The emergency department consists of 26 total beds; 23 on the main side, 9 in FastER Care. Most of the beds on the main side are capable of cardiac monitoring. In addition, the department has three isolation/negative pressure rooms, two women's health/GYN rooms, two observation rooms and one pediatric friendly room. The projected annual visit is approximately 55,000.
In the ED, our RN staffing pattern and patient ratios vary throughout the day. The ideal nurse/patient ratio is 1:3, but may go up to 4, and rarely, 5 patients during peak volumes. There are many seasoned RNs always available as resources. In the SSU, the ratio is 1:4. Our multi-functional tech ratio is approximately 1:8, but may go higher depending on volume. Our ED team includes registered nurses, multifunctional technicians, patient service administrators, transporters, nurse externs.
Our department prides itself on great teamwork and patient satisfaction scores. The ER consistently maintains patient satisfaction scores in the top 10 percentile in the nation, according to Press Ganey. That means our department is better than 90 percent of the other ERs in the country. In the emergency department, we practice shared governance, and have several councils that meet monthly. We encourage the staff to participate.
The ED orientation is a 12-week program with a mixture of didactic and clinical experiences. ED consortium classes are taught by a variety of instructors with myriad backgrounds to provide different viewpoints and expertise. The clinical portion consists of 12-hour days with a preceptor. Assignments are made based on your progress over the 12 weeks. We have courses in the following topics:
- ACLS (after 6 months of employment in ED)
- PALS (after 6-12 months of employment in ED)
- Triage (orient after 6 months)
- CEN (after one year following orientation)
- Base Station Course
- Stroke Education
- Trauma Nurse Core Course
- Emergency Nurse Pediatric Course
- se in Advanced Trauma Nursing
- In-services and classes available on unit/hospital
Meet the Emergency Department Patient Care Manager
Amy Evans, RN
Amy Evans, patient care manager of the emergency department at MedStar Good Samaritan Hospital, received her LPN from Eastern Vocational Technical High School, then graduated from Community College of Baltimore County Essex with an RN degree. Under her direction, the emergency department consistently maintains satisfaction scores in the top 10 percent in the nation.
"Our vision for the emergency department is to be the hospital of choice in the Baltimore region, and our mission is to provide excellent patient care in a timely fashion to all we serve," Amy explains. "Our projected annual visits are approximately 55,000 people. Even with such high volume, the ED staff works effectively as a team to care for our patients."
Our department practices shared governance, and we encourage staff to get involved. Time is granted for staff nurses to attend council meetings and perform council work. The ED has representation on all nursing hospital councils: Education, Performance Improvement, Professional Practice, Professional Development and Retention and Recruitment. We also have several unit-based councils that meet monthly and are always looking for new members. They include: Performance Improvement, Professional Practice, Education and Operations.
The emergency department staff prides itself on our great teamwork and patient satisfaction scores. The ED consistently maintains patient satisfaction scores in the 90th percentile. This means our department is better than 90% of other EDs in the country that use the same measurement tool.
"As patient care manager, my door is always open. I am here to support the staff with issues or concerns," says Amy. "My goal is to help the staff create an environment that will improve patient care and the ED process while creating the ideal work experience."