I have never seen a patient in need of progressive care, tele, or Med surge placed in psych unit they are medically cleared and with a psych condition that would be transferred after medically cleared. If they are in L&D....well, then ...there better be a baby about to be born or there is no way they would be on that floor. But hey, I’m in Florida-we do a lot of crazy things but sick patients in psych willl never happen and L&D is strictly labor and delivery. I have worked in ICU units in one hospital that would be step down in another-when it comes to Med/surg, tele, progressive, and even ICU. Different hospitals have different levels of care that vary greatly where the patient is placed. When near capacity, beds are assigned sometimes based on, hey there’s a bed if an appropriate one isn’t available. It stinks but it’s reality.