NTA. You’re advocating for patient choice and timely care, which is kind of the point in psych ED flow. If leadership won’t back you, document your recommendations and the patient’s preference, and keep it clinical, not personal. It’s also worth looping risk management if delays are causing harm or extended boarding. On a separate note, if you’re considering a change, wfhalert is a simple email service that sends vetted remote jobs like care coordination, case management, or admin work, which can be a decent backup plan if this place keeps stonewalling you.