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:

[Iam46yearsold]

they can all be busy

[mmutk, BSN, RN, EMT-I]

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).

Dam* you need a 40 bed ER.

[crb613, BSN, RN]

We are a rural ER, level 3 trauma/13 beds, we stabilize & fly a lot of stuff out to y'all at the big ERs. After 11pm 3 nurses one does triage. 1-2 techs one of those does the desk, 1 MD, 1 PA until 11pm. We are not assigned rooms......whoever can handle the next one is how we take pts. We do see a lot of people not sure of the numbers.

I have wondered how the big busy ERs are staffed & laid out. The only Er I have ever been in is mine so I am interested in how it all works with the nurses, techs, interns, Docs, surgeons ect.

[Christy1019, ASN, RN]

I work in a 120 bed (not including hallbeds and half spots), level 1 trauma ED in downtown detroit where i believe we see between 100-150,000/yr, we're generally pretty busy, besides prelim and triage we have the critical care, acute care, urgent care, mental health tx area, and a peds area and theres always at least 1 staff doc with around 3 residents in each area. i'm not sure how many nurses we have per shift but i know our nursing staff is 300+

things can get a lil hectic sometimes!

[mwboswell]

I work in a 120 bed (not including hallbeds and half spots), level 1 trauma ED in downtown detroit where i believe we see between 100-150,000/yr, we're generally pretty busy, besides prelim and triage we have the critical care, acute care, urgent care, mental health tx area, and a peds area and theres always at least 1 staff doc with around 3 residents in each area. i'm not sure how many nurses we have per shift but i know our nursing staff is 300+

things can get a lil hectic sometimes!

Are you at Detroit receiving?

[Christy1019, ASN, RN]

Are you at Detroit receiving?

no, henry ford

[woody436]

OMG!

150 beds...just in the ED?!?!?!!?

100-150k visits/year?!?!?!

--Dear God...I promise with all my heart never, ever, ever, will I complain about patient volumes again...AMEN!--

[FlyingScot, RN]

OMG!

150 beds...just in the ED?!?!?!!?

100-150k visits/year?!?!?!

--Dear God...I promise with all my heart never, ever, ever, will I complain about patient volumes again...AMEN!--

Try 43 beds 95,000 patient visits/year. Talk about wanting to cry!!!!!

[xos4eva]

I have to agree. I currently work in an ED with several areas, we have acute (20 beds), critical (4 beds), trauma (3 beds + 1 resuc bed), then we have peds with 6 beds, ez care with is non emergent problems and we have an asthma room for peds and an asthma room for adults and we get approximately 100-150K visits per year and thats not counting psych ER or OB. Fun......... Yesterday in pediatric triage in a 12 hour period we saw 65 and there is only 1 triage nurse and 2 nurse working in the inside. Yeah, hectic is an understatement.

[derektrn97]

Jackson General in Jackson Tn just expanded to 60+ beds, no peds wing and avg 100k visits per year.

[loricatus]

Try 43 beds 95,000 patient visits/year. Talk about wanting to cry!!!!!

Worked at 3 places like that and finally gave up for a while. Switched to PACU and now getting terribly bored and burnt. Can't win. :urgycld:

[Roy Fokker, BSN, RN]

Main rooms/"Beds" - 19 (including 3 trauma rooms)

Attached "stretcher"/"hallway" beds - 12

Track - 13

Attached "hallway" track beds - 3

Additional hold/surge beds - 4

Total (beds) : 22

Grand total (all included) : 51

We see over 65K patients per year - our director says we are among the top 3 EDs in the State by volume.

Good times! Good times!