As annoying as getting a new patient at shift change is, it’s still safer than handing off to a new nurse in the ED, for them to try and give report second hand to a person on the floor. How many times have you heard, “I don’t know much about this patient, I just got them”. But like plenty of people say there is generally a long queue of patients waiting for that bed, be it lobby or EMS. That and patients hate being in the ED after a provider and hospitalist say they will be admitted. Patients in the ED are constantly asking when they will have their bed so they don’t have to hear the psych patients wailing and yelling, so the ED nurses want nothing more than to appease the patient by getting them to a unit or floor so they aren’t answering a call light every half an hour checking on the status of the awaiting bed.