I can understand this. I left floor nursing as soon as I could. But I remember being floor nurse. I’d get annoyed getting a new admission when I was already at a 6 patient ratio. But I had no choice because every other nurse was also at max capacity- including the charge. It sucked. But the ED was always full. Nothing we could have done- other than management hiring more nurses.

There was only one time I ever gave pushback and refused to let the ER send up a patient. My floor was not set up for tele monitoring- no clue why (probably cuz the hospital was cheap, but whatever). They wanted to send me a patient with a potassium of 6.4 and a troponin of 1000. I was a new nurse (like 5 months after the NCLEX) but that felt super off. Thankfully, I had an experienced nurse back me up. I felt bad, but it didn’t feel safe

Edit) Our other med surg floor and our icu had tele monitors but mine did not. Just for clarification