What would you do in this situation?

first assess the resident, check for any s/s , call that previous nurse and ask why he/she forgot to write the order, report to the doctor and find out if there was an order, needs to be an order written since it was just left on the report sheet, if the doc has no clue then call the Don. Sometimes it is like CSI- you have to play detective, communication works if you work it lol!! Why are some of the new nurses so darn afraid to notify the docs? all they want to do is get on the fax machine. I went to a training from our state surveyors a couple of weeks back and they say CMS says a faxed critical lab with no return call is not going to cut it. I use to as a charge nurse -GOD FORBID make rounds before taking report, then get report, nurse aide assignments, transports and do treatments, pass morning meds, ( did not have med aides back in the day) then had a list and called all the docs told them about things I needed for each of there people and wrote orders, called pharmacies and charted I was much skinnier then. lol is this unreasonable to expect charge nurses to be charge nurses?? I had one cry to me " how can I get all the things I have to do done and check to make sure the nurse aides do there charting.? She wanted to know if I just came up with this?? ok will stop ranting but you get the picture.. am I being unreasonable??

That's the same as ours. I wouldn't call someone for a UTI. It can wait until the morning.