RN admitted patient to home health the day after discharge from the hospital, LVN assigned to follow up 4 days later and discovers that patient has a wound (skin tear) the dressing has a moderate amount of drainage, but their is no order for dressing change and their is nothing noted from the admit about a wound that the RN likely missed this with the initial skin assessment 4 days ago,patients states happened at hospital, well the LVN calls the doctor he states oh yes I remember that happened the evening before discharge go ahead write the order for tx and fax I'll sign it. LVN cleanses wound changes the dressing goes back to the office faxes the order and reports her findings to supervisor and preceptor and gets the A$$ chewing of her life.
She is told what she did was out of her scope of practice she could lose her license
what was she suppose to do?
agency basically told her she should of ignored it. were they upset that now this is documented that this obviously was missed, what would you of done.