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Friday, December 6, 2013

Emergency Department Position Statement

EMERGENCY NURSES ASSOCIATION POSITION contention CROWDING IN THE EMERGENCY DEPARTMENT STATEMENT OF PROBLEM Crowding in our nations pinch departments is of increase concern to wellness c are professionals and health care consumers alike. Although the go forrader of emergency department (ED) crowding in the United States has appeared in the emergency health care literature since the early 1990s, it has exact in greater c everyplaceage during the last few years, capturing the attention of some(prenominal) Americans and policymakers.1-4 ED crowding can be described as a situation in which the identified need for emergency service outstrips available resources in the emergency department. This situation occurs in infirmary emergency departments when there are more patients than staffed ED intervention beds and wait times exceed a honest period.5 When crowding occurs, patients are often placed in hallways and other(a) non- treatment areas to be monitored until E D treatment beds or staffed hospital inpatient beds become available.6 In addition, crowding whitethorn return to an inability to triage and treat patients in a apropos sort as well as increased evaluate of patients exit the emergency department without being seen.
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4,6 As a conduce of crowding, hospitals often implement ambulance deflexion measures, which means ambulances that would otherwise bring patients to the facilitys emergency department are order to nearby emergency departments instead.4 In many cases, ambulance diversion may be an ineffective response to crowding.5-9 For example, when one hospital g oes on diversion, other area hospitals may b! egin mirthful ambulances as well, potentially resulting in ED crowding end-to-end the community.8,9 In response to growing national concern over ED crowding, the U.S. General Accounting Office (GAO) conducted a depicted intention of hospital emergency departments in metropolitan statistical areas to study the level of crowding experienced, the factors contributing to crowding,...If you want to get a full essay, order it on our website: OrderCustomPaper.com

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