FOOD, the amount of food I see wasted every shift is tragic.  A patient will have just returned from some kind of procedure (OR for example) have a diet ordered and a tray shows up immediately.  Now this sounds great, but the problem is my patient is barely awake.  So then the tray is wasted.  This at least happens constantly in the neuro ICU.  This system of getting meals is a complete waste.  It is very easy to order a tray in Apex and I feel trays should not be sent unless requested for.  For example, there should be a way to release trays in Apex just like we do for blood transfusion.  Very quick and efficient!  I just feel upset seeing all the food wasted and I would love to somehow audit how much is lost per year.