We have separate adult and ped ERs. We are now beginning to have fill-in adult doctors fill up our ped ER beds w adults. This creates 2 big problems for our nurses and patients: 1) our ped nurses are not familiar w adult ER protocols and care, 2) once our rooms are filled w adults the peds patients are forced to wait hours (invariably) for the adults to be discharged. I feel like our manager is trying to please the adult ER. I also feel that our mid levels and pediatricians are turning their heads to it to avoid confrontation. Any words of advice?