Wow I've never head of restricting patients, except if you were dealing with a disaster and couldn't physically handle anymore. WE used to have what we called "ambulance by-pass" where if our ER was filled to the rafters, the ambulance would take the pt to the next avail. hosp. Walk-ins were still treated. Unfortunately our provincial gov't has vetoed this. We must now accept all ambulances and ambulatories regardless of how busy we are. Desperate times require desperate measures. We now have instituted what we call "CODE ER" This is broadcast thru-out the hosptial and basically means that if anyone is being discharged..then get em out, we need the beds!! Staff Dr's are supposed to go to the floors and expidite discharge orders. Now this is only for those planned dischages. We don't send off pt's who aren't ready. We have found that it has freed up space...we get pt's to the floor faster. It's mostly for the pt's who are dawdling, having been discharged at 0900hrs, but are waiting for their ride, who should arrive somewhere around 1700hrs. It works here!