I've been thinking about ways to ease my growing pains, particularly with hospitals. Having experience in an ER, I think it would be more realistic to move away from the 1 pt discharged per hour rule to a 1 to 2 hour timer assigned to each pt that starts on their arrival at the hospital.
It would be even better to see a timer based on pt's triage code, for example:
A- 30 minutes
B- 1 hour
C- 1 hour 30 minutes
D- 2 hours
E- 2 hours 30 minutes
In the meantime, I'll just keep expanding.