EDdad

Did they give you any context about what chart it was or what they wanted you to add? I would absolutely not do it, but I would take a few minutes to write down for your own memory everything you can remember about that case. Then if you were asked to go court for some reason, you have your mind fresh on the case, particularly if it's down the road and there is something missing from the chart you'd want to remember.

I am an ED RN in a fairly busy ED in Washington state. We just implemented a fast track model in our ED, and are now looking at our staffing ratios to see if they need an adjustment, based on RN feedback. The model puts low acuity and easy 3's through the Fast Track, and this leaves higher acuity patients clustered on the back end. We have always been a 4:1 RN ratio, but staff is asking if we should go to 3:1 on the back end. The Fast Track is capturing a significant number of the easy 3 chip shots, so it does appear that back end RN's have an increased load. However, I am tasked with looking at evidence for current best practice staffing models, and possibly looking at acuity based staffing options. I'm looking for feedback from others with experience in comparable staffing ratios, specifically those that are at 3:1, Fast Track models, or use acuity based staffing.