surgical patients, patients that need a course of IVAB's and the like. Since the med-surg floors are kicking these folks out earlier and ealier, we have some pretty sick folks. Our license is actually almost the same a nursing home though and in a lot of respects, the work load is similar. We are full at about 25 patients. I do all the C.S.'s, three quarters of the admissions, (which are many), all the meds and all the charting. The meds are heavy and some nights it's literally all I can do to gets the meds done on time using the good old traditional med cart. The idea of going back and forth to this new Pyxis for each individual patients meds sounds absolutely impossible. I guess I'll find out soon enough.