Once I was mentoring a junior colleague on a direct admission to the hospital. She called asking for advice on what she should do, as there was an issue with the patient's insurance. The hospital was out of network for the patient’s insurance, which meant that the patient could not be directly admitted unless the patient wanted to pay for the hospital stay out of pocket. My colleague spent significant time and effort looking into other options, as well as talking with the case manager, the primary care doctor, and the patient about these other options. Ultimately, the patient decided to go to another hospital. Before this choice, however, my colleague wasn't sure what the patient would decide or what else she needed to do regarding the situation. I encouraged my colleague to document & communicate the work she had done by adding a note into the patient's electronic medical record.