If you are getting your patients to the floor within 15- 30 mins after getting orders, I want to come work there!! Seriously though, if the patient is getting to an inpatient bed that quickly then there is no reason to start adm orders. If a patient is in the ED as a hold for several hours we need to do all we can do to keep the patient comfortable, if that means hydrating them, treating their pain, nausea and feeding them thaen thats wha we need to do. The bottom line is patient care.