**Im a new grad RN with 2 months experience**
I work at an assisted living facility. One of our residents is on Coumadin. A lab tech comes and draws her blood at our facility and then the results are sent to her cardiologist. So the labs were drawn at 5am on a wednesday. The day shift nurse called the doctor asking for new coumadin orders (PT/INR levels were fine) he did not respond. The coumadin is given at 4pm on my 3-11 shift. If faxed the doctor and called him requesting new orders, i got no response. the next day the day nurse called and faxed and got no response, so i tried again several times on my shift and still no response. The pattern continued the next day until finally a nurse for the cardiologists office called.
At this point the residents coumadin dose had been held for 2 nights because I had no new orders. She told me "you put the resident at risk by holding the dose, you should have given the coumadin, you didn't need new order, you should have known to continue to give the same dose unless we specifically tell you to hold the dose, you didn't need to have orders to do that"
Was I wrong for holding the dose without new orders after trying many times to get them from the doctor? Is she right and should I have given the dose when the labs came back without a new doctors order if the INR was fine??? I had the lab reports but not a Drs order to continue on the same regimen. Normally the Dr or his nurse calls our facility or faxes and says to "continue the regimen as it was previously"