The hospitalist is acting as the “gatekeeper” to admission here, so they decide if the hospital will take the patient or not. That doesn’t stop the NP from ship

The hospitalist is acting as the “gatekeeper” to admission here, so they decide if the hospital will take the patient or not. That doesn’t stop the NP from shipping the patient straight to the hospital’s ER. By federal law, emergency rooms must see every patient who comes in their doors.