AAAARRRRRRGGGGHHHH.... I can't even stand to read through all the posts. Some of you are so sucked into them vs us mentality. Can't we all just realize that it can really be awful in each department and cut each other some slack? Of course there are those that are jerks and cause delays for selfish reasons -- I think most don't, however. Thankfully I worked on all the units as a float nurse before settling into the ER. On the floors I experienced much more delay about moving a pt from one floor unit to another because the current nurse did not want to open up one of her own beds so close to end of shift..... or hadn't had time to change that darned PICC dressing on the transfer pt which was way past it's schedule change time and you don't want to leave that for the new nurse. For all the usual reasons. I also understand the feeling of being understaffed on the floor. It sucks --- which is why I stopped working there. Too stressful...... and this coming from an ER nurse in an understaffed ER :trout: Now, in the ER, I know that most nurses here NEVER delay transport to floor for that reason -- It is almost always because they are just so slammed with patient care, ambulances coming in, getting deceased pts the priest/minister their family wants while balancing the need to get the person bagged for the morgue, and "dammit-how-can-I-empty-this-bed-for-the-cardiac-pt medics-are-waiting-with-on-the-other-side-of-the-curtain" running through my head. No transporter available or I have to go with the pt. because of need for cardiac monitoring. Sometimes I have an admitted pt, with an assigned bed and I am so busy with other pts I simply don't have time to update paperwork and make photocopies of the chart so the pt. can go -- sometimes it is only because your relief has shown up at change of shift and assumed care on the rest of your pts that now allows you to wrap up everything for the admitted pt. and I can take them up to the floor. And yes, I have felt that way on the floors --- just not nearly as often. There the delay was usually because of the ridiculous amount of paperwork associated with getting a new admission - therefore there is a tendancy to want to "not have an empty bed". Anyhow, please, please, please let's try to give each other a break and believe that most nurses are working their asses off to get the job done and don't take stuff so personally or as "1 dept against another". Another thing I have found is that if I have the opportunity to have a face to face conversation with the receiving nurse, the whole thing goes much better -- wanting to explore video phone useage for report -- Mahalo, Kristin in Hawaii