sometimes E.R M.D's get caught up in trying to show how much they know, it's a not seeing the forest for the trees kind of thing, it looks like you got pretty much the same conclusion I and every body here did...always err on the side of what's best for your patient. Don't allow someone else's...
And now the CDC admits that vaccinated people might have more problems with developing resistance...it's getting to where we can't trust anything because it changes so often and not just a small shift but a 180 degree turn.
we have no local detox facilities and even if we did a pre admission medical clearance is required for all psych/detox patients, sadly ,most spend days in the E.D. waiting for a psych bed to become available.