Believe it or not I understand his concern even if I agree completely with you.
It sounds like he is worried that in this litigious society of ours he could be sued if something goes wrong with one of his patients and if he doesnt hold "total charge" that is more likely to happen.
He is obviously wrong as the attending doctor holds the ultimate responsibility for the pts well being medically and if the attending chooses not to follow the specialists recommendation (and that is all it is) then the attending doctor will have to answer why and take responsibility for the results.
If you have a legal consultant , I would refer the psychiatrist to him/her. What he is demanding is improper and dangerous, all orders have to come through one attending doctor for obvious reasons and if he doesn't understand that, he is not the psychiatrist for you. Something sounds fishy.
Your policy is sound and dont change it, not because others have the same policy but because it is the right thing to do and doing it his way is dangerous and could create serious problems.
BTW ...twilight zone? /////everyday by me....
Here's one, We have to send bookkeeping a slip of paper marking pts who are sent to the hosp and when they return so that she can authorize payment of the ambulance and ER visit etc. Lately nurses have been lazy and forgotten, and we have to run after them to write and sign the slips so the bills get paid,
While passing by, the bookkeeper pointed it out to me (ADON) and I wrote a note to our DON that we should bring it up at the next nurses meeting this coming Sunday, I get a nasty letter back from the DON that I should not interfere in such issues and I should refer the bookkeeper to her and if I dont remember her extension number here it is....
personally I didn't think it was such a big deal...
Yesterday the Med Dir called me, furious that an order for AFP was neglected when the bloods were senton a specific pt and needs to be resent. I called the lab to see if they can still do the AFP on the existing blood that was still there and they said no( policy), so I asked the nurses to send it again. The nurse swears she sent it with the rest, so I referred her to the doctor, who berated her and wouldn't let her get a word in edgewise,
so we resent the blood the following morning, only to find out that it HAD been sent correctly and the doctor didn't notice the results in his computer- so it was done twice. ...do you think the doctor apologized??? In your dreams!!