Nurses are 5:1 with patients and you almost always have a psych patient, no designated area for them. ER was either a ghost town or a jungle. It was so bad when it was bad. Security was somewhat far from ER and would take a minute to get there if it was getting wild. Grady ER has the most psych patients per OhioHealth ER’s I believe. No triage nurse, no clerk so nurses have to set up all transport which is a ton because the hospital was so rural. Most docs were chill but some were always irritable.