If you are giving a med once a day and your MAR shows it is due at 0900 and you are giving it at 1100 you are not giving it at the ordered time. The state will ding you for that. You can not day by day decide what time you want to give a med. Your facility may have a protocol that you are required to follow but I am very sure you are not changing times meds are given on your own day by day. You and I dont have authority to decide on our own whether or not the two hour rule is old and should be discarded or if it is still relevent. If you doubt that, call the state and tell them you have decided not to follow that rule. That comment is a perfect example of why the state inforces those rules in spite of what a particular nurse thinks about it. I am curious what state allows you to give a med without a time listed? I am sure it is not mine. Does every am and pm mean I can give that antibiotic at 1100 and 1230? How about Norco BID, 1200 and 1400? Protoni every AM, is that 1130, 0600, 0300? Yea right. There are recommended times to give any med and your facility is following them just like the rest of us are.