My mom is in a nursing home on hospice. I have left strict instructions that I an to be notified if any meds different from her normal pills are given or if she falls, or is having any agitated or anxiety issues. I am at the home everyday for 3-4 hours. Usually in the morning. For the last two days she has been completely out of it. Just sleeping. Very hard to wake up. I discovered 2 nights ago the nurse gave her Tramadol at 6 pm them at 8:30 pm gave her Ativan. I was not notified about the agitation, not the meds given. I normally like the place and feel comfortable with the care she is getting. The hospice nurse was not notified either. I'm Worried that this may have gone on more than I know of. I love the day nurse but am worried about the evening nurse and what has been going on. Who should I speak to? Is it OK to get these meds this close together?