I am new to home health nursing...but have been an RN for almost 10 years. I found out a few hours ago that one of my patients is being hospitalized for a PE. I admitted her to home health on 1/7. (She was actually my very first pt I admitted) I was going over her d/c summary from the hospital and nursing home (she was in short-term rehab. She'd had a mitral valve replacement 12/19) She had a prior history of DVT and had been taking Coumadin, but stopped it a week before her surgery. (So she hasn't been on it since 12/12.) I was going over her d/c summary, and the doctor had told her to stop taking Coumadin, and they didn't reorder it once she got home. Should I have caught that and called the MD and asked if he wanted to restart it? She had seen him at a follow up visit on 1/10, and it hadn't been reordered. Instead, she had been taking 325 mg Aspirin. I feel bad in that I think I should've caught that and called the doctor when I admitted her. AM I feeling bad over nothing? (I don't mean "nothing" cause having a PE is kinda a big deal) but I'm wondering if I'm being too critical of myself. Any thoughts would be appreciated. Thanks.