Rn

[kanny]

Hello friends,

i am really worried what i did. Actually i am new in here in usa as a nurse...i recently got my nclex-rn exam and now i am working in SNF. my concern is ..ok when i last day worked there, one of my resident's son wants her mother to get discharge and take her home tomorrow. i said ok i have to take orders from the MD. then i call MD and he said its not ok its against medical advice and doc said we can send her after two days. then i talked to the son on the phone and he said ok i can wait till two days, i dont want to go against medical advice...earlier he was so mad and yelling at me because his mother doesnt like the environment and food etc etc. what my concern is i did not document discharge orders on doc's orders sheet and what i did was just noted on the calendar and documented on nurses notes and endorsed to the next shift. was i supposed to document in the doc's orders sheet and have made the T.O order and also is the management gonna take action against me for this thing?????????

i am really worried. i totally forgot.

plz advice me if i can do something?

Thanks in advance.

[Jerico, BSN, RN]

I'd just call the doc back and ask for orders and remind him what you discussed if you are worried about it. Putting it in nursing notes seems oK to me...he didn't order her discharged yet, so no need to write TO order in physician order area.

[TazziRN, RN]

You did fine. He didn't tell you to discharge her in two days, he said he didn't want to discharge her until then. Big difference.

[busy-bee]

Sounds like you did the correct thing to me. I am sure you turned it over in report, social services will more than likely pick it up from here related to when resident will be discharged, etc.

[kanny]

Thankssssss alott!! i appreciate your responses.