Vitals

I work in a typical ltc facility. We have a combination of medicare A, medicaid and private pay residents. We are going to pointclickcare program in 2 weeks and just started training today. In the past when we gave blood pressure medications there were only a few where we would get bp's before giving them everyday. The house dr. may order weekly bp for people who are on the med for a long time etc. This program won't let you give bp meds to anyone without having taken a bp to enter. The day staff is trying to figure out how to get our med pass done on time if we can't start it right away. The aids do our vitals, but even if they went on got vitals on all their residents first, instead of getting them up, dressed, groomed and to the dining room, we still wouldn't be starting our med pass for awhile, not to mention the residents would not appreciate being late to breakfast and having to wait to toilet. The aids rule is they are supposed to have vitals in by 8, which also isn't always practical for them. So-they have them in by 8..I give no meds till them? Other option being the floor nurses should go do their own vitals on 20 residents? Before med pass? Do you see where I'm going with this? To further complicate things I believe we only have one or two bp med that even have a hold parameter. This isn't the only facility I've been to, and the others didn't do vitals before dressing or feeding either.

Anyone use point click care? Anyone have a facility where you don't give meds until however long it takes you to get vitals on all your residents? Noticing that some of you have 30-50 residents I'm sure that would be impossible.