So I work on a med-surg floor with specilization in oncology and are the floor for our contract hospice patients. I picked up an extra day shift this past weekend and at 1745 I get report from our IMU for a patient who is a DNR, comfort care only, possible hospice referral in the AM...she had originally had breast CA with the onset of massive infection and was in multi-organ system failure. The family had, had her extubated over a week before this decision to put her on hospice and she had actually been coded down in vascular surgery the night before when she went in for emergency placement of a dialysis catheter to try to treat renal failure. Anyways, per family's request, she was to be given 2mg Morphine q2hr, alternated w/ 1mg Ativan q2hr, so every hour she would be getting one or the other. I had no problem w/ this b/c I knew she was actively dying, so why not let her be most comfortable, after all, the painful cancer tumors were still present, the fact that she can't 'verbally' express her pain is the only factor missing. The family was refusing vital sign checks on our routine schedule as they didnt want to know what exactly was happening. When I gave report to the night nurse she seemed very uncomfortable with the med schedule that was prescribed for her. When I told her that we were not hastening the patient's death, she quite frankly said, "Yes we are." I am a little upset at her reaction mainly d/t the fact that there is so much mis-information out there about pain control at the end of life and I am concerned that maybe this may have prevented her from providing the meds on the before-stated schedule throughout the night, resulting in great patient/family suffering. I called to check on the patient around 11pm that night and my CN said she was still w/ us but after that I haven't heard any updates. Anyways, what I guess I wanted to clarify was if by 'agreeing' to this med schedule for this hospice pt., was I being 'Nurse Kevorkian'? Last vitals before transferring to our floor was BP 100's systolic and O2 sats in the upper 60's; pt. was unresponsive and agonal breathing when I received her. Any thoughts?