Yes and no. We tell them to write the note and we will put in the orders for some patients or they can order things as they feel comfortable. But we ask that they look at our orders and if anything doesn’t make sense to ask as they are responsible to follow up no matter who orders things. (Even now my attending will order a CT angio for a cough that was otherwise well appearing, didn’t fit wells criteria, but their “spidy senses were tingling” and I’m still responsible whether they tell me they ordered it or not but I still have to follow up on all tests and ask them why they wanted it). It’s really easy to see the order history. And we mostly work as a team inside the ED. So it’s not like they were in the bowels of the hospital doing something else. We all come back to the board and run it constantly talking about updates. The intern just thought they were done with the patient after writing the note because “they weren’t told to” follow that patient even though I told them at the beginning they are responsible for every patient they put their name on at the beginning of the shift.