I had a patient that was insistent on getting my information upon leaving the ICU. He wanted my home address. I gave him the hospital card with my name on it. It had our hospital phone number. I told this patient before I transferred him to a SDU that this is a team effort. From the Drs that did the surgery down to Enviornmental service that kept his room clean. He insisted that I was the main person who made the most impact on his stay in the ICU. Him and his family personally requested that I be their nurse on all days that I worked when during his short stay in the ICU (only 2 or 3 days). He actually was almost in tears thanking me for everything I did when I left him after taking him to the SDU. I told him the best way to show his appreciation was to fill out the customer satisfaction form that would be sent to his home and rate the care he received from our HOSPITAL. A few days ago, I receive a very thoughtful card and a check. It's not a huge amount but regardless I was just doing my job! I treat him like I treat all patients I have ever had in the ICU. They are not some poor family on medicare, medicaid etc. I have asked several people. We also have a policy on receiving gifts but physicians and nurses receive gifts from patients on a daily basis although not monetary. But many of the baskets (flowers, fruit), gift cards, food (pizza ordered) etc received by nurses or our unit is way more than the check I received.The patient didn't offer this in person in which of course I would have declined. It was mailed. I don't want to insult the family by declining their gift but then I feel a certain way about accepting it. Either way I want to write the family back to show my appreciation and to wish them well in his recovery.My options are to:1. mail the check back2. rip up the check (in which they may be counting on to clear their account)3. keep the check a. keep for self (maybe buy some much needed white uniforms pants and shirts) b. buy something for my unit (snacks/basket/food, pens, notepads, penlights or something useful for us to use).I'm really not looking for some lecture. Just tell me honestly what you would do. Thanks.