Author Question: An emergency department (ED) has doubled its client visits within the past year. This has lead to ... (Read 20 times)

Brittanyd9008 · **on:** Jul 8, 2018

An emergency department (ED) has doubled its client visits within the past year. This has lead to increased wait times and overcrowding in the ED waiting room.

Which of the following recommendations by the ED nurse manager would be appropriate to the CNO (chief nurse officer)? 1. Increase the size of the waiting room and add more carts 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 decrease the volume in the waiting
areas.

Question 2

The emergency department (ED) has seen an increase in violent behavior over the past year. The manager has voiced concerns to the CNO (chief nurse officer) regarding the safety of the ED staff. What should be done to address this issue?

1. The manager should consult with local law enforcement.
2. The CNO should review and revise the management of violent incidents procedure policy.
3. The CNO should discuss the matter with local law enforcement.
4. The manager should discuss the matter with the ED staff.

k.lashomb · **Reply #1 on:** Jul 8, 2018

Answer to Question 1

2
Explanation: 1. Because the department has doubled in volume of clients, it would be necessary to increase
staff to manage this volume. Increased wait times and overcrowding may lead to violent
behavior. Another ED physician and registration employee may or may not affect the wait
times, but an increase in nursing staff would definitely be a necessary action to take.

Answer to Question 2

2
Explanation: 1. Organizations should implement policies and procedures to manage workplace violence as it
has increased over the years in health care. In addition to harm to employees, violence in the
workplace can affect worker morale, increase staff stress, cause a mistrust of administration,
and exacerbate a hostile work environment. It might be beneficial to discuss the organizations
policies and procedures with local law enforcement but the first step should be to review and
revise those policies/procedures so they are reflective of effectively managing the types of
incidents seen in the department.