Your facility must have a medication administration schedule in place. Depending on size of your facility. So you can stay in compliance with your med pass.
You have to have a time policy in effect for each unit.
The only way we give meds different than this schedule is for residents that have an order to give certain meds at times other than scheduled med pass.
BTW, my synthroids are given at 0600(by 10/6), coumadins at 1700.
ABT are given according to order, QD, BID,TID, w/food, etc.