I am currently an RN student doing med-surg clinicals (5th quarter). There is a patient who is to receive Vanc. through a PICC and it is scheduled for 9am. However last week he had an appointment and was gone by 8:30, we were not informed of his impending departure until 8, and by then it was too late to start the infusion as it hadn't been taken out of the fridge yet and is scheduled to run over an hour. The issue I am having is that upon his return at 11:30ish, our instructor said it was OK to give it, even though it was late, and without the Dr.'s approval, although she stated that she had spoken to the NP who was at the facility and that it was approved, no order was written in the chart. Our instructor (who has an MSN) gave it anyways. Another student and I are arguing on whether or not it was an acceptable thing to do, and we can find nothing in the NPA, or the BON websites that will help. Was she wrong for doing this? We are considering going to our nursing chair at school, but obviously do not want to look like idiots if this was acceptable. Any input would be greatly appreciated.