I work in california, have worked in the same facility for 3 years, have never been written up for a med error or been disciplined for my work ethic in the er. I received a phone call today from my manger stating that the verbal order from the pa for 1 mg of dilaudid was not signed by the pa and that the pa stated that the verbal order was never given to me and the pa filed a formal complaint against me stating that i was acting as a md and was called to have a formal hearing with my union rep about my job. I not only got the verbal order from the pa but also confirmed with the md....who i am hoping recalls and will sign the order off........the comment made to me was that the pt already received 8 of morphine.....which did not relieve the pt's pain.......and s/p xrays was vocal and crying s/p a motorcycle accident with a r/o fx to the left ankle. Pt had a hematoma from the ankle to the shin and a previous ankle fx. It was approx. 45 mins to an hour.....before the dose of dilaudid. It is standard practice in the er that we take verbal orders.....as we have 1 or 2 md's on and maybe a pa......at any given time and on nights we have one md only. I would never act out of malice or give a pt any medication if i did not think i had an order. My job is on the line here.....i need thoughts and prayers please......