Everyone passes meds late. It's a matter of basic physics, you cannot be in multipe places at once. Ive always wanted to ask the DON to work one shift with me shadowing to see how exactly they could pull off such magic. I tend to help cnas a lot. Falls must be prevented, and I do not have the heart to ignore people with legitimate concerns and requests. I called out one day, and the cnas told me how hilarious it was to watch the DON, ADON, and unit supervisor running around like chickens with their heads cut off trying to get all the meds done. I prioritize insulin, bp meds, Coumadin, narcs, and other meds that are very time/schedule dependent. Meds that were obviously unnecessary (a huge problem in ltc especially) and vitamins, eye drops, and other less dynamic meds were saved for last and were often late. You just do your best to keep everyone alive and safe. Unless theyre stupid and naive, that is all they can expect from you.