Cool. So get me the AOC, and have that person call the hospitalist and tell them they have to admit this patient since I can't keep them in the ER. Otherwise, I'm going to transfer them to another hospital. Kthxbye.
This reminds me of the time I had to transfer a patient for chest pain from a freestanding. The patient refused to go by ambulance due to cost, but was willing to be admitted. So I had them sign AMA for no ambulance transport, and told the nurse to get their transfer packet ready. The nurse refused. Said all the "it's my license" nonsense. Said we couldn't transfer without an ambulance. So when I asked her why it was ok for the patient to get in their car and go home, but not to the hospital, she doubled down. I ended up printing off the packet myself and just having the patient leave on their own. And then the hospital called her for report. It was great.
