Hello all, Please advice, Scenario: JS is on peg feed as,he is a great risk as aspiration.Due to weight loss Dietician take the decision on increase JS flow rate on his feed machine from,100 to 200 ml/hr.Decision in increasing the flow rate is given over the phone to a colleague ,and to start this new regime from next day.As Dietician doesn't follow information given over the phone with a letter in writing ,the nurse in charge next day decides to stuck with old regime, as not confortable with starting new regime without a confirmation in writing from Dietician.Home Manager steps in and advice the nurse in charge that JS has to start new regime as adviced by Dietician over phone. Ok,...I'm lost, me I'm not confortable with this but home manager force me to do it ... In a coroner investigation,who is the person responsible,if JS dies without in writing confirmatin ,due to ?overflow lets say. This is just an example I wanted to highlight ,but obviously there are so many others... Thank you. D