Can nurse delegator cancel physician orders for insulin without replacement orders?

My 91 -year-old father has lived in assisted living for over a year and a half. He has diabetes and Parkinson’s with developing psychoses due to Parkinson’s. He has been fairly stable but had a recent hospital admission during an episode of intense delirium.

Just before going in the hospital, my dad’s PCP adjusted his insulin orders to meet changing needs. The nurse delegator didn’t like the way they were written and cancelled the orders on a Friday and didn’t get renewed orders. The orders for short acting insulin were very clear and it didn’t make sense she cancelled them. My dad’s blood sugar went high over the weekend and there were no orders to give him short acting insulin. EMTs were called and they called me to come over. This nurse delegator had been on the phone with my dad, trying to convince him he wanted to go to the ER. The EMT felt she was manipulating him. My dad didn’t want to go and I ended up giving him the needed insulin and the crisis was calmed. My hunch is she wanted him to go to ER because she had left him with no orders.

I did an inquiry about whether this was a case of neglect of a vulnerable adult, cancelling insulin orders and leaving him without help for high blood sugar. And also trying to emotionally manipulate him. It is possible she made an unethical decision . Does anyone know anything about nurse delegators and whether they can cancel physical orders and leave a resident with no orders?

The other concerning issue is now the nurse says she won’t let my dad return to his assisted living home because his diabetes is too unstable. This is not true at all. He has occasional highs and lows like any diabetic and he has been very stable in the hospital. But she is refusing to redelegate him and he is stuck in the hospital, which is making his psychoses worse.