I work as an inpatient hispital nurse and NOBODY holds up a bed, We can only discharge people as quickly and safely as possible. With new gudelines and mandates and regulations for the discharge process it is a timely process. Also if I am discharging and admitting people at the same time it can be dangerous. Things can be overlooked and the patients are not given appropriate attention. We are under a lot of pressure to move people in and out quickly. We have even taken up doubling up our larger rooms to accomadate patients which increases the risk of hospital acquired infections. We are also under a lot of pressure not to stay past our designated shift time. If we receive er admits an hour before we are to leave we can do a rush job or dump it on the next shift..neither a good option. no solutions here but just some insight from somevody caught in the middle of this mess.

Nurses on the floors hold beds...We all know it! We're not stupid. I know that nurses on the floors are as overworked as the rest of us, but let's face it; if you are responsible for 6 beds, and they are filled, you won't be getting any more patients for the night. The ER is different. We get our patients, treat them, send them upstairs, and then have more to treat. We don't have a "quota" for the night. We stack patients in the halls when we need beds. This just adds to the fray. An ER nurse could be responsible for any number of patients throughout the night. Floor nurses receive their patients all tidied up, in gowns, with H & P's done, admitting orders, allergies recorded, etc. I wish the floor nurses would give us ER nurses a break!!!

I wish the ernurses would give the floor nurses a break...I am a little tired of er nurses holding onto this belief that we hide beds...that's a demeaning statement to make about your co-workers. and by the way we don't get them all tidied up, the orders are placed on the floor and the indepth h and p is done by the admitting doctor not the er doc...and by the way stop sticking foleys in old incontinent patients.....it is ob=ne of the leading causes of hospital acquired infections which means longer stays and hey NO BEDS for the er admits

BS!!! That is the most crap I have heard from a ER nurse! I work clinical support and can tell you that ER nurses are the most spoiled nurses in the Hospital. Floor nurses get patients all tidied up in bed?!? HA! What crap are you smoking?!? That is not the truth in the slightest! I don't know where you work but as a floor nurse I am not able to hold any beds. I don't care if I'm busy at this moment or in the middle of a procedure the ER nurse brings up the patient drops them off and I have to go through a mess of orders and such that can take hours to make the patient comfortable. When the patient comes up from the ER they are usually oblivious to what cares or treatments they will receive because the ER doesn't tell them! I wish the ER nurses would get off their high horses and give us over worked and short staffed floor nurses a break!!!!

We nurses need to stick together and not be fighting with each other! There needs to be some unity in our profession! We have to all work together to educate patients about the true reasons for hospital use! If we can't even find an even ground then we can't defend our profession from those who want to talk bad about us and the work we do! We are all in it for helping the patients.. we surely don't get paid enough to be in it for any other reason. I think it would be insightful for floor nurses to see what the er nurses do and vice versa! Than maybe we could all cut each other breaks!