Free Standing ER Care

For those of you that work in an FSED or have them in your hospital system:

I am curious how many of these facilities have on-site RT care. I am at a FSED in a metro area that sees 90+ patients a day, and we recently had RT care removed from our facility. The upper management ‘s rationale for this decision was that many other FSEDs do not have RT on staff.

We now have done many sedations (both adult and peds), RSIs, emergent BiPAP care and pediatric HHF without RT.. Most recently did a cricothyrotomy with a nurse managing the airway.

How many of you are experiencing a similar work environment to this??