We are told on all shifts that we must call "the nurse manager on call" before we call a doctor for any reason. Is that just at my nursing home or do other nursing homes have that policy too? All of us nurses absolutely hate that rule. So what happens if I think that the resident needs to go to the emergency room stat but the "nurse manager" says "No" So who gets sued if the patient dies? Me or the "nurse manager" who said No don't send the resident to the ER?