Guess what the ER doc did?

Hi, I am an ICU nurse in my local hospital, but I had to post my husbands visit to our ER here. I want you to please post on what you think the ER doc did, or should have done. Then I will tell you the outcome. This will be fun!

Ok, my husband is 2 years post liver transplant. He has Hep C, and was transplanted only due to a primary liver tumor, he has never decompensated. He is 56 and on treatment for Hep C with PegIntron and Ribavirin. Main problem during his transplant is strictures in the bililary ducts which required q3 month ERCP's for about 1 1/2 years to put in stents. The first time he had those done, he was in the hospital for pancreatitis. Fast forward about 11 ERCPs, and the last one he had put him back in the hospital with horrible pain, but not pancreatitis. So, a few weeks ago, he went back to have the stents removed. His hgb at the time was 9.1. Gastro not worried about this number. Ok, thats the history as short as I can tell it. He went to the big transplant hospital for all this. He did come home with oral cipro for three days. He never really felt well after this.

So, four days after stent removal, he develops a fever, chills, vomiting and diarrhea. I take him to our local ER, where the nurse got all his labs, started fluids and did all he could do. An hour and a half later the doc comes in. I told him the transplant doc wants a CT scan, and that he could call the gastro doctor there. He assured me that after all the tests come back, he would do just that. My husband was so sick, that I actually called the step down unit and told them he may be coming there. My hubby recieved dilaudid, zofran, and fluids, he was feeling good. Ok, labs came back at a hgb of 7.8 and a sodium of 127. His temp was 101.9 rectually. CT normal, heme neg stool, and only a trace of blood in his urine. ER doc calls gastro transplant doc, what do they decide?