Staffing and Productivity in the Emergency Department Position Statement-Staffing and Productivity in the Emergency Department Position Statement

Pdf Summary

This document discusses the importance of staffing and productivity in the emergency department (ED). It highlights factors to consider when determining the appropriate staffing levels, such as full-time equivalents (FTEs) and productivity goals. Strategic drivers for staffing decisions include quality, safety, service, and cost. Evidence shows that adequate nurse staffing is associated with improved outcomes, including patient satisfaction, reduced errors, and decreased mortality. Tactical drivers, including patient volume, acuity, and staff skill mix, also impact staffing decisions.<br /><br />Traditionally, nurse staffing in EDs has been based on nurse-to-patient ratios, but this method is ineffective due to variations in volume and acuity. Community needs assessment and situational factors should also be taken into consideration. The document emphasizes the need for ongoing evaluation of staffing models and patient outcomes.<br /><br />The Emergency Nurses Association (ENA) provides recommendations for ED staffing, including the presence of a minimum of two RNs for patient care regardless of ED size or acuity. The use of evidence-based methods and input from emergency nurses is also encouraged. The document notes that nurse staffing regulations, such as nurse-to-patient ratios, may not always result in improved outcomes and emphasizes the importance of considering other factors such as nurse skill level and experience.<br /><br />The document acknowledges the challenges in determining staffing requirements and highlights the impact of staffing on patient care, nurse satisfaction, and recruitment and retention of qualified nurses. It discusses the use of metrics and staffing formulas to align staffing with patient volume and acuity variations. The effects of the COVID-19 pandemic on staffing are also mentioned, and further research is recommended.<br /><br />Overall, the document emphasizes the need for adequate staffing in the ED to ensure safe and quality care. It provides insights into the complexities of staffing decisions and offers recommendations for assessing and optimizing staffing levels in the ED.

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Keywords

staffing

productivity

emergency department

nurse staffing

patient outcomes

nurse-to-patient ratios

Emergency Nurses Association

patient care

nurse satisfaction

COVID-19 pandemic