I am an NP working in a major hospital. Recently I was emailed by our peer review committee wanting to know answers to questions when I covered for a patient one night. Over the course of the night, I was contacted once abt the patient, and this was not regarding any of the floor nurses concern of pt decompensation or any kind of distress. The nurse gave me no info nor told me the patient was crashing and needed a bedside evaluation. Long story short- the peer review committee graded the case as a "C"which is a "significantly different approach used by most practitioners", however the committee agreed that I was not given sufficient information from the nurse when the patient was acutely ill, to guide my decisions. I have never been through any kind of peer review, as an RN or an NP. The letter with the committees decision only said the documentation would be placed in my quality file. Several questions I need help with from any NP colleagues that have been through this or know anything abt the process: The letter stated no disciplinary action and in don't know if I was the subject or the participant of the investigation, or what prompted the investigation initially. 1) what is grade of "3" and how will it affect me with future Credentialing at other facilities? 2) will this be reported to the BON and NPDA? 3) since no disciplinary action was listed am I to assume there is none? I appreciate any help! New to the Peer Review aspect of being a provider!