The new head of the University of Limerick Hospitals Group says she disagrees on the Irish Nurses and Midwives Organisation's concerns over how to deal with overcrowding.
Prof Colette Cowan says she believes moving patients on trolleys to wards provides an incentive to staff to keep people moving through the system.
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The union has repeatedly raised concerns over how the issue is being dealt with in the Midwest.
This week saw the number of patients on trolleys soar across the facility to 46 with 34 in the emergency department, that's despite a new cap of 20 imposed by Prof Cowan.
She says it is safer to move patients onto wards.
