Hello all, I've had a lot of questions answered on this website and I decided to make an account to try and get this one answered. A patient who io have been seeing daily needed a fistula above his rectum packed daily. This patient was very difficult and refused care at least 3 times in seven days. Well a week later he goes and sees his PCP. I come back the next day and inquire about what went on during the PCP appointment. He told me the PCP said to leave the wound alone because it was shrinking. So I ask him if I can take a look at the wound. He refused. I tell him I won't touch the wound I just want to look. He refuses still. So I take his vitals and watch him take his meds and leave. I try to call the PCP to verify but no answer. I try again two days later (on Sat) and there is still no answer. Well this morning I finally got a hold of a nurse that tells me the PCP wanted the wound packed for another week! Then covered for 2 more weeks. So basically the Pt tells me something which is not what the Doc told him. It took me 4 days to verify the orders and e patient has not been seen since the day he refused my care. Am I in trouble? Do I need to self report to the board about this. I really did try my best to confirm those orders. PS I'm a pretty new grad. Doing HH for about three months now.