At most hospitals, I think it's standard to write a physical therapy (PT) referral before a patient is discharged, just to make sure that when they try to leave their hospital room, they don't fall on their face and break their hip. The challenge is to remember to do this in advance so you don't end up either calling PT and begging them to see your patient ASAP or, worse, having to keep the patient an extra day.
During my intern year ICU rotation, I forgot to write for PT on a patient when I transferred him off the unit. This was a transfer I had to do when I was paged out of morning report and told that I had five minutes to get all his paperwork done because they had an unstable patient they had to get into the unit.... and four minutes into it, my senior resident Annie came by and said, "We're rounding NOW. Let's go!" So I forgot something. Big shock.
Unfortunately, Annie was not willing to let me forget that I had screwed up.
Annie: "Did you write for PT?"
Me: "Oh shit! I forgot! I'll go write for it now."
Annie: "Every time you transfer a patient to the floor, you have to write for PT."
Me: "I know. I just forgot because I was in a hurry. I'll write the order now."
Annie: "Did you put in the order for PT?"
Me: "Yeah, I did it just now."
Annie: "You have to write for PT when you transfer a patient."
Me: "I know. I just totally spaced that one time. I'm sorry. It won't happen again."
Annie: "I don't think your patient can go home today because he hasn't had PT yet."
Me: "I'm really sorry about that."
Annie: "In the future, you need to write for PT on every patient."
Me: "Yes. I know."
I sort of felt like I was in that scene in Office Space, where the guy keeps getting told about that coversheet memo for his TPS report by all his different bosses.
Of course, maybe I would have remembered to write the order if I wasn't running around like an idiot trying to get everything done. Annie and I followed the same exact patients, yet I did all the work, wrote all the notes, and wrote all the orders. I know that stuff was my job, but she could have offered to do a couple of things just so I wouldn't have been in such a crunch. I don't even know what the hell she always did while I was running around all day. She was probably looking up labs or going to a spa or something.