I called a midwife/NP to update on pt status while working L&D. She asked to be transferred to the pts to speak with her and then would call me back with orders. No problem - transferred call and made sure it went through. 20 mins later she calls me back. As part of her DC orders she asked me to give the pt a med to help her sleep, if she didnt have a ride home, just physically giver her the pill to take at home. I explained that I didnt feel comfortable doing that since its my license tied to the med and I have no control of what happens with it after the pts leaves. She then tried to word it different ways to the point of, "couldnt you just sit at her BS?" Once she realized I wasnt giving in, she asked me to call it into a pharmacy. Im not sure how it is anywhere else, but under the new management here, we are no longer allowed to do this. We just lost a RN on a different floor over it. Again, I had to explain I couldnt do that. After that I finally got my orders. (BTW, she decided the med wasnt that important if she had to call it in).
Through this whole conversation my clinical manager was sitting beside. After I got off the phone I made sure what I said followed policy. She said yes and then made the comment that she knew this NP knew about the policy bc she had personally shown it to her last week.
I went to review THI with the pt and she asked about the med. She had been told giving her the med to take home "wouldnt be a problem" and couldn't understand. I tried explaining it but nothing I said seemed to diffuse the situation.
What would you guys do about this situation? It bothers me that my manager was sitting there, hearing everything, but then didnt do anything about it. Do I go higher up (which prob wont do any good either), is there someone to report it to, Or am I just SOL?
And what is your hospitals policy on calling in Rx and/or giving meds for pts to take home?