Largest ED in the US

My boyfriend and I were having a discussion and we were wondering what the largest ED is in the US.

Thanks!

Teresa:nurse:

Wow! That's a busy ED. We were wondering about the largest. We work in a 104 bed ed (including 20 peds beds) Thanks for the fast reply.

Thanks!

Wow! That's a busy ED. We were wondering about the largest. We work in a 104 bed ed (including 20 peds beds) Thanks for the fast reply.

Thanks!

104 ER BEDS??? OMG--what city?? I would hate to do that schedualing---how many nurses and docs do you staff in a 12 hour shift?

It's in FL. We actually just opened up Sunday night. We went from a 44 bed ed (not including peds) to this huge one. The ratio is 4 to 1 for the nurses, except out trauma/critical care rooms where it's 2 to 1. Each pod contains 20 beds, 5 nurses, 2 techs, a resource nurse, and a transporter. The doc situation is still getting put together. The last 2 nights there have been with 4 to 6 docs, depending on the census. Last night we had 2 docs after 4 am. How does this compare with your ed?

I looked up Parkland in TX. They see almost 400 pts per day! Unreal!

It's in FL. We actually just opened up Sunday night. We went from a 44 bed ed (not including peds) to this huge one. The ratio is 4 to 1 for the nurses, except out trauma/critical care rooms where it's 2 to 1. Each pod contains 20 beds, 5 nurses, 2 techs, a resource nurse, and a transporter. The doc situation is still getting put together. The last 2 nights there have been with 4 to 6 docs, depending on the census. Last night we had 2 docs after 4 am. How does this compare with your ed?

I looked up Parkland in TX. They see almost 400 pts per day! Unreal!

Our "rural" ED--8 beds+2 trauma rooms-1 Doc. 2 RNs and during the day 11a-11p 1 tech!!!

We had 100pts come through in a 24hr shift once and our admin was high fiving the staff!!! LOL

Dont get me wrong--I do love the rural setting, heck we have seen some of the same pts so many times we can basically assess them by thier name alone!!----"Umm Mary, Bill is back"

lol. That's funny.

I havent counted the beds exactly, but where I work its around 90+ adult beds, not including peds, which is maybe 40--dedicated to peds only, with its own staff of peds nurses and providers.

We see over 95K visits a year, and are a regional trauma center.

Largest or busiest? I worked in a 42 bed ER that saw 90,000 visits/year. They are currently expanding to 79 beds!

I know Parkland Hospital in TX is very busy.

Wow, that's busy! We had 64000 visits in our ED last year and I think we have more than 42 beds down there.

I worked at a 110 bed level I ED in Georgia that sees 120,000 patients a year. They say they are the busiest ED east of the Mississippi River.

I'm getting ready to take an assignment as a MedSurg RN at USC County hospital in LA. When I was interviewing for the job, the RN I spoke with said their ED has 150 beds. I would not want to work there. Knowing the LA area, and that particular area which is very bad, I can imagine they are busy all the time. I'm sure my MedSurg experience will be one to remember also. They just built the new hospital (the old building was more than 100 years old), so I'm excited about that, but know I'm facing a lot of challenges. More opportunities to learn and excell are just around the corner! ( This will be me after each shift!!)

I work in a city hospital in new york city, our ED has 5 trauma beds, 5 critcal beds, 20 acute beds, 6 EZ Care rooms (less emergent), an adult asthma room which holds 10 pts, peds asthma room which holds about 15 pts and 6 peds dedicated rooms. We average approximately 90-110K visits per year. Fun huh????

I think I posted this a while back but one thing you have to always be careful of when they cite bed #'s is which are "ROOMS" versus stretchers in the hallway. There's a difference between operating capacity and surge capacity.

I'll give your our numbers for our ETC...

Children's ER: 13 rooms, 1 Peds Trauma bay

Critical Care: 15 rooms, 8 hall stretchers, 2 trauma bays

Intermediate ER: 20 rooms, 10 hall stretchers

Chest pain ER: 14 rooms, 4 hall stretchers

Fast Track: 6 rooms

Observation ER: 8 rooms

SANE: 1 room

Behavioral ER: 21 rooms

"Overflow" Hall: 6 stretchers

Total rooms: 101 rooms

Hall Stretchers: 28 stretchers

We typically operate at 100% of the room capacity 75-80% of the time.

We are "in the halls" (IE: on stretchers) approx 60% of that time.

Anual volume 150,000+