PDX is like your creepy uncle. You've gotten used to him, but that doesn't mean he's normal.
In all seriousness, it's manageable at low volumes, but when you're getting busy it can definitely be problematic. I was in the same boat with limited exposure to other stuff, and it's really surprising how many things PDX lacks. Scanning a hard copy RX, image of the drug on screen for verification, detailed workflow notes, moving from one part of the screen to another quickly, an organized queue, etc. We do roughly 150/day during the week so it's not hard to manage, but I can't imagine keeping all of the notes we leave lying around if we did like 300+. Same goes for printing out all the processed labels, it would be a mess of paper everywhere.