No we have have four carts for all of the residents, but two people do the main med pass while there is a third person to also do the med pass and do most of the paperwork. On top of that there are two nurses on duty and another person who is within health services that can pass meds, so communication is really key among all of us when it comes to passing meds. I always make sure to sign the MAR, however, others I work with don't. To be honest, one of the reasons I sign the MAR after each pill is prepared, is so that I can avoid med errors by ensuring that I actually punched that pill. And our meds are prepared in little cups with lids, and each lid has the room number, resident name, and time for the med, on the med cup. It would be great if our building was small enough to push the cart around, but with 3 stories and four wings, one med pass would take us forever.