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Based on a review of the literature the most frequently mentioned system for determining nurse staffing in the emergency department was the calculation of hours per patient visit hppv. 246 journal of emergency nursing 293 june 2003 clinical ray et al the concept of safe and effective staffing it is important to understand the difference between benchmark staffing data. Staffing guidelines new edition just released appropriate emergency department nurse staffing directly influences staff satisfaction staff retention and patient outcomes. Appropriate emergency department nurse staffing directly influences staff satisfaction staff retention and patient outcomes using the nurse staffing guidelines emergency department managers and administrators can use their departmental data to identify and support an appropriate number of patient care full time equivalents ftes for the . Ultimately the minimum acceptable requirement suggested by the emergency nurses associations ena staffing guidelines for safe quality care in any ed is two registered nurses around the clock 24 a continuous core