Its NOT you. I work in LTC myself and let me tell you once you get the med pass down you will be fine. You need to learn your pts and use your judgement. I am a agency nurse and at the facility i work out there are 5 units and I can tell you that I dont think any of the med passes are easier thatn others on the floors, you need to be more CONFIDENT in yourself, it makes a HUGE difference in your job performance, trust me this comes from experience!!! I during my med pass do NOTHING but that unless there is an EMERGENCY!! I dont anwer call bells,pass trays, help lift etc....you get too distracted and A make a error or get behind. I have a great set of CNA'S that i work with and they know i will help when and if i can. I also dont think when you are NEEDING VITALS to determine weather a med is to be adminstered or not you should let the CNA'S take them, TOO ME THATS WAY TO RISKY and I need/want my liscense. I also know that the general rule is ONE HOUR BEFORE AND ONE HOUR AFTER but i can say from experience I dont think that really happnens most days but I come pretty close, just give it your best effort and you will be ok, there isnt anyone standing over your shoulder timing you!!! Take it easy you will be fine...its your floor and your pts......learn how and when they get there meds and the best way to get them into them as well. I have some that I only give them meds when they are eating and some that get meds only in a drink.......you will find your way!!! good luck