I recently started working in an ED at a small community hospital. The ED has 12 beds and an overflow area. I was told that the call bell system is broken and has been for a week!! Management has been told, maintenance has been told, work orders have been sent by several of our ED staff, still nothing. There has been a close call with a patient with a-fib being held in the ED until "there was enough staff in Med-Surg to care for the patient. The patient came to the nurses station and stated "why the "bleep" do you have call buttons if you are not going to answer them, I have been pushing the button for 20 minutes because my chest is hurting and nobody came". I need advice..should I report this to JACHO?