It seems that I've heard this more and more in the last few weeks.
Ex 1: unk amount of OD comes into a psych room (smaller, has all the appropriate equipment, but kind of tight). Pt will open eyes to pain or strong verbal. Decision made to intubate....that's fine, this patient obviously can't maintain his airway. ER MD, tech, and RT freak out, "We can't do this in here!" and decide patient has to be moved to a bigger room before tubing. They proceed to move patient out IN HIS UNDERWEAR and go past several hallway patients. Sats were 100%, it was a prophylactic intubation - not due to any emergent medical issue.
Ex 2: Mom w preterm labor coming in via EMS with known placenta previa. OB notified, ER physician insists patient be directly taken to L&D because "We can't deliver a baby in here." Um, we're the ER. We can handle it if the right people come down. Finally convinced MD we at least needed to check the baby first to ensure FHR still up. No, the ER isn't the best place to deliver a baby, but you can't take a mom upstairs (L&D is a 10 min walk) if the baby's HR is 70.
Ex 3: I'll spare the story, but it pretty much encompassed "We can't code this patient in here." Seriously. Would you like me to tell her to wait until we get a trauma room open?
What are people thinking? I'm an ER nurse, you're an ER MD. Give me the right equipment and we can tube in the bathroom if we need to. What drives me nuts is medics tube upside down in the rain, but my pampered docs can't handle it in a psych room.