Our hospital is going through a continuous improvement process. Ofcourse
the first task they have undertaken is to evaluate manpower needs based
on patient volumes. Once completed the study showed that we were
overstaffed (never really felt that way), and projected a need to reduce
staff to 4 care providers (2 RN's, 1Paramedic and 1 resp therapist)
between 3AM to 11AM. Their duties will include triaging, nursing care,
and providing leadership. We are a tertiary care center, take level one
trauma, a volume of 36,000/year, 17% admission rate. Only 15% of the
patients present to the ED between 3AM to 11AM.
What indicators should I use to measure the minimal safe staffing at any
1. How low does the staffing in your ED's go.
2. What is the average cost per patient in your ED
3. Do you maintain a certain physician: caregiver ratio
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