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More like this please. Fuck your hospital's rules, make something up if you need to, this is someone's life. Bureaucracy isn't really very good at checking itself and a lot of rules get broken "by mistake". If the rules are bad, don't follow them. If anyone actually gets on your case, "I'm sorry, I guess I misremembered the policy and was worried about protecting the hospital from liability".
Employees on the front lines have a lot more power to grind dumb rules to dust than they think.
It just sucks that it was her FOURTH visit to the ER.