An emergency department (ED) has doubled its client visits within the past year. This has led to increased wait times and overcrowding in the ED waiting room. Which recommendation by the ED nurse manager to the chief nurse officer (CNO) would be most effective?
1. Increase the size of the waiting room and add more beds to the ED unit.
2. Hire more ED nursing staff to manage the increased volume of clients.
3. Hire another ED physician.
4. Hire another registration employee to improve the intake process and reduce the volume in the waiting areas.
2
Rationale 1: Simply adding space and beds will not help with the rapidity in which clients are seen and discharged, if there are not enough nurses to staff the additional area.
Rationale 2: The department has doubled in volume of clients, so it is necessary to increase staff to manage this volume. Increased wait times and overcrowding may lead to violent behavior.
Rationale 3: Hiring an additional ED physician will not be helpful if there are not enough ED nurses to provide care.
Rationale 4: Hiring another registration employee may speed up client registration but will not decrease wait times.
Global Rationale:
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