Sounds like a new way of working to me :-) Seriuosly though we need to find a way of viewing 'acting in the best interests of the patient' as not being a "job threatening risk". It seems to me that you did the perfect thing for this patient but if I (and my colleagues) can't convice you all that such actions are not job-threatening then we're probably all wasting out time! Answers on a postcard.