One of the problems at that ER is the undeniable truth of life as stated by a friend I have in Massachusetts:
"When every call is an emergency, none of them are."
Granted that he was in tech support, but the principle remains. It's just like being a driver -- you need occasional breaks to stay alert.
The problem seems to be the system of permitting breaks at the ER. If the Physician is not allowed any down-time from emergency reaction status, his human limitations take over.
But I also agree that it was not only unprofessional, but bordering on criminal negligence.
when on the clock, one is to WORK.
when an on-duty physician, one MUST attend to patients IMMEDIATELY.
when told by ME "this guy is going into shock" one jumps to maximum attainable elevation at warp f[beep!]ing nine.