Tell us about your ED ?? =)

Specialties Emergency

Published

Tell us all about your emergency department. Ratios, salary, trauma level, why you love it, why you hate it, etc?

My ED has 38 rooms (about 10 are closed right now, that wing is open when staffing and patient volume permit). We're trauma-less, but our hospital has the region's only stroke center and we're coined the "heart hospital" so we draw in a lot of STEMI's and CVA's. It also has a 12 bed minor emergency care staffed by a MD, a PA or NP, and LVN's. I'm a new LVN graduating from RN school in May, so I'm still developing opinions about it. I'll keep you informed!

I work in a Level 1 trauma center that has 98 beds... we have 3 trauma rooms, 3 revival rooms, and the ER is broken down into wings according to the severity of the pt. if we are working in the north station (which is the highes accuity, we have 3 pts. each) the other wings vary.

I am also in Ohio and was wondering where is this 98 bed Level I Trauma Center Located......Have searched Ohio Trauma Centers and couldn't find 1.....

Specializes in Pain Management, RN experience was in ER.
One thing I do want to ask everyone. Do you have locum tenems doctors or full time? Are they board certified in ED med? Luckily we have 8 board cert. ed docs and recently added 1 board cert. locum due to a doc leaving until they get someone else hired. I think it makes a big difference to have full time board cert ed docs. You get to know them, what they order, and have consistency among them.

Our facility has a contract with a company that provides doctors, PAs, and NPs to staff our minor and regular emergency rooms. Fortunately, they're full time so we don't have to deal with any more inconsistency than others, they just don't receive a paycheck from our hospital. They are paid a certain amount of money per patient they treat. They are all board certified ED docs or ENPs. :typing

Specializes in ER, Trauma, Advanced Care.
I am also in Ohio and was wondering where is this 98 bed Level I Trauma Center Located......Have searched Ohio Trauma Centers and couldn't find 1.....

Miami Valley hospital in Dayton Ohio:yeah:

Specializes in ER, Trauma, Advanced Care.

hmm .. i just went to the website ... it says it is 71 beds but i could have sworn they told me 98 when i started .... i've never counted, so i'm second guessing myself now lol

Freestanding ED! 15 beds. Much fun. Awesome teamwork. We're on the edge of suburbia and the DC sprawl, but we also serve a rural population; we see a bit of everything, from legs-vs.-tractor to drug overdoses.

What is a Freestanding ED. I think I have heard one of our doctors talk about it but I am not clear on what it is. What is it's role in the community

Specializes in EMS, ED, Trauma, CEN, CPEN, TCRN.
What is a Freestanding ED. I think I have heard one of our doctors talk about it but I am not clear on what it is. What is it's role in the community

It is definitely NOT an urgent care center -- we're a full-service ED, but we're simply not attached to a hospital. There are a few of them in our area (northern Virginia). We receive both rescue and walk-in patients. We treat-and-street, or stabilize and transfer/admit.

There was a recent article in the Washington Post about another freestanding ED that is part of our hospital group:

http://www.washingtonpost.com/wp-dyn/content/article/2008/09/12/AR2008091203002.html

Specializes in ED.

I work in a small community hospital which has a small trauma III center. We have 13 monitored beds, 4 hallway beds, two "chest pain" beds which can be hooked up to portable monitors, and 9 minor emergency beds. Soon they will start building an extra 10 bed unit since we are CONSTANTLY busy that I think is supposed to house the sickest of the sick and broken. I'm kind of looking forward to it, its supposed to have a dedicated code room and extra trauma rooms (we only have one trauma room which is constantly being used for stuff that isn't worthy of the room).

I work in a rural/frontier ER. We have 4 beds, 2 of which are critical care. We have one nurse to staff the ER and we get back up from the med/surg floor when needed. The nurses in our facility cover ALL areas - ER, OB, Med/Surg, ICU, Peds.

I moved here from a Level I trauma facility in Portland, Oregon. Talk about culture shock! But I love it! I have so much autonomy as a nurse here in rural burg that it is absolutely amazing.

Specializes in Emergency/Trauma/Critical Care Nursing.

I'm working at a level I trauma center in detroit, we're also a stroke and cardiac center (lots of NSTEMIs, CVA/TPA yadda yadda). we have two resus room, a fairly large triaging area where we have at least 3-4 nurses working, and 2 at preliminary. the total ER is 117 beds, plus whoever gets a "half-spot" aka hallway bed lol, our Cat 1 is critical care area, there are 20 monitored beds and resuscitation equipment incase our resus rooms are full and another one comes in, we resus them in cat 1. Cat 2, a lesser acuity pt area has 60 beds, six of which are the mental health treatment area where they have to wear tethers and alarms go off if the pt is too close to the door. we have the cat 3/urgent care for the lowest acuity pts that has 5 beds but theres always a few ppl on hall stretchers if they're just waiting for lab results or something, the Peds area has 7 rooms, theres three additional pelvic rooms that all the areas share if they have a pt that needs a pelvic exam, and lastly we have our CDU (clinical decision unit) for the 24hr observations but its a part of the ER and its our er nurses that rotate each shift and work up there so that takes up another 22beds.

now that i am actually seeing it in writing i know why i still got lost even after six mo. of working there lol its really big and easy to get lost in lol.:eek:

in cat 1 the nurse/pt ratio ranges from 1:2 to 1:4 depending on if we're short staffed and the acuity of the patients, cat 2 is 1:6, sometimes 1:8, cdu is 1:6 beds max, and cat3 and peds we all just kinda grab the orders as they come up and complete them, more of a team effort on that one. and its usually 2 PAs, 1 resident and 1 staff dr working there, the rest is always a bunch of residents and a staff. when our waiting room is backed up it keeps a roster on our comp screens of how many ppl are in each dept and the entire ER and we've seen the total tally hit 160.. ugh thats never fun!:bugeyes:

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