Does an empty bed justify admission?

I worked in Ontario OR a small rural town and that is exactly what it was like there, very scary, I ended up moving far away d/t no change in the admin policies r/t admissions. I was terrified someone was going to die on my shift. I had one pt code after shift change d/t the meds that had been given on my shift b/c the doc wouldnt come see the pt and there was two of us- me the RN and one NA. 24 pts on the floor, 1 vented, 2 psych, a few orthos, a peds pt RSV and some random med pts, a couple crawlers bed alarms, tag alarms ya know... It was absolutely nuts, since then I hear a few docs have left and it isnt getting any better.