thank you guys. I posted this query just to know if you guys think that my co-worker did the right thing. This will definitely give me pointers if/whenever, God forbids, this type of situation happen to my assigned patients who are also confirmed hospice patients. My co-worker was informed by the family that "she seemed not breathing right". She was definitely not gasping for air and she seemed like she was just sleeping. She definitely had too much secretions. The family didn't request for the RRT to be consulted. My co-worker did not end up calling for RRT as she is going to be discharge to hospice as per family's decision. The decision was made the morning before this happened according to my co-worker. What's keeping her in the hospital was that the hospice still needs to send a hospital bed to her house.