busy ward=bad first line dr.

i am recently doing a lot of call due to a lot of dr going off. I found out one thing in this hospital and other hospital. The ward full of patient or not is depends on the first line doctor(casualty dr). If casualty dr did not do their proper clerking and assessment. THEY will end up in medical ward or surgical ward. SOon patient will sit on chair waiting to be clarked.
For example , a few junior dr in casualty will ask patient which area they are from and got any fever or not. If patient from dengue area and fever, sent fbc.Guess what , the next minute ,patient will be in medical ward with diagnosis ? dengue. it is because low wbc without low plt and high hematocrite. They won't ask pt to come for repeat fbc but will just admit. Guess what, ward is full of ? dengue.Notify and get the highest among the nation.
poisoning is one of the favourite also. A old chinese lady with poor BM language complaint of abdominal pain and use minyak angin to apply on abdomen and head. Guess what , admit to our ward for salycilate poisoning. On our history deny od taking any 'minyak angin' .Reassure again telling truth we won't report police. End up she scolded us insane.
This is the tip of iceberg of what happening .the good and manageable medical ward all depends on the good processing dr in front line(casualty).