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Having worked in several ERs in the past, if we received a patient that was carrying with a valid reason (LE, CHL, etc.) we generally just called Hospital Security and asked them to hold the weapon until the patient was cared for. If an LE, we turned the weapon over to the first representative from his/her department that appeared.

The worst thing about confronting firearms in an Emergency Department is the person carrying may or may not be aware of their surroundings or have all of their faculties. I've been spit on, bitten, lost my front tooth, etc., I have no desire to face a weapon that a patient with an altered level of consciousness has carried in!

If the person carrying did not have a valid reason (as above), we called the local PD and had them take over.