Scrolling though this it reminded me of a common misconception to some non ED Folks. ED Docs don't admit patients. Inpatient docs do. So the orders you need, the questions you have concerning continuing patient care and so on has to come from the inpatient side and addressed to the inpatient docs. I have had many nurses before confused on this and they assumed the ED docs admit the patient and then the inpatient doc will make their way. No, the ED docs consults and advises an admission and if the inpatient doc refuses they have to keep "shopping" until they find a service willing to admit.
Some ED docs with dual specialties (EM/IM or EM/) for example, or off service docs rotating in the ER might have some pull and can start the process on behalf of the inpatient team. But ultimately these things need to come from the inpatient nurse contacting the admitting physician.
Various hospitals have various protocols on what basic orders the admitting docs need to have in to send the patient to the floor, however; in the ER we answer to our charges, and house supervisors (whatever your hospital calls them) and when we are told we have a room number and someone to give report to, we are expected to do that and the the patient our within so many minutes. So if we are going to get upset, lets get upset at the proper people for these things.
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