Pharmacy will send multiple medications through the tube system at one time. Nurses will collect all of the medications and place them in the medication room in a pile on the counter. Retrieving your medication means checking each and every medication that may resemble the desired medication. This can also lead to medications falling on the floor or getting lost behind other items on the counter.
An inexpensive organizer labeled with each room can be used to organize medications. A nurse can retrieve all of the medications from the tube system, take the medications to the medication room as normal, but then sort the medications by room number. This can serve as a second check point to ensure that the right medication goes to the right room. Nurses retrieving medications from the organizer are reminded to check that the medication is correct and not simply assume it was sorted correctly.