Our ED has 15 beds and we very rarely hold patients for more that 6 hours. If it is more than that it is because of the difficulty with the floors cooperating with us. Ususally there are problems with getting patients upstairs to their rooms because their nurse is either in report, on break, on lunch or on a second break, in report again and so forth. Major frustration on the part of the ED nurses and the patients themselve!! No support form ADM either. All they care about is the money and not what is taxing the nurses in the ED.