However, I must admit that the complete and total meaning of the poem somewhat evades me. I'm not sure what you are exactly trying to portray. The only thing that I could suggest is that you could make the pervading situation clearer. All in all, an excellent poem. I'm afraid I don't really understand where the idea of the orphanage comes in, but I'd like to know.
Nurses hand out medicine like delicious candy.
I would be interested in a little background on where, when and how you came up with this poem. I guess that is my advice for you, give more background on where that poem is coming from.