Doctors office

[Hmdnurse]

Patient arrives 1 hour late for their first appointment day non established at a specialist. The doctor is leaving and asks to reschedule the patient. Front staff goes to reschedule and the family states the patient is very sick and needs to be seen. Only a few RN's in the office, you get asked to assessed. No information in the chart. What do you do? No provider. (Assess? No one to relay info to, refer to PCP, refer to hospital, offer to call EMS, legally) what's right, while on the clock. No protocols for care. 
I like to hear your thoughts 

[klone, MSN, RN]

At the primary care clinic I used to manage, the nurses had an independent standing order to assess any emergent triage patients, and then could independently determine what was needed (ED - call 911; same day - direct them to nearest UC; next day - reschedule them with a provider the following day). That's why I wanted to know what the specialty was and what the patient's complaint was.

[Hmdnurse, BSN]

klone said:

Then would you mind answering my questions?

Oncology, literally that's what I was told felling very sick. I did not pry, into the situation. 

[JKL33]

klone said:

At the primary care clinic I used to manage, the nurses had an independent standing order to assess any emergent triage patients, and then could independently determine what was needed (ED - call 911; same day - direct them to nearest UC; next day - reschedule them with a provider the following day). That's why I wanted to know what the specialty was and what the patient's complaint was.

Out of curiosity--is it safe to assume that scenario involved empaneled patients of that practice?

ETA - at my current workplace RNs do a ton of phone triage and occasionally there will also be walk-ins that they triage, but in all cases these are established patients of the practice. Just wondered if the protocol other places is different.

[klone, MSN, RN]

Nope. Our clinic was right off the freeway, so people often walked in off the streets with medical emergencies. They did not have to be established patients to be triaged by the RNs.

[JKL33]

Interesting. 

It sounds like one way or another the OP's place needs to get some kind of protocol in place for what to do in the situation.