Nursing perspectives on the emergency department.

Although emergency departments (ED's) vary in shape, size, and technology, similarities in responsibilities exist. The primary responsibility is to provide quality health care to the communities served. The (ED) constitutes a substantial business in any hospital. Because of changing acuity levels, patient volume, and mix, success in the ED requires effective management to coordinate the many facets of this ever-changing environment. The ED nurse manager must have an understanding of how outside influences affect the operational aspect of the ED. Having this body of knowledge enhances the viability of the department and positively affects the quality of care.