Hospital and ambulatory surgery center policies and procedures should identify the team ultimately responsible for the management of the patient. Each facility should have a designated position as the physician resource and one as the nurse resource for patients and others to contact if questions, issues, or concerns arise. The anesthesia department works collaboratively with surgeons related to the management of patients in the observation unit. If it is a teaching facility, an intern or resident may be assigned to manage problems. If hospitalists are available in the hospital, they may be assigned to be responsible to manage the department. A physician is ultimately responsible for writing the order for observation and for managing the care of the patient.