The answer is yes and no... it really depends on your hospital's and emerg's policies.
Unfortunately, many administrators don't see a problem with making the ED a dumping ground for all of the hospital's problems... so, not only do you get sick patients coming in off the street but you get them internally too. This is just wrong on many levels (interrupts ED patient flow, increases ED overcrowding, no privacy for the 'in-patient', noisy environment=no rest ((your pt was a post MI
it's just not a good situation for the pt at all)) etc etc). They tried this at my hospital and we have a fantastic ED Chairman who jumped on it quickly. In the past they've also tried to make us have the hospital code bed one night because ICU was full
We now have a policy that states once the patient becomes an in-patient they never return to the ED. If a patient deteriorates on the floor and the ICU is full, the ICU must find a way to accommodate the patient (transfer a patient out etc.) It is an internal problem NOT an ED problem.
One solution to this issue is the recovery room. They have all of the monitoring equipment and if the recovery room nurses aren't capable/comfortable looking after this type of patient, an ICU/CCU nurse should be called in.
Another thought... don't the ED attendings have a say in this? Afterall, another service is coming and occupying a valuable ED bed reducing ED resources that should be available to the ED. In our hospital, the ED physician can trump the nursing supervisor.
Personally, I think the nursing supervisor made a very bad decision.