Abstract: | Trends that are predicted to continue in the ED include high diversion rates, overcrowding, and a shortage of nurses and consultants. To reduce diversion rates, involve EMS agencies and county authorities. Use patient tracking systems to improve ED capacity and bed tracking systems to improve hospital inpatient capacity. Recruit and retain nursing staff by cross-training staff from telemetry or the intensive care unit, starting nurse internship programs, and offering flexible schedules. |