In the facilities I have worked in you do not need an order from the physician to send the resident to the hospital. If the family requests it, do it, unless the resident is of sound mind and refuses to go.
I worked in an assisted living facility as the director of resident care and I trained caregivers to be med aids. It takes a good caregiver and the knowledge of medications to do well as a med aid. I myself do not feel that caregivers should be passing meds. I was a caregiver once and I feel that if you have been a caregiver long enough and have common sense you can be a good med aid. If you counted the residents medication when he was admitted and checked the medication with a physicians order there should not have been a mistake. Your nurse should have checked these things when the resident arrived. So it is a mistake by both you and your nurse. Luckily the resident was not harmed by your mistakes. Be more careful from now on and if you do not feel comfortable about passing meds, by all means do not do it!
I worked in an assisted living facility as the director of resident care and I trained caregivers to be med aids. It takes a good caregiver and the knowledge of medications to do well as a med aid. I myself do not feel that caregivers should be passing meds. I was a caregiver once and I feel that if you have been a caregiver long enough and have common sense you can be a good med aid. If you counted the residents medication when he was admitted and checked the medication with a physicians order there should not have been a mistake. Your nurse should have checked these things when the resident arrived. So it is a mistake by both you and your nurse. Luckily the resident was not harmed by your mistakes. Be more careful from now on and if you do not feel comfortable about passing meds, by all means do not do it!