I am an rn at a small rural hospital 4 months in. I had a pediatric post op ruptured appendectomy patient. He was npo about 5 hrs of having him his bowel tones returned so I let him have ice chips he handled that well so I let him have a few sips of apple juice about 2 hourd after tje ice I did not call his doctor to okay this and I have been reprimanded and put back on orientation if I have any more mistakes or complaints from docs or coworkers in the next 30 days I will be terminated. I thought this was what I was supposed to do.