Oh how I would love to have the solution to that problem!
In my ideal world, as soon as the pt was dispo'ed from ED they would be brought up. Aside from during the hours of 6-8 (am & pm). Unfortunately that will never happen, in our ED at least. Much of our problem lies with housekeeping...they just don't have the staff required to keep up with the turnover adequately. That means that it is not unusual to walk into a shift with 5-8 empty rooms per unit that need to be cleaned, and when we're on red capacity with pts lined up in the ED waiting for those rooms they get pulled in all different directions. Seems to me like they should clean the rooms in acuity order (ICU first, medical last) so that the ED is at least able to get the less stable pts moved off more quickly. But what do I know, I'm just a floor nurse...I'm sure the COO & CEO have a much better idea how to effectively deliver safe care than I do.
Our ED used to be REALLY bad about sitting on pts until shift change and then dumping them all...like we'd have report for three hrs and be sitting there with a clean room as well and the pt would roll up @ 6:30. Apparently it was the docs doing it and nurses on both ends finally had enough and were vocal enough that something changed b/c it rarely happens that way anymore. Of course, we've also been too busy the last several months. Seems like we're on red or close to it most of the time.
(On red means that we would be on diversion if it wasn't against the law.)
Sorry, I don't have any great insight into how to solve your problem. I know it's a widespread issue and can cause a lot of contention between ED and floor nurses. Maybe someone on here who has worked both sides and is incredibly brilliant can give all the rest of us some advice.