I have never been in the hospital or their ER, however, it is good medicine to have patients with acute illnesses who require admission to go to the ER. There is no reason for a pre-op patient to be seen, but if you are ill enough that your condition has deteriorated to the point you need to be in the hospital then it is not unlikely that it may have deteriorated further between the time you were seen by your doctor (or in the OP case, not even seen just sent in based on a phone call) and the time you arrived for admission. Additionally the floor nurses do not have the equipment or the same training as the staff in the ER to manage acute situations. There may well be no doctor on the floor until the following morning to assess you. So you are telling me you are in deteriorating medical condition and wish to be sent to a hospital bed where you will not see a doctor until tomorrow. If I am the hospital I want you seen on arrival to ascertain whether you are floor, ICU, or transfer to tertiary care sick. If the ER is operating efficiently (a whole different topic) you will be assessed, necessary lab and Xray tests done and reviewed, IV's and meds started and then up to the floor for ongoing care now that you are stabilized.
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