There is an excellent article in the Journal of Emergency Nursing this month on being short staffed in the ER. I am working in a hospital that sees aprox. 40,000 pts. a year and we are being cut back on staff. I would be interested to hear how other facilities
staff their depts. and how you "justify"
staffing needs to management
May 8, '99
I'm not sure how most er's figure on staffing, but currrently this is how our's has been staffed. WE have 17 beds, and see about 35,000 a year. Two years ago we had 6 RN's and a medic on evening shift. Then went to 7 RN's and a medic last year. Now we have 7.5 RN's and a medic per evening shift, d/t the increasing volume recently. In 2/99 we saw 400 more people than last year. Days and nights are staffed strangely, d/t the number of pts seen at certain times of the day. I beleive we start with 3 RN's and a medic at 0700, add one RN at 0830, and two more RN's at 1100, then at 1500 one medic and 7 RN's, then at 1900 one medic and 8 RN's, then at 2300 5 or 6 RN's, and at 0300 3 RN's. The talk now is to expand to 40 beds, because we are usually backed up 8 to 12 people. You have to remember though, that the administration always views it as a bussiness and is concerned with $$$$.