You bring up good points and your last is particularly relevant in this case, as the patient arrived with what were termed simple problems, was expelled due to lack of finances, died suddenly a week later apparently due to MRSA contracted at the care facility, and the family is now considering malpractice. Your name on the line is a very real risk.

Unfortunately, I expect this may create a lawyer averse culture where process is as repeatable as possible, because in the event of a suit, systematic process is a solid defense.