why do you think you will automatically be put in the hospital for a week? I'm not sure I understand the logistics of the situation you are in very well, but what you definitely DON'T want to have happen is to go off the manic deep-end, as you could end up not only losing your position but hurting yourself or others. I'm not a medical doctor, but if I were you and there was no reliable way to quickly get to one in order to change meds, then at the very least I would taper off zoloft starting now.