A family doctor refers an elderly patient to your ED at 5 pm for admission for xray proven pneumonia with severe cough and oxygen saturation of 93% but rock solid vitals. The family doctor has admitting privileges and clearly tells the nurses to make arrangements for admission through the ED but he cannot come in and do the admission as his kids have activities that evening. He will come and see her at 8 am the next day once she is admitted. The patient arrives but because there are no admission orders done has to see the ED physician who receives all the instructions from the nurse. The ED physician refuses to admit the patient and disagrees that she needs admission. The family physician is unavailable now. The ED physician elects to treat her with antibiotics and suppress her cough and keep her overnight in the ED. At midnight you come on and hear the whole story from him as he politely disagrees with the need for admission and dismisses the oxygen saturation as not affecting her in any way and stating that she still looks pink and not cyanotic. He dismisses any of the family doctors recommendations and says he wants her to rest overnight and then she can go home and the nurses can update the family doctor when he is back.
Would you take this handover?