Largest ED in the US

[TeresaEDRN06]

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

Thanks!

Teresa:nurse:

[mwboswell]

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+

[mwboswell]

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+

Someone asked abuot staffing...

CC: 4 RNS, 1 charge, 1 trauma float

IMC: 4 RN's, 1 RN charge

CEC: 3 RN's, 1 RN Charge

CPC: 2-3 RN's

FT: 1 RN

OBS: 1-2 RN's

BEhavioral 2 RN's

1 shift charge RN

3-5 Nurse Techs at any given time

4-5 Secretaries/Unit coordinators at any given time

There is a little flexibility in these numbers depening on volumes/trends and needs.

[rjflyn, ASN, RN]

Its not so much the number of beds, because if you build them they will come. I worked in a ER in NC, at the time we had about 40-45. The actually number was debatable because of hall spots and chairs. At the time a new ED was in the early planning stages. Now they have a 90+ bed ER that is slam pack full all the time. Thats with the other hospital in town less than 2 miles away.

And actually legally a hospital has to cite licensed beds.

RJ

[angel337, MSN, RN]

we have 64 beds total. i would rather work in a ED with alot of rooms instead of a community hospital with say 20 beds and not enough staff. i worked in hospital like that before and it was horrible because they saw about 170 pt's a day with only 7 nurses and 2 attendings. when a ED has enough rooms they will staff appropriately for the most part.

[care4you]

the ER in Dayton ohio has about 100 beds and sees close to 150,000 pts a year. VERY BUSY:bugeyes:

[Hagabel]

I work in WA state and we saw just over 105, 000 pts last year with 49 beds and 13 hallway beds. Crazy busy!!

[traumababy]

We only have 20 beds, but we have 4 "hall beds" and 2 "waiting for a bed" areas. We are usually packed to the hilt, and it only continues to get worse...

[j450n, BSN, MSN, RN]

I work in WA state and we saw just over 105, 000 pts last year with 49 beds and 13 hallway beds. Crazy busy!!

Harborview?

[Hagabel]

Actually nope! Sent you a PM.

[neneRN, BSN, RN]

I'm in FL...have 85 beds and saw 142,000 pts last year.

[woody436]

Ohhh....I LOVE the idea of the "pod" set up...it's like having a handful of mini-ed's in one large ED...very nice idea indeed!

Does each resource nurse report to the charge nurse on a given shift? Are those positions perm. or ad-hoc? Do you have a fast-track? How big is triage?

[hypocaffeinemia, BSN, RN]

I wonder what the record is for highest bed-to-patient load ratio is.

We're only a 12-bed main ER, 10-bed fast track yet we see 60,000+ annually. Granted, we don't handle trauma so our acuity is lower, but still...

(We're moving to a 40+ bed ER next year).