security? In the ED? oh come on, surely you guys are dreaming. LOL we have "security" too, a group of men and women who basically direct patient traffic and make sure that no one parks where they shouldnt.
I found out long ago that the best security we have is the state police. At least hey carry guns. LOLOL
I would love a locked down unit with a metal detector at the front door, our administration thinks it would be "bad for the PR," they would not want patients to think the ED is an unsafe place to be. Oh brother.
As for nurse to patient ratio, if you find an ED with a 3:1, GRAB THE JOB! Last night we had 17 holds, (including our regular ER full of patients, we have a 25 bed ER on a good day, of course there are stretchers lining the halls) and 3 RNs. It gets scarier by the day......