In a specialized clinic but part of our Out-Patient Surgery , we sometimes filled in for staffing. There is a 5 page Med form, on page 4 it requires the Docs signature before discharge--no ifs, ands or butts about the policy. When I was staffing for the day it was of course not signed for my particular patient, I informed another RN co-worker just to double check the policy cause I had not worked in this area for awhile and this particular Hospital loved to change the working rules and paper work daily--NOT KIDDING-- She said and I quote" well WE just sign their name cause its a lot of time wasted trying to get a verbal order." I chose NOT to follow her Idea and of course got my Butt chewed on furiously by the Doctor, DID NOT CARE. My license, Follow the rules. This was a Fabulous RN of excellent long standing. A short time later she approached me and very quietly said "Maybe signing the Doctors names isn't such a good idea." YA THINK ?? Never told anyone, I left this area sometime later as did she, moving out of the city but it is always in the back of my mind as I think it is in hers. Do I regret Not saying anything to the Supervisor, yes but timing is everything and this was NOT the proper time for a variety of reasons--the place was in a huge flux of change. I followed the policy for 1 patient. She and few other RN's who worked in this clinic more frequently had been doing this for over a 6 months to a year. A timeline I found out about much much later. It will always be a regret.