Emergency Nurses Association Advocates for ED Reform Legislation
The Emergency Nurses Association (ENA) has taken significant steps to address the growing boarding crisis in emergency departments (ED). In the United States, emergency departments see nearly 140 million patient visits annually, and emergency nurses play a crucial role in ensuring patients are treated and stabilized efficiently.
Patient boarding, which occurs when individuals remain in emergency departments due to a lack of available inpatient rooms, has reached alarming levels. Statistics reveal that the average boarding time increased significantly from 119 minutes in 2019 to 169 minutes in 2021. This situation not only leads to extended wait times but also results in higher morbidity and mortality, exacerbating the challenges faced by emergency care teams.
Boarding contributes to heightened violence in emergency departments, fostering an environment where burnout among emergency nurses is prevalent. Since 2017, the ENA has been a prominent advocate for solutions to this worsening issue, with key developments taking place recently. The ENA Board of Directors has approved revisions to its position statement addressing crowding, boarding, and patient throughput, highlighting the organization's commitment to this pressing concern.
One of the ENA's pivotal initiatives is its support for The Addressing Boarding and Crowding in the Emergency Department Act (H.R. 2936/S. 1974). This legislation aims to tackle the boarding crisis head-on by emphasizing the importance of data tracking and encouraging innovative care models, making strides towards enhanced emergency care practices.
According to ENA President Ryan Oglesby, "Boarding is at crisis levels in many emergency departments throughout the country. Addressing this issue is essential to improving patient care, increasing the efficiency of healthcare systems, and helping nurses avoid additional workloads and burnout." This statement highlights the urgency of the situation.
The ABC-ED Act presents new opportunities for refining patient flow and bolstering hospital capacity. By modernizing bed tracking systems and launching pilot Medicare programs for individuals with acute psychiatric needs and the elderly, the act aims to improve transitions of care. Additionally, it mandates a Government Accountability Office study to identify best practices for tracking hospital capacity, ultimately aiding in the rapid implementation of strategies that can reduce boarding instances.
ENA has expressed gratitude towards Reps. John Joyce and Debbie Dingell, as well as Sens. Chris Coons and David McCormick, for their backing of the legislation. Their support signifies a collaborative effort to enhance the operation of emergency departments, ensuring patients receive the highest quality care possible.
About the Emergency Nurses Association
The Emergency Nurses Association stands as the leading professional organization dedicated to shaping the future of emergency nursing through advocacy, education, research, innovation, and leadership. Established in 1970, ENA has become an essential resource for the global emergency nursing community. With close to 45,000 members worldwide, ENA champions patient safety, sets industry standards, and influences emergency healthcare public policy. ENA members possess expertise across various domains, including triage, patient care, disaster preparedness, and all aspects of emergency care.
As the need for effective emergency care continues to grow, the ENA remains dedicated to supporting emergency nurses and improving patient outcomes. Their ongoing efforts to address and reform emergency department practices are pivotal in creating safer and more efficient healthcare environments.
Frequently Asked Questions
What is the main focus of the ENA's advocacy?
The ENA focuses on addressing the boarding crisis in emergency departments, seeking solutions to improve patient flow and care quality.
Why is boarding a problem in emergency departments?
Boarding leads to longer wait times and can negatively affect patient outcomes and nurse well-being due to increased stress and burnout.
What does the ABC-ED Act aim to achieve?
The ABC-ED Act aims to enhance patient flow, modernize hospital bed tracking, and improve care transitions, particularly for vulnerable populations.
Who are some key supporters of the boarding legislation?
Reps. John Joyce and Debbie Dingell, along with Sens. Chris Coons and David McCormick, are notable supporters advocating for the legislation's passage.
What is the mission of the Emergency Nurses Association?
The ENA aims to define the future of emergency nursing through advocacy and leadership, supporting education and best practices in emergency care.
