As winter volumes increase and hospital census rises, the number of patients who may eventually be "boarded" in the ED may also increase. It appears that the Joint Commission considers "boarding" as greater than four hours from the decision to admit and recommends implementing care like that of an inpatient. Does anyone have any recommendations on how best to accomplish this? For example, do you have the inpatient team round and write orders on the ED patient while waiting for a bed assignment? Or do you have the ED team continue care?
Any help would be appreciated.
Kathy Nuss, MD
Nationwide Children's Hospital
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