There is no way someone had a bed assigned and sat on the patient for three hours. Generally, once a bed is assigned you have 15-30 minutes to give report and get the person to their room. Unless you work it, you can't understand how you have to keep patients moving, as they never stop coming in. You need to get the patient to the floor to take the next patient. And yes, there is ALWAYS a next patient. We once tried not calling reports in the last half hour of a shift. Know what happened? Instead of no report from 6:30pm-7:00, we found that the nurse wasn't available at 6:20, 6:15 etc. The I'll call you back, when you call at 6:10, resulted in no call backs, unable to take report, and then before you know it, it is 6:30, and they can't take report. You end up sitting on a patient for an hour. It's all about throughput. The giving report to the Charge is supposed to stop this, that is why it is done. Charge can identify repeat offenders. Also, the ER doesn't want to pay incremental overtime to the Er nurse so she can wait 30 minutes to give report. Next time right before your shift, take a walk through the ED waiting room, as well as the unit. You stop receiving patients when your beds Re full, but we never stop.